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

Nicole Medina Palermo, DPT

Individual provider Physical Therapist · NPI 1962888404

Nicole Medina Palermo, DPT is a Physical Therapist in Private Practice in Stockton, California. Qualified in 2014, 12 years ago. Practices with California Sports Physical Therapy Centers Inc, a 38-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5910 Pacific Ave
Stockton, CA 95207-4704
Phone: (209) 475-1000
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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 42429 (CA)

Record details

NPI number1962888404
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2015
Last updated in NPPESMay 27, 2022
Certification dateMarch 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice California Sports Physical Therapy Centers Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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