Lighthouse Physical Therapy, P.C.
NPI 1265718332ActiveOrganization· Physical Therapist· Coram, NY
Physical Therapist in Coram, New York, registered in NPPES in November 2011. The authorized official on file is Jennifer Nicodemo-Capra, M.A., P.T., Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1265718332 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2011 |
| Last updated in NPPES | Nov 2, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 015513 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY) |
|---|
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All 20 physical therapists in Coram · All physical therapists in New York