KEITH CALVIN CRNKOVIC (NPI# 1528684891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528684891 |
| Entity Type | Individual |
| Full Name | KEITH CALVIN CRNKOVIC |
| Credential | DPT |
| Practice Address |
2122 Airline Dr Ste 200 Bossier City LA 71111-3270 |
| Mailing Address |
7607 Fern Ave Ste 704 Shreveport LA 71105-5744 |
| Practice Telephone | 3188281450 |
| Practice Fax Number | 3188282697 |
| Mailing Telephone | 3188281450 |
| Mailing Fax Number | 3188282697 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10634R | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7607 Fern Ave Ste 704, Shreveport, LA 711055744 | 3188281450 | 3188282697 |
| Street Address |
2122 AIRLINE DR STE 200 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587886 | Jill Frost | Speech-Language Pathologist | 2122 Airline Dr Ste 200, Bossier City, LA 71111-3270 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301669 | Jan Sofrides Viet | Physical Therapist | 1120 Dudley Ln, Bossier City, LA 71112-2902 | 2020-09-17 |
| 1942849674 | Jared Mcwhiney | Physical Therapist | 120 Oaklawn Dr, Bossier City, LA 71112-9718 | 2019-12-28 |
| 1336797760 | Ryan Brand Barcelona | Physical Therapist | 5809 Gold Crest Dr, Bossier City, LA 71112-8811 | 2019-08-28 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| 1013458884 | Rachel Sibley | Physical Therapist | 668 Dumaine Dr, Bossier City, LA 71111-6277 | 2017-03-14 |
| 1538535430 | Whitney G Harrell | Physical Therapist | 134 Lakewood Point Dr, Bossier City, LA 71111-2061 | 2015-08-13 |
| 1649655101 | Phillip Thomas | Physical Therapist | 6020 Coy Rd, Bossier City, LA 71111-5702 | 2015-07-27 |
| 1154709012 | Katelyn Britt Navarro | Physical Therapist | 2175 Stockwell Rd Apt 616, Bossier City, LA 71111-5762 | 2015-05-12 |
| 1780939645 | Laura Caraway | Physical Therapist | 2000 Blake Blvd, Bossier City, LA 71111-2191 | 2012-07-17 |
| 1518281096 | Jessica Leila Razavi | Physical Therapist | 1126 Patricia Dr, Bossier City, LA 71112-2954 | 2010-03-26 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.