Lighthouse Physical Therapy, P.C.
NPI 1265718332 · Physical Therapist · Coram, NY
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lighthouse Physical Therapy, P.C. is a Physical Therapist organization in Coram, NY (NPI 1265718332).
Provider details
- NPI number
- 1265718332
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Nicodemo-Capra, Owner(516) 808-4230
- License
- 015513 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Lighthouse P.T., P.C.
Registry dates
- Enumerated
- 2011-11-02
- Last updated
- 2011-11-02
Frequently asked questions
- What is Lighthouse Physical Therapy, P.C.'s NPI number?
- Lighthouse Physical Therapy, P.C.'s National Provider Identifier (NPI) is 1265718332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lighthouse Physical Therapy, P.C.?
- Lighthouse Physical Therapy, P.C. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lighthouse Physical Therapy, P.C. located?
- Lighthouse Physical Therapy, P.C.'s practice location on file with NPPES is 2 Walton Way, Coram, NY 11727-1001.
- What is Lighthouse Physical Therapy, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Lighthouse Physical Therapy, P.C. is (516) 808-4230.
- Does Lighthouse Physical Therapy, P.C. accept Medicare?
- Lighthouse Physical Therapy, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lighthouse Physical Therapy, P.C.?
- The authorized official listed on Lighthouse Physical Therapy, P.C.'s NPPES record is Jennifer Nicodemo-Capra, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lighthouse Physical Therapy, P.C.'s NPI active?
- Yes — Lighthouse Physical Therapy, P.C.'s NPI (1265718332) is active in the NPPES registry as of the last update on 2011-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.