Mr Shane Kenneth Mccormick, OTR/L | |
310 E Broadway Ave, Jackson, WY 83001-8636 | |
(307) 734-2877 | |
(307) 734-2827 |
Full Name | Mr Shane Kenneth Mccormick |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 13 Years |
Location | 310 E Broadway Ave, Jackson, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295071611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-1386 (Wyoming) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teton Hand Therapy Llc | 4385549443 | 4 |
Provider Name | Teton Hand Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215086905 PECOS PAC ID: 4385549443 Enrollment ID: O20031202000204 |
Mailing Address | Practice Location Address |
---|---|
Mr Shane Kenneth Mccormick, OTR/L 555 Saint Josephs Blvd, Elmira, NY 14901-3223 Ph: (607) 733-6541 | Mr Shane Kenneth Mccormick, OTR/L 310 E Broadway Ave, Jackson, WY 83001-8636 Ph: (307) 734-2877 |
Lisa G Robertson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 East Broadway, Suite 100, Jackson, WY 83001 Phone: 307-200-9520 | |
Julia Marie Andracki, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 E Broadway Ave, Jackson, WY 83001 Phone: 307-734-2877 Fax: 307-734-2827 | |
Alexandra Grace Stone, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway Ave # 100, Jackson, WY 83001 Phone: 307-739-1864 | |
Kristopher T Allison, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, Suite 100, Jackson, WY 83002 Phone: 307-739-7491 | |
Teton Hand Therapy Inc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 East Broadway, Jackson, WY 83001 Phone: 307-734-2877 | |
New Vision Rehabilitation Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 West Pearl Ave, Jackson, WY 83001 Phone: 307-699-7478 | |
Jennifer Baxter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 185 South Willow, Jackson, WY 83001 Phone: 307-733-3791 |