Active NPI
Thomas Tydlacka, PT, DPT
- Orthopedic Physical Therapist
- Cypress, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 21216 Northwest Fwy Ste 620
Cypress, TX 77429-4699 - Phone
- (281) 807-4380
- Fax
- (833) 521-2189
- NPI assigned
- Sep 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
21216 Northwest Fwy Ste 620
Cypress, TX 77429-4699
Mailing address
3023 Marina Bay Dr Ste 105
League City, TX 77573-2882
Phone (713) 943-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4700 Seton Ctr Pkwy
Suite 115
Austin, TX 78759-5753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortholonestar, PLLC | Current | Accepting new patients | |
| Ortholonestar, PLLC | Current | Accepting new patients | |
| Ortholonestar, PLLC | Past | Accepting new patients | |
| Webster Surgical Specialty Hospital, LLC | Past | Accepting new patients |
Locations
4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644
2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550
21216 Northwest Fwy
Ste 620
Cypress, TX 77429
Phone (281) 469-7704
3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034
3023 Marina Bay Dr
Ste 105
League City, TX 77573
Phone (281) 549-6404
10223 Broadway St
Ste A
Pearland, TX 77584
Phone (713) 436-3488
520 Blossom St
Webster, TX 77598
Phone (281) 332-9537
Interoperability endpoints
- thomas.tydlacka.1@15533.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1942860176
-
- Orthopaedic Surgery Physician
- Tomball, TX
- NPI 1073475679
-
- Prosthetic/Orthotic Supplier
- Houston, TX
- NPI 1538776927
-
- General Acute Care Hospital
- Webster, TX
- NPI 1285699835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1114568359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 MARINA BAY DR STE 105",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732882",
"telephone_number": "713-943-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21216 NORTHWEST FWY STE 620",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294699",
"telephone_number": "281-807-4380",
"fax_number": "833-521-2189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYDLACKA",
"first_name": "THOMAS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-29",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.