Individual provider Active NPI

Susan H Labarge, P.T.

  • Physical Therapist
  • Plattsburgh, NY
National Provider Identifier
1013901867
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010833 Issued in NY
Practice address
179 Tom Miller Rd
Plattsburgh, NY 12901-6424
Phone
(518) 563-9471
Fax
(518) 563-9488
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010833 NY Primary

Addresses

Primary practice location

179 Tom Miller Rd
Plattsburgh, NY 12901-6424

Mailing address

179 Tom Miller Rd
Plattsburgh, NY 12901-6424
Phone (518) 563-9471

Other identifiers 1

IdentifierTypeStateIssuer
02261654MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10833NYMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports, Orthopedic and Spine Rehabilitation, P.T. P.C. Physical Therapist Past Accepting new patients
Champlain Valley Physicians Hospital Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013901867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016424",
            "telephone_number": "518-563-9471",
            "fax_number": "518-563-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016424",
            "telephone_number": "518-563-9471",
            "fax_number": "518-563-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABARGE",
        "first_name": "SUSAN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02261654",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.