Lakeside Balance and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

037147 Issued in NY

Legal business name

LAKESIDE BALANCE AND WELLNESS, LLC

Doing business as

Fyzical Therapy & Balance Canandaigua

Practice address

229 Parrish St Ste 240
Canandaigua, NY 14424-1791

Phone

(585) 905-3405

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Danielle E Larocca

Title

Office Manager

Phone

(585) 394-8800

Specialties & licenses 1

Addresses

Other names 1

• Fyzical Therapy & Balance Canandaigua Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srinivas R Kaza, MD

  • Otolaryngology Physician
  • Canandaigua, NY
  • NPI 1679597652
  NPD (past)

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1932698602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST STE 250",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241795",
            "telephone_number": "585-394-8800",
            "fax_number": "585-394-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST STE 240",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-905-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE BALANCE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "LAROCCA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-394-8800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Canandaigua",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy & Balance Canandaigua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne J. Lahr, CASAC, CPP
• Lake Country Family Medicine, P.C.
• Lake Country Physical Therapy & Sportscare, PC
• Lakeshore Family and Cosmetic Dentistry P.C.
• Lakeside Audiology and Hearing Solutions, LLC
• Lakeside ENT & Allergy LLC.
• Deanne M Lamborn, RPH
• Jo Ann Langer, LMSW, CASAC-T
• Brian Lanpher, LMSW
• Robert C Lapierre, R.PH.

• Physical Therapist in Canandaigua, NY
• Providers in Canandaigua, 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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.