Keiba Lynn Shaw, PT, EDD
NPI 1477879997ActiveIndividual· Physical Therapist, Geriatrics· Tampa, FL
Physical Therapist, Geriatrics (PT, EDD) in Tampa, Florida, licensed in FL and CO, with an NPI issued in April 2010.
Overview
| NPI | 1477879997 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, EDD |
| Sole proprietor | No |
| NPI issued | Apr 8, 2010 |
| Last updated in NPPES | Oct 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Geriatrics Primary | 2251G0304X | PT20924 | FL |
| Physical Therapist, Orthopedic | 2251X0800X | 10726 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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