Jennifer Nicodemo-Capra, M.A., P.T.
NPI 1609922145ActiveIndividual· Physical Therapist· Coram, NY
Physical Therapist (M.A., P.T.) in Coram, New York, licensed in NY, with an NPI issued in January 2007. Medicare paid $25,993 for services to 11 patients in 2024.
Overview
| NPI | 1609922145 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., P.T. |
| Sole proprietor | Yes |
| NPI issued | Jan 26, 2007 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 015513 | NY |
| Physical Therapist | 225100000X | 015513-1 | 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 Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 1,081 across 5 procedure codes |
| Paid by Medicare | $25,993 |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 20 physical therapists in Coram · All physical therapists in New York