MR. SHANE KENNETH MCCORMICK OTR/L
NPI 1295071611
Occupational Therapist in Jackson, WY

Active since December 13, 2012Accepts Medicare Assignment
310 E BROADWAY AVE, JACKSON, WY 83001(307) 734-2877(307) 734-2827 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2020, Jun 26, 2020 (2 updates tracked since 2020).

About Mr. Shane Kenneth Mccormick Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE KENNETH MCCORMICK OTR/L (NPI 1295071611) is an individual occupational therapist in Jackson, Wyoming, licensed in Wyoming (OT-1386) and active in the NPI registry since December 2012. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1295071611
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. SHANE KENNETH MCCORMICKCredential: OTR/L
Location Address310 E BROADWAY AVEJackson, WY 83001-8636
Mailing Address555 Saint Josephs BlvdElmira, NY 14901-3223 · (607) 733-6541
Fax(307) 734-2827
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 13, 2012
Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
NPI 1295071611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in WY · OT-1386
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

310 E BROADWAY AVE, Jackson, WY 83001

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Shane Kenneth Mccormick Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375881360
PECOS Enrollment IDI20190218001499

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
637 services69 patients
Application of hot wax bath 97018
A hot wax bath, also known as paraffin wax treatment, is a therapy often used for pain relief in your hands, feet, or other areas. The warm wax helps increase blood flow, relax muscles, and reduce stiffness in joints. It's completely safe and can be especially beneficial for those with arthritis or other similar conditions.
421 services62 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
395 services56 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
367 services54 patients
Evaluation for occupational therapy, typically 30 minutes 97165
An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
47 services47 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
310 E BROADWAY AVE
JACKSON, WY 83001
Marriage & Family Therapist
310 E BROADWAY AVE
JACKSON, WY 83001
Occupational Therapist
310 E BROADWAY AVE
JACKSON, WY 83001
Behavior Technician
310 E BROADWAY AVE
JACKSON, WY 83001
Behavior Technician
310 E BROADWAY AVE
JACKSON, WY 83001
Behavior Analyst
310 E BROADWAY AVE
JACKSON, WY 83001
Behavior Technician
310 E BROADWAY AVE
JACKSON, WY 83001
Behavior Analyst
310 E BROADWAY AVE
JACKSON, WY 83001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Mccormick's NPI number?

The NPI number for Shane Mccormick is 1295071611. It was assigned to this individual provider in the NPPES registry on December 13, 2012.

Where is Shane Mccormick located?

Shane Mccormick practices at 310 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 734-2877.

What is Shane Mccormick's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Shane Mccormick enrolled in Medicare?

Yes. Shane Mccormick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shane Mccormick accept?

Health plans from Blue Cross Blue Shield of Wyoming list Shane Mccormick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Mccormick was last updated on July 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.