Organization Active NPI

Cypress PT Orange LLC

  • Physical Therapist
  • Orange, TX
National Provider Identifier
1306564877
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CYPRESS PT ORANGE LLC
Practice address
3713 N 16TH St
Orange, TX 77632-4630
Phone
(409) 330-4005
Fax
(409) 330-4159
NPI assigned
Aug 19, 2022
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Gary P Boe Jr.
Title
Managing Partner
Phone
(504) 487-2336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3713 N 16TH St
Orange, TX 77632-4630

Mailing address

2034 W Main St
Lutcher, LA 70071-5364
Phone (504) 487-2336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220915002519 TX Part B Supplier - Clinic/Group Practice 4486039146 Receives reassigned benefits from 1 practitioner
Practice locations: Orange, TX

National Provider Directory

National Provider Directory

Locations

3713 N 16th St
Orange, TX 77632
Phone (409) 330-4005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1306564877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 W MAIN ST",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715364",
            "telephone_number": "504-487-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776324630",
            "telephone_number": "409-330-4005",
            "fax_number": "409-330-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS PT ORANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "BOE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "504-487-2336",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.