Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Keaton Yaw

Individual provider Physical Therapist · NPI 1063253623

Keaton Yaw is registered under Physical Therapist in Private Practice in Tampa, Florida. Qualified in 2023, 3 years ago. Practices with Optimal Performance and Physical Therapies Tyrone, LLC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024

Practice location Address checks out

6417 E County Line Rd Ste 100
Tampa, FL 33647-1855
Phone: (813) 461-8840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1063253623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Optimal Performance And Physical Therapies Tyrone, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 224 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Optimal Performance and Physical Therapies Tyrone, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

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