# TYPALDOS PHYSICAL THERAPY AND REHABILITATION CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Therapy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336139989
- **Authorized official:** JOHN M TYPALDOS PT (PRESIDENT ADMINISTRATOR)
- **Authorized official phone:** (417) 725-5774

## Contact information

- **Practice address:** 1887 N STATE HIGHWAY CC, NIXA, MO 65714-8015
- **Practice address phone:** (417) 725-5774
- **Practice address fax:** (417) 725-5915
- **Mailing address:** 1887 N STATE HIGHWAY CC, NIXA, MO 65714-8015
- **Mailing address phone:** (417) 725-5774
- **Mailing address fax:** (417) 725-5915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 11/13/2013