Doctor profile · Federal record
Dr. Jennifer Nicodemo-Capra, M.A., P.T.
Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · Coram, NY
- NPI 1609922145
- Accepts Medicare
- 31 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2 Walton Way, Lighthouse Physical Therapy, P.C.
Coram, NY 117271001
(631) 440-7678
fax (631) 331-0320
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- July 21, 2022
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- New York #015513 · New York #015513-1
- Medicaid
- NY #02486193
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1609922145. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
682
Distinct HCPCS
2
Medicare allowed
$19,867
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 344 | 12 | $33 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 338 | 12 | $25 |
In context: peer comparison
Among 7 peers in Coram Physical Therapist, average services per provider: 370. This provider delivers 1.8× the peer median.Frequently asked questions
What is Dr. Jennifer Nicodemo-Capra's medical specialty?
Dr. Jennifer Nicodemo-Capra practices Physical Therapist in Coram, NY.
Where does Dr. Jennifer Nicodemo-Capra practice?
Dr. Jennifer Nicodemo-Capra practices at 2 Walton Way, Coram, NY 117271001. Office phone: 6314407678.
What is Dr. Jennifer Nicodemo-Capra's NPI?
Dr. Jennifer Nicodemo-Capra's National Provider Identifier (NPI) is 1609922145, issued by NPPES.
Does Dr. Jennifer Nicodemo-Capra accept Medicare assignment?
Yes. Dr. Jennifer Nicodemo-Capra accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jennifer Nicodemo-Capra commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.