Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Derrick Delgado, PTA

Physical Therapy Clinic/Center in Santa Teresa, NM · enumerated 2016 · practices at Function and Form Physical Therapy LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639522964

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Registry record

Entity type Individual (Type 1)

Name Derrick Delgado

Credential PTA

Sex Male

Practice address Santa Teresa, NM, 88008

Phone (575) 201-3726

Enumeration date Jul 21, 2016

Last updated in NPPES Oct 19, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PTA1723 (NM) Secondary

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License PTA1723 (NM) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Derrick Delgado's NPI record?

Cross-check NPI 1639522964 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1639522964 active?

Yes, as of the latest NPPES snapshot, NPI 1639522964 is active (record last updated 2025-10-19).

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Function and Form Physical Therapy LLC Physical Therapist · Santa Teresa, NM NPI 1124646294

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-19.