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Function and Form Physical Therapy LLC

Physical Therapist in Santa Teresa, NM · enumerated 2020 · authorized official Derrick Delgado, Member.

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

National Provider Identifier

1124646294

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Registry record

Entity type Organization (Type 2)
Legal business name Function and Form Physical Therapy LLC
Practice address 5312 Rio Bravo Dr Ste 7, Santa Teresa, NM, 88008
Phone (575) 201-3764
Enumeration date Jul 6, 2020
Last updated in NPPES Mar 28, 2021

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Derrick Delgado
Title Member
Phone (915) 777-1749

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

What is the NPI number for Function and Form Physical Therapy LLC?
The NPI for Function and Form Physical Therapy LLC is 1124646294, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Function and Form Physical Therapy LLC?
NPPES lists Derrick Delgado (Member) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-28.