Individual provider Active NPI

Nicole Teribery, PT, DPT

  • Physical Therapist
  • Winter Park, FL
National Provider Identifier
1144832650
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36233 Issued in FL
Practice address
1320 S Orlando Ave
Winter Park, FL 32789-5556
Phone
(407) 504-0117
NPI assigned
Aug 18, 2020
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT36233 FL Primary
Orthopedic Physical Therapist 2251X0800X LPT-33227 AZ

Addresses

Primary practice location

1320 S Orlando Ave
Winter Park, FL 32789-5556

Mailing address

4800 N 44TH St
Phoenix, AZ 85018-3800

Other practice location 1

3010 E 138th Ave Ste 1
Tampa, FL 33613-3902
Phone (138) 805-8102

Other practice location 2

4800 N 44th St
Phoenix, AZ 85018-3800
Phone (602) 808-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200828002397 FL Practitioner - Physical Therapist in Private Practice 9739506247 Reassigns benefits to 3 organizations
I20231024001094 AZ Practitioner - Physical Therapist in Private Practice 9739506247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Dr Gampolo LLCGroup PAC ID 3577898527, 3 clinicians

Practice addresses (Care Compare)

1320 S Orlando Ave
Suite 3
Winter Park, FL 32789-5556
Phone (407) 504-0117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36233FLMDPhysical Therapist
LPT-33227AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Oct 1, 2023 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
Camelback Sports Therapy LLC Physical Therapist CurrentSince Aug 30, 2023 Accepting new patients
Optimal Performance and Physical Therapies University LLC Physical Therapist CurrentSince Apr 12, 2021 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist Current Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Dr. Gampolo, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

100 E Camelback Rd
Ste 120
Phoenix, AZ 85012
Phone (602) 808-8989

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

4800 N 44th St
Phoenix, AZ 85018
Phone (602) 808-8989

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

3010 E 138th Ave
Ste 1
Tampa, FL 33613
Phone (813) 805-8102

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1144832650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895556",
            "telephone_number": "407-504-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 E 138th Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336133902",
            "country_code": "US",
            "telephone_number": "138-805-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 N 44th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183800",
            "country_code": "US",
            "telephone_number": "602-808-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERIBERY",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36233",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "LPT-33227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.