Physical Therapist
FUNCTION AND FORM PHYSICAL THERAPY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124646294 · enumerated 2020-07-06 · record updated 2021-03-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DERRICK DELGADO PTA, Member · (915) 777-1749
Addresses and phones
- Mailing address 5312 RIO BRAVO DR STE 7, SANTA TERESA, NM, 88008-9210 (575) 201-3764 Google Maps Apple Maps OpenStreetMap
- Practice location 5312 RIO BRAVO DR STE 7, SANTA TERESA, NM, 88008-9210 (575) 201-3764 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary
In this directory
Locations and evidence
-
Practice location
SANTA TERESA, NM, 880089210
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.