Lakeside Integrative Healthcare PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LAKESIDE INTEGRATIVE HEALTHCARE PC

Doing business as

Lakeside Sports Chiropractic & Physical Therapy

Practice address

11220 Treynorth Dr Ste a
Cornelius, NC 28031-8198

Phone

(704) 896-8446

Fax

(704) 896-8495

NPI assigned

Apr 7, 2025

Last updated

Apr 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Corrigan, DONPI 1841385531

Title

Owner

Phone

(704) 896-8446

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Sports Chiropractic & Physical Therapy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Corrigan

  • Emergency Medicine Physician
  • O'Fallon, IL
  • NPI 1841385531
  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1497549380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 TREYNORTH DR STE A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318198",
            "telephone_number": "704-896-8446",
            "fax_number": "704-896-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 TREYNORTH DR STE A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318198",
            "telephone_number": "704-896-8446",
            "fax_number": "704-896-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE INTEGRATIVE HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-896-8446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Sports Chiropractic & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Norman Pain Relief & Wellness
• Lake Norman Pain Relief and Wellness
• Lake Point Family Chiropractic PLLC
• Lakeside Dermatology , PA
• Lakeside Foot Clinic, PC
• Michelle Elaine Lash, FNP
• Rachel Anne Latterich, DO
• Jacquie Latzer, L.P.C.
• Sheerah Chong Lan Lau, DC
• Jennifer Lavoie, LPCA

• Physical Medicine & Rehabilitation Physician in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.