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

Rusty Bourgeois

Individual provider Occupational Therapist · NPI 1942884408

Rusty Bourgeois is an Occupational Therapist in Private Practice in Mandeville, Louisiana. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2021

Practice location Address checks out

197 Chateau Papillon
Mandeville, LA 70471-8551
Phone: (504) 912-4960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 329464 (LA)

Record details

NPI number1942884408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2021
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address197 Chateau Papillon, Mandeville, LA 70471-8551

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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