Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Physical Therapy, PC

Organization Physical Therapist · NPI 1265718332

Lighthouse Physical Therapy, PC is a Physical Therapist 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.

See every abbreviation used in this directory →

Practice location Address checks out

2 Walton Way
Coram, NY 11727-1001
Phone: (516) 808-4230
Fax: (631) 331-0320
Show map & directions

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