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

Keith Calvin Crnkovic, DPT

Individual provider Physical Therapist · NPI 1528684891

Keith Calvin Crnkovic, DPT is a Physical Therapist in Private Practice in Bossier City, Louisiana. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2122 Airline Dr Ste 200
Bossier City, LA 71111-3270
Phone: (318) 828-1450
Fax: (318) 828-2697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7607 Fern Ave Ste 704, Shreveport, LA 71105-5744 — (318) 828-1450

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10634R (LA)

Record details

NPI number1528684891
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 22, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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