MRS. JENNIFER NICODEMO-CAPRA M.A., P.T.
NPI 1609922145
Physical Therapist in Coram, NY

Active since January 26, 2007Accepts Medicare Assignment
2 WALTON WAY, LIGHTHOUSE PHYSICAL THERAPY, P.C., CORAM, NY 11727(631) 440-7678(631) 331-0320 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017 (2 updates tracked since 2017).

About Mrs. Jennifer Nicodemo-capra M.a., P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER NICODEMO-CAPRA M.A., P.T. (NPI 1609922145) is an individual physical therapist in Coram, New York, licensed in New York (015513) and active in the NPI registry since January 2007. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1609922145
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. JENNIFER NICODEMO-CAPRACredential: M.A., P.T.
Location Address2 WALTON WAY, LIGHTHOUSE PHYSICAL THERAPY, P.C.Coram, NY 11727-1001
Mailing Address2 Walton Way, Lighthouse Physical Therapy, P.c.Coram, NY 11727-1001 · (631) 440-7678 · Fax (631) 331-0320
Fax(631) 331-0320
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1609922145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in NY · 015513 Licensed in NY · 015513-1
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2 WALTON WAY, Coram, NY 11727

Other Names 1

Professional Name (2)Mrs. Jennifer Capra M.a.,p.t.

Other Identifiers 2

OtherA100063588NY · Medicare Group
Medicaid02486193NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Nicodemo-capra M.a., P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517125164
PECOS Enrollment IDI20120228000700

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
533 services11 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
531 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11727 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2 WALTON WAY
CORAM, NY 11727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Nicodemo-capra's NPI number?

The NPI number for Jennifer Nicodemo-capra is 1609922145. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Mrs. Jennifer Capra M.A.,p.T..

Where is Jennifer Nicodemo-capra located?

Jennifer Nicodemo-capra practices at 2 Walton Way Lighthouse Physical Therapy, P.C., Coram, NY 11727. The listed phone number is (631) 440-7678.

What is Jennifer Nicodemo-capra's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jennifer Nicodemo-capra enrolled in Medicare?

Yes. Jennifer Nicodemo-capra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Nicodemo-capra was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.