Katelyn Labrie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050500 Issued in NY

Practice address

3400 Vickery Rd Ste E
Syracuse, NY 13212-4526

Phone

(413) 335-0052

NPI assigned

Sep 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cny Shine Physical Occupational and Speech Therapy PLLC

  • Physical Therapist
  • North Syracuse, NY
  • NPI 1851172779

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1396524914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 LADD RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130299642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 VICKERY RD STE E",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124526",
            "telephone_number": "413-335-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRIE",
        "first_name": "KATELYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley I Labieniec
• Laboratory Corporation of America Holdings
• Chris R Labounty, MD
• Corey Michael Labounty
• Courtney Margaret Labounty
• Kaitlyn C Lachance
• Abby C Laclair, PA
• Kate Suzanne Laclair, MST, SPEC ED BIRTH-2
• Michael Andrew Lacombe, M.D.
• Kelsey Elise Lacourrege

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.