Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lighthouse Physical Therapy, PC

Organization Physical Therapist · NPI 1265718332

Lighthouse Physical Therapy, PC provides Physical Therapist services in Coram, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Walton Way
Coram, NY 11727-1001 Not confirmed with CMS for 14 years — call before visiting
Phone: (516) 808-4230
Fax: (631) 331-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 015513 (NY)

Record details

NPI number1265718332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Nicodemo-Capra — Owner · (516) 808-4230
Other names Lighthouse P.T., P.C.
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011
Mailing address2 Walton Way, Coram, NY 11727-1001

Other providers in Coram