JEREMY BOURGEOIS (PT, DPT) – Physical Therapist, NPI 1548648884

JEREMY BOURGEOIS (PT, DPT) is a healthcare provider. based in Houston, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1246956 (TX). The NPI Number for JEREMY BOURGEOIS (PT, DPT) is 1548648884

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY BOURGEOIS (PT, DPT)
NPI
1548648884
Phone
(281) 816-7891
Address
2323 S SHEPHERD DR
Enumeration Date
6 May 2015
Last Update Date
3 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8323775968
Graduation Year
2014 (12 years ago)
PAC ID
9133429327
Group Practice PAC ID
6709228778
Professional Enrollment ID
I20151217000611
Address ID
TX770631608HO7880XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for JEREMY BOURGEOIS (PT, DPT)

  • 2323 S SHEPHERD DR

    STE 100

    HOUSTON, TX 770197025

    Phone: (281) 816-7891

    Type: Mailing

  • 411 W 14TH ST

    HOUSTON, TX 770084111

    Phone: (281) 816-7891

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151217000611IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes7,277171$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes5,649173$0
97750Test or measurement for functional capacity, each 15 minutes406104$0
97530Therapy procedure using functional activities21257$0
97140Therapy procedure using manual technique, each 15 minutes14138$0
View full utilization report →

Insurance plans in this area (ZIP 77019)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709228778View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to JEREMY BOURGEOIS (PT, DPT)?
NPI 1548648884 is assigned to JEREMY BOURGEOIS (PT, DPT) under the national enumeration system.
Is JEREMY BOURGEOIS (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JEREMY BOURGEOIS (PT, DPT) work in?
You can think of JEREMY BOURGEOIS (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for JEREMY BOURGEOIS (PT, DPT)?
The page summarizes Houston, Texas for JEREMY BOURGEOIS (PT, DPT); expand the address list for detail.
How can I contact JEREMY BOURGEOIS (PT, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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