Individual provider Active NPI

Race Elie Bourgeois

  • Physical Rehabilitation Occupational Therapist
  • West Palm Beach, FL
National Provider Identifier
1114834405
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
354009 Issued in LA
Practice address
8983 Okeechobee Blvd Ste 208
West Palm Beach, FL 33411-5145
Phone
(561) 478-3702
NPI assigned
Aug 25, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0019X 354009 LA Primary

Addresses

Primary practice location

8983 Okeechobee Blvd Ste 208
West Palm Beach, FL 33411-5145

Mailing address

3811 Turtle Creek Blvd Ste 850
Dallas, TX 75219-4560
Phone (469) 694-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1114834405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 TURTLE CREEK BLVD STE 850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194560",
            "telephone_number": "469-694-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8983 OKEECHOBEE BLVD STE 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115145",
            "telephone_number": "561-478-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "RACE",
        "middle_name": "ELIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "LA",
            "license": "354009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.