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Active NPI 1295071611 Individual Practitioner Male Practitioner

Shane Kenneth Mccormick , OTR, L

Occupational Therapist • Jackson, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shane Mccormick, OTR, L is a certified Occupational Therapist practicing in Jackson, WY. With approximately 14 years of clinical experience since completing medical education in 2012, Shane Mccormick delivers high-quality medical care to the local community at 310 E BROADWAY AVE.

Shane Mccormick is affiliated with Teton Hand Therapy Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using manual technique, each, application of hot wax bath, application of ultrasound, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

310 E Broadway Ave

Jackson, WY 830018636

Telephone 3077342877
Fax 3077342827
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Jackson, WY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +5.5 yrs vs City Avg
City Avg: 8.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Jackson, WY (315 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccormick (14 Years) 14 Yrs
Jackson Specialty Average (8.5 Years) 8.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes
637 69 $60.00 $21.69
97018 Application of hot wax bath
421 62 $30.00 $3.84
97035 Application of ultrasound, each 15 minutes
395 56 $40.00 $10.38
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
367 54 $60.00 $27.26
97165 Evaluation for occupational therapy, typically 30 minutes
47 47 $195.00 $99.07

Medical Specialties & State Licenses

CMS Verified: 2020-07-01
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License WY OT-1386

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.

Hospital & Practice Group Affiliations

Teton Hand Therapy Llc

310 E Broadway, Jackson, WY 830019496

Phone: 3077342877

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Julia Andracki , OTR

Occupational Therapist

NPI 1093234346

Occupational Therapist Registered

Cynthia Griggs , OTR, CHT

Occupational Therapist

NPI 1396896106

Occupational Therapist Registered, Certified Hand Therapist

Elizabeth Logan , OTRCHT

Occupational Therapist

NPI 1417006107
Cassandra Lawless , OTR

Occupational Therapist

NPI 1477690717

Occupational Therapist Registered

Pamela Bailey , OTR

Occupational Therapist

NPI 1669521340

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 01, 2020

Registered at 310 E BROADWAY AVE, JACKSON, WY 830018636 (Tel: 3077342877)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2020

Occupational Therapist (License #OT-1386 in WY)

NPI Profile Active December 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2012

Registered at 555 SAINT JOSEPHS BLVD, ELMIRA, NY 149013223 (Tel: 6077336541)

📍
Updated Business Mailing Address December 13, 2012

Registered at 555 SAINT JOSEPHS BLVD, ELMIRA, NY 149013223 (Tel: 6077336541)

👤
Provider Name / Credentials Updated December 13, 2012

Recorded as SHANE MCCORMICK, OTR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2012

Occupational Therapist (License #017672-1 in NY)

🟢
Initial NPI Registration & Enumeration December 13, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295071611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2012
Last Update: July 01, 2020
Sole Proprietor: No

Mailing Address

555 Saint Josephs Blvd

Elmira, NY 149013223

Phone: 6077336541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.