Active NPI
Marjorie L Bourgeois, PT05/12/1946
- Physical Therapist
- Church Point, LA
National Provider Identifier
1083674923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-00219
- Practice address
- 119 S Main St
Church Point, LA 70525-3113 - Phone
- (337) 684-6585
- Fax
- (337) 684-6585
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-00219 | LA | Primary |
Addresses
Primary practice location
119 S Main St
Church Point, LA 70525-3113
Mailing address
PO Box 299
Church Point, LA 70525-0299
Phone (337) 684-6585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219 | LA | MD | Mental Health Counselor |
| PT-00219 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083674923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "CHURCH POINT",
"state": "LA",
"postal_code": "705250299",
"telephone_number": "337-684-6585",
"fax_number": "337-684-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S MAIN ST",
"city": "CHURCH POINT",
"state": "LA",
"postal_code": "705253113",
"telephone_number": "337-684-6585",
"fax_number": "337-684-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURGEOIS",
"first_name": "MARJORIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PT05/12/1946",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "PT-00219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Church Point, LA
- Bayou Family Healthcare LLC (Church Point Family Care Center)
- Bec Vision, LLC (LA Eye & Vision Center)
- Denise Bertrand, O.T.
- Chad Bodin, R.P.H.
- Eric Jarsin Boudreaux, O.D.
- Braden Guidry, PT, LLC
- Martin Shawn Briggs, DDS
- Church Point Community Pharmacy
- Church Point Drug Inc (Church Point Pharmacy)
- Church Point Medical Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.