SHANNON RENAE WAKEM (OTR, CHT) – Hand Occupational Therapist, NPI 1710149786
Hand Occupational Therapist
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Profile Insights
NPPES metrics only — not quality of care.
223 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OR
Provider Addresses for SHANNON RENAE WAKEM (OTR, CHT)
PO BOX 965
WILSONVILLE, OR 970700965
Phone: (503) 694-8366
Fax: (503) 694-8581
Type: Mailing
PO BOX 1114
CANBY, OR 970131114
Phone: (503) 318-3927
Fax: (971) 983-5211
Type: Mailing
2217 Country Club Rd
Woodburn, OR 970712811
Phone: (503) 982-4200
Fax: (503) 981-2323
Type: Location
Southwest Miley Road, Charbonneau, Wilsonville, Metro, Clackamas County, Oregon, 97002, United States
WILSONVILLE, OR 970705485
Phone: (503) 694-8366
Fax: (503) 694-8581
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110330001002 | I | Occupational Therapist In Private Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 237 | 29 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 203 | 27 | $0 |
| 97530 | Therapy procedure using functional activities | 50 | 18 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 97070)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | OR | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 83 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | OR | |
| - | OR | |
| Occupational Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | OR |
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