Organization Active NPI

John M. Typaldos, P.T.

  • Physical Therapist
  • Nixa, MO
National Provider Identifier
1285762914
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOHN M. TYPALDOS, P.T.
Practice address
1887 N State Highway CC
Nixa, MO 65714-8015
Phone
(417) 725-5774
Fax
(417) 725-5915
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John M Typaldos, P.T.NPI 1609866110
Title
Owner
Phone
(417) 725-5774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1887 N State Highway CC
Nixa, MO 65714-8015

Mailing address

1887 N State Highway CC
Nixa, MO 65714-8015
Phone (417) 725-5774

Other names 1

  • Physical Therapy Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1285762914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 N STATE HIGHWAY CC",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148015",
            "telephone_number": "417-725-5774",
            "fax_number": "417-725-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 N STATE HIGHWAY CC",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148015",
            "telephone_number": "417-725-5774",
            "fax_number": "417-725-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. TYPALDOS, P.T.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "TYPALDOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-725-5774",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.