The landscape of the Province of Teramo is dominated almost entirely on the east by a large body of water with the beaches of the Adriatic Sea and by the Apennine Mountains which his highest peak of Gran Sasso d'Italia westside.

Colline Teramane (Teramo Hills) has become a trademark and are one of the most significant areas where extra virgin olive oil and Abruzzo wines are produced.

The majestic Gran Sasso rises at its peak, the Corno Grande, to an elevation of 2,912 metres (9,554 ft) and is characterized by steep, and in places virtually inaccessible, gorges with nature reserves and protected living species.

In contrast to the rugged and isolated Gran Sasso area, the Monti della Laga are characterised by thick forests, shallow gorges, rolling slopes and valleys, and several spectacular waterfalls.

These resorts are noted for one of the highest blue flag beaches density, very fine white sand and their mild and wholesome Mediterranean climates which support a rich flora of palm, pine and oleander trees.

On 15 September 2005 the President of Italy, Carlo Azeglio Ciampi, went to Teramo to make a special presentation in honour of the resistance movement that arose in this town against the Nazi forces during the Second World War.

The main comuni (municipalities) by population as of 2005 are: Teramo (52,794), Roseto degli Abruzzi (23,669), Giulianova (21,875), Silvi Marina (15,247), Martinsicuro (15,047), Pineto (13,763), Atri (11,269), Alba Adriatica (11,219), Sant'Egidio alla Vibrata (9,177), Mosciano Sant'Angelo (8,559), Tortoreto (8,536), Montorio al Vomano (8,072), Campli (7,598), Bellante (7,208).