Active NPI
Adirondack Interventional Physiatry PC
- Interventional Pain Medicine Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 231566
- Legal business name
- ADIRONDACK INTERVENTIONAL PHYSIATRY PC
- Practice address
- 4 Feathers Dr
Plattsburgh, NY 12901-6461 - Phone
- (518) 324-7246
- Fax
- (518) 324-3366
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thierry Bonnabesse, MD
- Title
- Owner/President
- Phone
- (518) 324-7246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 231566 | NY | Primary |
Addresses
Primary practice location
4 Feathers Dr
Plattsburgh, NY 12901-6461
Mailing address
4 Feathers Dr
Plattsburgh, NY 12901-6461
Phone (518) 324-7246
Other practice location 1
463 Mountain View Dr Ste 103
Colchester, VT 05446-5952
Phone (518) 324-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00158767 | Other | NY | RAILROAD MEDICARE |
Other names 1
- Champlain Spine & Pain Mgt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1094307 | Adirondack Interventional Physiatry PC | Certificate of waiver | Jan 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
85 Plaza Blvd
#102
Plattsburgh, NY 12901
Phone (518) 324-7246
470 Tom Miller Rd
Plattsburgh, NY 12901
Phone (518) 324-7246
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Plattsburgh, NY
- NPI 1487749974
-
- Family Nurse Practitioner
- Plattsburgh, NY
- NPI 1295411890
-
- Nurse Practitioner
- Plattsburgh, NY
- NPI 1821547290
-
- Family Nurse Practitioner
- East Syracuse, NY
- NPI 1871897884
-
- Certified Registered Nurse Anesthetist
- Utica, NY
- NPI 1275863623
-
- Interventional Pain Medicine Physician
- Plattsburgh, NY
- NPI 1851886212
-
- Physician Assistant
- Plattsbugh, NY
- NPI 1356575369
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
- NPI 1144582206
-
- Physical Medicine & Rehabilitation Physician
- Schenectady, NY
- NPI 1447342738
-
- Family Nurse Practitioner
- Plattsburgh, NY
- NPI 1457320483
-
- Certified Registered Nurse Anesthetist
- Chamberlain, SD
- NPI 1710254255
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781654400000",
"number": "1821166166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FEATHERS DR",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016461",
"telephone_number": "518-324-7246",
"fax_number": "518-324-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FEATHERS DR",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016461",
"telephone_number": "518-324-7246",
"fax_number": "518-324-3366"
}
],
"practiceLocations": [
{
"address_1": "463 Mountain View Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Colchester",
"state": "VT",
"postal_code": "054465952",
"country_code": "US",
"telephone_number": "518-324-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADIRONDACK INTERVENTIONAL PHYSIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A",
"authorized_official_last_name": "BONNABESSE",
"authorized_official_first_name": "THIERRY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "518-324-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "231566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00158767",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Champlain Spine & Pain Mgt",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Champlain Spine & Pain Mgt",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plattsburgh, NY
- Adirondack Dermatology PC
- Adirondack Elite Aesthetics PLLC
- Adirondack Family Chiropractic PC
- Adirondack Happiness Mental Health Counseling PLLC
- Adirondack Health Regional Medical, P.C.
- Adirondack Optometry, PLLC
- Adirondack Periodontics PLLC
- Adirondack Physical Therapy & Sports Rehab, PC
- Adirondack Primary Care
- Adirondack Psychiatric Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.