Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Country Physical Therapy & Sportscare, PC

Organization Physical Therapist · NPI 1003958653

Lake Country Physical Therapy & Sportscare, PC is a Physical Therapist in Canandaigua, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

241 Parrish St Ste A
Canandaigua, NY 14424-1727
Phone: (585) 396-1400
Fax: (585) 396-3368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1003958653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zoe Fackelman — President · (585) 396-1400
NPI enumeratedFebruary 12, 2007
Last updated in NPPESApril 20, 2008
Mailing address241 Parrish St, Suite A, Canandaigua, NY 14424-1727

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