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

Nicole Suzanne Gayle, PT

Individual provider Physical Therapist · NPI 1376822411

Nicole Suzanne Gayle, PT is a Physical Therapist in Private Practice in Hampton, Georgia. Graduated from Wayne State University School of Medicine in 2006, 20 years ago. Practices with Genesis Sports Medicine and Rehabilitation, LLC, a 2-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia, Michigan and Tennessee.

Years since qualifying
20
Trained at
Wayne State University School of Medicine
Licensed in
GA, MI, TN
In the registry since
2011
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11365 Tara Blvd
Hampton, GA 30228-6261
Phone: (770) 999-0849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 135 Brandywine Blvd, Fayetteville, GA 30214-1590 — (770) 460-6285
  • 1498 Hudson Bridge Rd, Stockbridge, GA 30281-5018 — (678) 289-0525
  • 3045 Kate Bond Rd, Bartlett, TN 38133-4004 — (901) 937-3200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT010018 (GA)
Physical Therapist Taxonomy 225100000X · Licence 5501013414 (MI)
Physical Therapist Taxonomy 225100000X · Licence CP007623T (TN)

Record details

NPI number1376822411
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 8, 2011
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Genesis Sports Medicine And Rehabilitation, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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