Claudine McCormick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502002297 Issued in MI

Practice address

50174 Schoenherr Rd
Shelby Township, MI 48315-3136

Phone

(586) 884-5040

Fax

(586) 580-0375

NPI assigned

Aug 24, 2021

Last updated

May 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Claudine Kelly-Wegener Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1700553252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50174 SCHOENHERR RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153136",
            "telephone_number": "586-884-5040",
            "fax_number": "586-580-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CLAUDINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502002297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDINE",
            "last_name": "KELLY-WEGENER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Matovski
• Ariana Patricia Matway, DDS
• Liane Joy Maxwell, OT
• Austin Mayer
• Brian Glenn McCarroll, DPT
• Kaneisha McCray
• Edward Carlton McCuiston III, D.C.
• Sandra McCuiston, D.C.
• Katlyn McDonald, PTA
• Kevin P McDonald

• Physical Therapy Assistant in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.