Individual provider Active NPI

Christopher John Cancienne, DPT

  • Physical Therapist
  • La Place, LA
National Provider Identifier
1093002297
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08038 Issued in LA
Practice address
504 Rue de Sante
La Place, LA 70068-5418
Phone
(985) 652-9515
Fax
(985) 652-8675
NPI assigned
Jul 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 08038 LA Primary

Addresses

Primary practice location

504 Rue de Sante
La Place, LA 70068-5418

Mailing address

504 Rue de Sante
Laplace, LA 70068
Phone (985) 652-9515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110822000257 LA Practitioner - Physical Therapist in Private Practice 5193995579 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Oakland College of Medicine and Surgery, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Cypress PT Charles LLCGroup PAC ID 7113373028, 5 clinicians
Cypress PT SJP LLCGroup PAC ID 5193086213, 6 clinicians
Cypress PT North LLCGroup PAC ID 7315361078, 5 clinicians
Cypress Physical Therapy LLCGroup PAC ID 8628359114, 10 clinicians
Cypress PT AscensionGroup PAC ID 1850806290, 3 clinicians

Practice addresses (Care Compare)

12807 Hwy 90
Suite 130a
Luling, LA 70070-2243
Phone (985) 308-0078

1729 Deroche Cir
Gramercy, LA 70052-3557
Phone (985) 359-5483

19065 Dr John Lambert Dr
Suite 1600
Hammond, LA 70403-1038
Phone (985) 590-4953

607 Belle Terre Blvd
Suite B
La Place, LA 70068-1736
Phone (985) 359-5483

7530 Hwy 44
Suite 108
Gonzales, LA 70737-8283
Phone (225) 910-8576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08038LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress PT North LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Cypress PT Charles LLC Physical Therapist CurrentSince Mar 30, 2026 Accepting new patients
Babin Physical Therapy Services, Inc CurrentSince Mar 30, 2026 Accepting new patients
Cypress Physical Therapy LLC Physical Therapist CurrentSince May 1, 2016 Accepting new patients
Cypress PT SJP LLC Physical Therapist CurrentSince Jul 19, 2017 Accepting new patients
Cypress PT Ascension Physical Therapist CurrentSince Oct 30, 2025 Accepting new patients

Locations

7530 Highway 44
Ste 108
Gonzales, LA 70737
Phone (225) 258-9480

1729 Deroche Cir
Gramercy, LA 70052
Phone (225) 258-9480

19065 Dr John Lambert Dr
Ste 1600
Hammond, LA 70403
Phone (281) 753-8084

371 W Esplanade Ave
Kenner, LA 70065
Phone (504) 467-5520

607 Belle Terre Blvd
Ste B
La Place, LA 70068
Phone (985) 359-5483

12807 Highway 90
Ste 103A
Luling, LA 70070
Phone (985) 308-0078

12807 Highway 90
Ste 130A
Luling, LA 70070
Phone (985) 308-0078

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1093002297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 RUE DE SANTE",
            "city": "LAPLACE",
            "state": "LA",
            "postal_code": "70068",
            "telephone_number": "985-652-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 RUE DE SANTE",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685418",
            "telephone_number": "985-652-9515",
            "fax_number": "985-652-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCIENNE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.

Verify at the official NPI Registry.