NPIMap

Organization Active NPI

Cypress Physical Therapy LLC

  • Physical Therapist
  • La Place, LA
National Provider Identifier
1770934986
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CYPRESS PHYSICAL THERAPY LLC
Practice address
607 Belle Terre Blvd
Suite B
La Place, LA 70068-1722
Phone
(985) 703-0944
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Christopher Cancienne, PTNPI 1093002297
Title
Owner / PT
Phone
(985) 703-0944

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

607 Belle Terre Blvd
Suite B
La Place, LA 70068-1722

Mailing address

607 Belle Terre Blvd
Suite B
La Place, LA 70068-1722
Phone (985) 703-0944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161220002389 LA Part B Supplier - Clinic/Group Practice 8628359114 Receives reassigned benefits from 10 practitioners
Practice locations: Gramercy, LA; La Place, LA
O20230808003973 LA DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical Therapist 8628359114 Practice locations: La Place, LA

National Provider Directory

National Provider Directory

Locations

827 N Pine St
Ste A
Gramercy, LA 70052

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

Practitioners & affiliated clinicians

Practitioners 11

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": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1770934986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BELLE TERRE BLVD",
            "address_2": "SUITE B",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700681722",
            "telephone_number": "985-703-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BELLE TERRE BLVD",
            "address_2": "SUITE B",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700681722",
            "telephone_number": "985-703-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "CANCIENNE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER / PT",
        "authorized_official_telephone_number": "985-703-0944",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 29, 2023; 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.