Individual provider Active NPI

Shannon Bessette, PT

  • Physical Therapist
  • Plattsburgh, NY
National Provider Identifier
1770627994
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018551 Issued in NY
Practice address
14 Latour Ave
Plattsburgh, NY 12901-7206
Phone
(518) 578-8753
Fax
(518) 310-1170
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 018551 NY Primary

Addresses

Primary practice location

14 Latour Ave
Plattsburgh, NY 12901-7206

Mailing address

14 Latour Ave
Plattsburgh, NY 12901-7206
Phone (518) 578-8753

Other identifiers 3

IdentifierTypeStateIssuer
141338471OtherNYACN
000490905001OtherNYBSNENY
0031884MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000114 NY Practitioner - Physical Therapist in Private Practice 5496843724 Reassigns benefits to 1 organization
Practice locations: Plattsburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14 Latour Ave
Plattsburgh, NY 12901-7206
Phone (518) 578-8753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018551NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Bessette PT PLLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

14 Latour Ave
Plattsburgh, NY 12901
Phone (518) 570-0000

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1770627994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LATOUR AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017206",
            "telephone_number": "518-578-8753",
            "fax_number": "518-310-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LATOUR AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017206",
            "telephone_number": "518-578-8753",
            "fax_number": "518-310-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSETTE",
        "first_name": "SHANNON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "141338471",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000490905001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031884",
            "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 Dec 1, 2023; 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.