Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Function and Form Physical Therapy LLC

Organization Physical Therapist · NPI 1124646294

Function and Form Physical Therapy LLC provides Physical Therapist services in Santa Teresa, New Mexico. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5312 Rio Bravo Dr Ste 7
Santa Teresa, NM 88008-9210
Phone: (575) 201-3764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1124646294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Delgado — Member · (915) 777-1749
NPI enumeratedJuly 6, 2020
Last updated in NPPESMarch 28, 2021
Certification dateMarch 28, 2021
Mailing address5312 Rio Bravo Dr Ste 7, Santa Teresa, NM 88008-9210

Other providers in Santa Teresa