Active NPI
Shawn Catherine Bibeau, M.S.P.T.
- Physical Therapist
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021460-1
- Practice address
- 279 New York Rd
Plattsburgh, NY 12903-4425 - Phone
- (518) 324-8180
- NPI assigned
- Mar 28, 2016
- Last updated
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021460-1 | NY | Primary |
Addresses
Primary practice location
279 New York Rd
Plattsburgh, NY 12903-4425
Mailing address
231 New York Rd
Plattsburgh, NY 12903-4425
Phone (518) 324-8180
Other practice location 1
279 New York Rd
Plattsburgh, NY 12903-4425
Phone (518) 324-8651
Other practice location 2
10 St Patrick Pl
Port Henry, NY 12974-1200
Phone (518) 546-7151
Other practice location 3
63 1/2 S Main St
Norwood, NY 13668-3168
Phone (315) 353-6618
Other practice location 4
91 Fay Brook Drive
Lake Clear, NY 12945
Phone (518) 891-6565
Other practice location 5
6 Commerce Ln
Canton, NY 13617-3738
Phone (315) 379-9571
Other practice location 6
100 Industrial Parkway
Keeseville, NY 12944
Phone (518) 834-1188
Other practice location 7
9 Industrial Blvd
Plattsburgh, NY 12901-1910
Phone (518) 563-0037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 St Patrick PL
Port Henry, NY 12974-1200
Phone (518) 546-7151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021460 | NY | MD | Clinical Psychologist |
| 021460-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essex County Chapter, Nysarc, Inc. | Current | Accepting new patients |
Locations
6 Commerce Ln
Canton, NY 13617
Phone (315) 379-9531
63 S Main St
#1-2
Norwood, NY 13668
Phone (315) 353-6618
279 New York Rd
Plattsburgh, NY 12903
Phone (518) 324-8180
9 Industrial Blvd
Plattsburgh, NY 12901
Phone (518) 563-0037
10 St Patrick Pl
Port Henry, NY 12974
Phone (518) 546-3381
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mountain Lake Services
- Early Intervention Provider Agency
- Port Henry, NY
- NPI 1427134451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1184086266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 NEW YORK RD",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129034425",
"telephone_number": "518-324-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 NEW YORK RD",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129034425",
"telephone_number": "518-324-8180"
}
],
"practiceLocations": [
{
"address_1": "279 New York Rd",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129034425",
"country_code": "US",
"telephone_number": "518-324-8651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 St Patrick Pl",
"address_purpose": "LOCATION",
"city": "Port Henry",
"state": "NY",
"postal_code": "129741200",
"country_code": "US",
"telephone_number": "518-546-7151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "63 1/2 S Main St",
"address_purpose": "LOCATION",
"city": "Norwood",
"state": "NY",
"postal_code": "136683168",
"country_code": "US",
"telephone_number": "315-353-6618",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "91 Fay Brook Drive",
"address_purpose": "LOCATION",
"city": "Lake Clear",
"state": "NY",
"postal_code": "12945",
"country_code": "US",
"telephone_number": "518-891-6565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Commerce Ln",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "NY",
"postal_code": "136173738",
"country_code": "US",
"telephone_number": "315-379-9571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Industrial Parkway",
"address_purpose": "LOCATION",
"city": "Keeseville",
"state": "NY",
"postal_code": "12944",
"country_code": "US",
"telephone_number": "518-834-1188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9 Industrial Blvd",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011910",
"country_code": "US",
"telephone_number": "518-563-0037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIBEAU",
"first_name": "SHAWN",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021460-1",
"primary": true
}
],
"identifiers": [],
"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 Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.