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

Ian Bourgeois

Individual provider Physical Therapist · NPI 1508659632

Ian Bourgeois is a Physical Therapist in Private Practice in Zachary, Louisiana. Qualified in 2025, 1 year ago. Practices with Moreau Physical Therapy Inc, a 81-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2025
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Practice location Address checks out

1326 Church St Ste B
Zachary, LA 70791-2743
Phone: (225) 375-2318
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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 12049 (LA)

Record details

NPI number1508659632
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 22, 2025
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address4324 S Sherwood Forest Blvd Ste B170, Baton Rouge, LA 70816-4481

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 Moreau Physical Therapy Inc. — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Zachary