Active NPI
Tyler J Marcinkus, PT, DPT
- Physical Therapist
- Shreveport, LA
National Provider Identifier
1235046350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12027
- Practice address
- 1450 Claiborne Ave
Shreveport, LA 71103-4204 - Phone
- (318) 813-2987
- Fax
- (318) 813-2975
- NPI assigned
- Aug 25, 2026
- Sex
- Male
- 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 | 12027 | LA | Primary |
Addresses
Primary practice location
1450 Claiborne Ave
Shreveport, LA 71103-4204
Mailing address
1450 Claiborne Ave
Shreveport, LA 71103-4204
Phone (318) 813-2987
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": "1235046350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 CLAIBORNE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034204",
"telephone_number": "318-813-2987",
"fax_number": "318-813-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CLAIBORNE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034204",
"telephone_number": "318-813-2987",
"fax_number": "318-813-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCINKUS",
"first_name": "TYLER",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "12027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
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.