Provider Demographics
NPI:1316732886
Name:CYPRESS PT ASCENSION, LLC
Entity type:Organization
Organization Name:CYPRESS PT ASCENSION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BOE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:504-487-2336
Mailing Address - Street 1:7530 LA 44
Mailing Address - Street 2:SUITE 108
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737
Mailing Address - Country:US
Mailing Address - Phone:225-910-8576
Mailing Address - Fax:225-960-6917
Practice Address - Street 1:7530 LA 44
Practice Address - Street 2:SUITE 108
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737
Practice Address - Country:US
Practice Address - Phone:225-910-8576
Practice Address - Fax:225-960-6917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty