Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Marie Bourg, DPT

Individual provider Physical Therapist · NPI 1265366199

Elizabeth Marie Bourg, DPT is a Physical Therapist in Private Practice in Southlake, Texas. Qualified in 2025, 1 year ago. Practices with Texas Luna Care Physical Therapy LLC, a 267-clinician group and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
1
Licensed in
LA, TX
In the registry since
2026
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

180 State St Ste 225
Southlake, TX 76092-7632
Phone: (866) 525-3175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12012 (LA)
Physical Therapist Taxonomy 225100000X · Licence CP057805T (TX)

Record details

NPI number1265366199
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Texas Luna Care Physical Therapy Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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