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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 Plan acceptance stays unpublished until the practice reports it.
Practice location in SANTA TERESA

Public record

NPI 1124646294 · enumerated 2020-07-06 · record updated 2021-03-28. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: DERRICK DELGADO PTA, Member · (915) 777-1749

Addresses and phones

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.