Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Jennifer Nicodemo-Capra, M.A., P.T.

Physical Therapist in Coram, NY · enumerated 2007 · practices at Lighthouse Physical Therapy, P.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609922145

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Registry record

Entity type Individual (Type 1)

Name Mrs. Jennifer Nicodemo-Capra

Credential M.A., P.T.

Sex Female

Practice address Coram, NY, 11727

Phone (631) 440-7678

Fax (631) 331-0320

Enumeration date Jan 26, 2007

Last updated in NPPES Jul 21, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 015513-1 (NY) Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 015513 (NY) Primary

PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

Other identifiers

Identifier	Type	State	Issuer
02486193	Medicaid	NY	-
A100063588	Other	NY	MEDICARE GROUP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1609922145 active?

Yes, as of the latest NPPES snapshot, NPI 1609922145 is active (record last updated 2022-07-21).

How do I verify Jennifer Nicodemo-Capra's NPI record?

Cross-check NPI 1609922145 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Lighthouse Physical Therapy, P.C. Physical Therapist · Coram, NY NPI 1265718332

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.