OrganizationActive

Function And Form Physical Therapy Llc

Physical Therapist

DERRICK DELGADO

NPI: 1124646294Santa Teresa, New Mexico, 88008(575) 201-3764

About Function And Form Physical Therapy Llc

Function And Form Physical Therapy Llc is a healthcare organization providing Physical Therapist services, registered under National Provider Identifier (NPI) number 1124646294. The authorized official for Function And Form Physical Therapy Llc is DERRICK DELGADO.

The organization is headquartered at 5312 RIO BRAVO DR STE 7, Santa Teresa, New Mexico 88008. The main office can be reached at (575) 201-3764. Function And Form Physical Therapy Llc has been NPI-registered since 2020.

Locations & Contact

Primary Location

Address: 5312 RIO BRAVO DR STE 7
City: Santa Teresa
State: New Mexico
ZIP: 88008-9210
Phone: (575) 201-3764

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Authorized Official

Name: DERRICK DELGADO

Mailing Address

Address: 5312 RIO BRAVO DR STE 7
City: SANTA TERESA
State: NM
ZIP: 880089210

NPI Registration

Enumeration Date: Jul 6, 2020
Last Updated: Mar 28, 2021
Certification Date: Mar 28, 2021

Services & Taxonomy

Specialty & Classification

Primary Specialty: Physical Therapist
Classification: Physical Therapist
Taxonomy Code: 225100000X

Medicare Enrollment

Medicare Enrolled: No
Can Order/Refer: No
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Function And Form Physical Therapy Llc's NPI number?

Function And Form Physical Therapy Llc's National Provider Identifier (NPI) is 1124646294. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Function And Form Physical Therapy Llc specialize in?

Function And Form Physical Therapy Llc specializes in Physical Therapist.

Where is Function And Form Physical Therapy Llc located?

Function And Form Physical Therapy Llc practices at 5312 RIO BRAVO DR STE 7, Santa Teresa, New Mexico 88008. You can reach them by phone at (575) 201-3764.

Does Function And Form Physical Therapy Llc accept Medicare?

Based on available data, Function And Form Physical Therapy Llc is not currently enrolled in the Medicare program.

Does Function And Form Physical Therapy Llc offer telehealth or virtual visits?

Function And Form Physical Therapy Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Function And Form Physical Therapy Llc holds NPI 1124646294, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.