Lighthouse Physical Therapy, P.C.

Lighthouse Physical Therapy, P.C. is a healthcare organization registered as Physical Therapist in Coram, NY, holding Type 2 (organization) NPI 1265718332 since 2011. The authorized official on file is Jennifer Nicodemo-Capra, Owner.

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NPI	1265718332
Entity type	Organization (Type 2)
Legal business name	Lighthouse Physical Therapy, P.C.
Other name	<Unavail>
Practice address	2 WALTON WAY, Coram, NY, 11727
Phone	5168084230
Fax	6313310320
Enumeration date	2011-11-02
Last updated in NPPES	2011-11-02

Authorized official

Name	Jennifer Nicodemo-Capra
Title	Owner
Phone	5168084230

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
225100000X	Physical Therapist	Primary	015513	NY

Copy-ready billing details

Provider: Lighthouse Physical Therapy, P.C.
NPI: 1265718332
Taxonomy: 225100000X (Physical Therapist)
Address: 2 WALTON WAY, Coram, NY, 11727

Providers at this address

NPI	Name	Type	Specialty	Location
1609922145	Jennifer Nicodemo-Capra	Individual	Physical Therapist	Coram, NY

Verify this record

Cross-check NPI 1265718332 against the authoritative CMS record: view Lighthouse Physical Therapy, P.C. on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Lighthouse Physical Therapy, P.C. located?

The practice location on file with NPPES is in Coram, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-11-02. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-02.