COUNTRYSIDE FAMILY CHIROPRACTIC PLLC
NPI 1982207155
Chiropractor in Canandaigua, NY

Active since November 19, 2020
4385 RECREATION DR, CANANDAIGUA, NY 14424(585) 449-9874 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Countryside Family Chiropractic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE FAMILY CHIROPRACTIC PLLC (NPI 1982207155) is a healthcare organization registered as a chiropractor in Canandaigua, New York and active in the NPI registry since November 2020. The organization lists Jodie Marie Lasky, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1982207155
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOUNTRYSIDE FAMILY CHIROPRACTIC PLLC
Location Address4385 RECREATION DRCanandaigua, NY 14424-2232
Mailing Address4385 Recreation DrCanandaigua, NY 14424-2232 · (585) 905-0036 · Fax (800) 974-2190
Organization SubpartNo
Authorized OfficialJodie Marie LaskyChiropractor/owner · (585) 905-0036
Enumeration DateNovember 19, 2020
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1982207155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4385 RECREATION DR, Canandaigua, NY 14424

Other Identifiers 1

Other013371NY · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Countryside Family Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Countryside Family Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1104441542
4385 RECREATION DR
Canandaigua, NY 14424
(585) 905-0036
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Family Chiropractic PLLC's NPI number?

The NPI number for Countryside Family Chiropractic PLLC is 1982207155. It was assigned to this organization in the NPPES registry on November 19, 2020.

Where is Countryside Family Chiropractic PLLC located?

Countryside Family Chiropractic PLLC is located at 4385 Recreation Dr, Canandaigua, NY 14424. The listed phone number is (585) 449-9874.

What is Countryside Family Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Countryside Family Chiropractic PLLC enrolled in Medicare?

Yes. Countryside Family Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Countryside Family Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Countryside Family Chiropractic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Countryside Family Chiropractic PLLC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.