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

Individual provider Physical Therapist · NPI 1548648884

Jeremy Bourgeois, PT, DPT is a Physical Therapist in Private Practice in Houston, Texas. Qualified in 2014, 12 years ago. Practices with Age Victoriously, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

411 W 14th St
Houston, TX 77008-4111
Phone: (281) 816-7891
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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 1246956 (TX)

Record details

NPI number1548648884
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 6, 2015
Last updated in NPPESSeptember 3, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Age Victoriously, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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