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

Individual provider Physical Therapist · NPI 1932181062

Shanda Ailene McCormick, PT is a Physical Therapist in Private Practice in Beaverton, Oregon. Qualified in 2003, 23 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
23
Licensed in
OR
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

13470 SW Farmington Rd
Beaverton, OR 97005-2618
Phone: (503) 644-3311
Fax: (503) 627-0112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4675 (OR)

Record details

NPI number1932181062
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESNovember 9, 2007
Mailing address11481 Sw Hall Blvd, Ste 201, Portland, OR 97223-8403

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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