Individual provider Active NPI

Shawn Catherine Bibeau, M.S.P.T.

  • Physical Therapist
  • Plattsburgh, NY
National Provider Identifier
1184086266
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021460-1 Issued in NY
Practice address
279 New York Rd
Plattsburgh, NY 12903-4425
Phone
(518) 324-8180
NPI assigned
Mar 28, 2016
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 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

Enrollment IDStateProvider typePAC IDDetails
I20160705000612 NY Practitioner - Physical Therapist in Private Practice 1456643923 Reassigns benefits to 1 organization

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
Essex County Chapter Nysarc IncGroup PAC ID 9133419948, 10 clinicians

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

LicenseStateTypeSpecialty
021460NYMDClinical Psychologist
021460-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County Chapter, Nysarc, Inc. CurrentSince Apr 1, 2016 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.

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.

Verify at the official NPI Registry.