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

Mr. Shane Kenneth McCormick, OTR/L

Individual provider Occupational Therapist · NPI 1295071611

Mr. Shane Kenneth McCormick, OTR/L is an Occupational Therapist in Private Practice in Jackson, Wyoming. Qualified in 2012, 14 years ago. Practices with Teton Hand Therapy LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
14
Licensed in
WY
In the registry since
2012
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

310 E Broadway Ave
Jackson, WY 83001-8636
Phone: (307) 734-2877
Fax: (307) 734-2827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-1386 (WY)

Record details

NPI number1295071611
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 13, 2012
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Teton Hand Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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