Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER NICODEMO-CAPRA, M.A., P.T.
Active Sole ProprietorMRS. JENNIFER NICODEMO-CAPRA, M.A., P.T. is a Physical Therapy Assistant healthcare provider located in CORAM, New York. NPI 1609922145 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CORAM, NY
Registration Details
- NPI Number
- 1609922145
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2007 (19.561665949198 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
015513-1 (NY)015513 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 WALTON WAYLIGHTHOUSE PHYSICAL THERAPY, P.C.CORAM, NY, 117271001Browse NY providers · Browse ZIP 11727
- Phone
- 6314407678
- Fax
- 6313310320
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CORAM, NY
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN RODEN | PT OCS | 1730154899 |
| MRS. JENNIFER MARIE WONG | DPT | 1669541025 |
| MR. RICHARD JOHN FLYNN JR. | P.T. | 1194896266 |
| DR. CHRISTOPHER MARTELLO | DPT | 1710023478 |
| MRS. PHOTINA FAYE PENN | PHYSICAL THERAPIST | 1861661803 |
| HINA SONI | PT | 1770755282 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.