KEATON YAW – Physical Therapist, NPI 1063253623

KEATON YAW is a healthcare provider. based in Tampa, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for KEATON YAW is 1063253623

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
KEATON YAW
NPI
1063253623
Phone
Not provided
Address
800 N HOWARD AVE UNIT 221
Enumeration Date
5 June 2024
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7272024627
Graduation Year
2023 (3 years ago)
PAC ID
3870025455
Group Practice PAC ID
6507299583
Professional Enrollment ID
I20241021003111
Address ID
FL337105510ST1700XNXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KEATON YAW

  • 800 N HOWARD AVE UNIT 221

    TAMPA, FL 336061077

    Phone:

    Type: Mailing

  • 6417 E COUNTY LINE RD STE 100

    TAMPA, FL 336471855

    Phone: (813) 461-8840

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241021003111IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507299583View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
-FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEATON YAW?
KEATON YAW — NPI 1063253623 — is the standard way to identify this listing.
Is KEATON YAW listed as active for patients and plans?
The listing shows KEATON YAW as active in the NPI system.
What taxonomy line describes KEATON YAW?
For research purposes, treat KEATON YAW as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does KEATON YAW serve?
KEATON YAW's listing highlights Tampa, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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