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

Keito Andrew Shaw Jr.

Individual provider Occupational Therapist · NPI 1447111596

Keito Andrew Shaw Jr. is an Occupational Therapist in Wyncote, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

1245 Church Rd
Wyncote, PA 19095-1800
Phone: (215) 884-9990
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (PA)

Record details

NPI number1447111596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

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