Shane Kenneth McCormick, OTR/L
NPI 1295071611ActiveIndividual· Occupational Therapist· Jackson, WY
Occupational Therapist (OTR/L) with Teton Hand Therapy LLC, practicing in Jackson, Wyoming. Medicare paid $28,375 for services to 77 patients in 2024.
Overview
| NPI | 1295071611 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Dec 13, 2012 |
| Last updated in NPPES | Jul 1, 2020 |
| Certified by provider | Jul 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT-1386 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 1,947 across 13 procedure codes |
| Paid by Medicare | $28,375 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Teton Hand Therapy LLCJackson, WY · 4 clinicians
Other occupational therapists in Jackson
- 1235560889
- 1386952588
- 1912681040
- 1184793077
- 1093234346
- 1669521340
- 1437474756
- 1497317994
- 1689349599
- 1801061791
- 1598825572
- 1861852873
All 19 occupational therapists in Jackson · All occupational therapists in Wyoming