Mr. Shane Kenneth Mccormick
OTR/L | Occupational Therapist | 14+ years Exp
310 E Broadway Ave, Jackson
Wyoming, 83001-8636
307-734-2877 307-734-2827
Maps & DirectionsMr. Shane Kenneth Mccormick is a Jackson, Wyoming based therapist with 14 years of experience in Occupational Therapy. He completed his graduation in 2012. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Shane Kenneth Mccormick is OT-1386 for Occupational Therapy in Wyoming. His current practice location is 310 E Broadway Ave, Jackson. Patients can reach him at 307-734-2877 or can fax him at 307-734-2827. Mr. Shane Kenneth Mccormick is OTR/L in Occupational Therapy and his NPI number (Unique professional ID assigned by NPPES) is 1295071611.
Mr. Shane Kenneth Mccormick 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.
Complete Profile:
Mr. Shane Kenneth Mccormick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Shane Kenneth Mccormick |
| Specialization: | Occupational Therapy |
| Gender: | Male |
| Credentials: | OTR/L |
| Experience: | 14+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2012 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 310 E Broadway Ave, Jackson,
Wyoming, 83001-8636 |
| Phone: | 307-734-2877 |
| Fax: | 307-734-2827 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3375881360 |
| Enrollment ID: | I20190218001499 |
| NPI Number: | 1295071611 |
| NPI Enumeration Date: | 13 Dec, 2012 |
| NPI Last Update On: | 01 Jul, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Shane Kenneth Mccormick are as mentioned below.
| License Number | Specialization | State | Status | |
| OT-1386 | Occupational Therapy | Wyoming | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Shane Kenneth Mccormick is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Teton Hand Therapy Llc (4385549443) | 3 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Shane Kenneth Mccormick
555 Saint Josephs Blvd,
Elmira, New York |
| Zip: | 14901-3223 |
| Phone Number: | 607-733-6541 |
Patients can reach Mr. Shane Kenneth Mccormick at
310 E Broadway Ave, Jackson, Wyoming or can
call to book an appointment on 307-734-2877.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.