RUSTY BOURGEOIS
NPI 1942884408
Occupational Therapist in Mandeville, LA

Active since May 11, 2021
197 CHATEAU PAPILLON, MANDEVILLE, LA 70471(504) 912-4960 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2025, May 11, 2021 (2 updates tracked since 2021).

About Rusty Bourgeois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSTY BOURGEOIS (NPI 1942884408) is an individual occupational therapist in Mandeville, Louisiana, licensed in Louisiana (329464) and active in the NPI registry since May 2021. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1942884408
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameRUSTY BOURGEOIS
Location Address197 CHATEAU PAPILLONMandeville, LA 70471-8551
Mailing Address197 Chateau PapillonMandeville, LA 70471-8551 · (504) 912-4960
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 11, 2021
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1942884408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in LA · 329464
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
197 CHATEAU PAPILLON, Mandeville, LA 70471

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rusty Bourgeois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709363500
PECOS Enrollment IDI20260122004291

Medicare Billing Reassignment

Medicare enrollment records show Rusty Bourgeois reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
900 JOHNSON ST
Tallulah, LA 71282
  • Reassigned Medicare billing, Louisiana enrollment
  • 48 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rusty Bourgeois's NPI number?

The NPI number for Rusty Bourgeois is 1942884408. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Rusty Bourgeois located?

Rusty Bourgeois practices at 197 Chateau Papillon, Mandeville, LA 70471. The listed phone number is (504) 912-4960.

What is Rusty Bourgeois's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Rusty Bourgeois enrolled in Medicare?

Yes. Rusty Bourgeois is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rusty Bourgeois's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rusty Bourgeois reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, LLC (Tallulah, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rusty Bourgeois's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rusty Bourgeois accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana list Rusty Bourgeois as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rusty Bourgeois was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.