Function And Form Physical Therapy Llc in Santa Teresa, NM - Physical Therapist

Function And Form Physical Therapy Llc is a Physical Therapist based in Santa Teresa, New Mexico. Function And Form Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is 5312 Rio Bravo Dr Ste 7, Santa Teresa, New Mexico. It can be reached at their office (for appointments etc.) via phone at (575) 201-3764.

NPI number for Function And Form Physical Therapy Llc is 1124646294 and their current mailing address is 5312 Rio Bravo Dr Ste 7, Santa Teresa, New Mexico. Function And Form Physical Therapy Llc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124646294.

Contact Information

	Function And Form Physical Therapy Llc
	5312 Rio Bravo Dr Ste 7, Santa Teresa, NM 88008-9210
	(575) 201-3764
	Not Available

Healthcare Provider's Profile

Full Name	Function And Form Physical Therapy Llc
Type	Facility
Speciality	Physical Therapist
Location	5312 Rio Bravo Dr Ste 7, Santa Teresa, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1124646294
Provider Enumeration Date: 07/06/2020
Last Update Date: 03/28/2021

Medical Identifiers

Medical identifiers for Function And Form Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124646294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Function And Form Physical Therapy Llc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Function And Form Physical Therapy Llc 5312 Rio Bravo Dr Ste 7, Santa Teresa, NM 88008-9210 Ph: (575) 201-3764	Function And Form Physical Therapy Llc 5312 Rio Bravo Dr Ste 7, Santa Teresa, NM 88008-9210 Ph: (575) 201-3764

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Physical Therapist in Santa Teresa, NM

Joaquin F Santillan, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Livingston Loop, Suite B1, Santa Teresa, NM 88008 Phone: 575-587-7061 Fax: 915-493-8264
Polly Curtis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4950 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-882-6200
Thrive Wellness And Rehab, P.l.l.c Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Livingston Loop, Ste B-1, Santa Teresa, NM 88008 Phone: 575-587-7061 Fax: 915-493-8264
Ms. Laura G. Marusich, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1300 Country Club Rd, Suite C, Santa Teresa, NM 88008 Phone: 575-589-0303 Fax: 575-589-4080
Abigail H Delgado, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Livingston Loop Ste B1, Santa Teresa, NM 88008 Phone: 575-587-7061 Fax: 915-493-8264
Marcela Bagues, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Livingston Loop Ste B1, Santa Teresa, NM 88008 Phone: 575-587-7061 Fax: 915-493-8264

Function And Form Physical Therapy Llc - Physical Therapist in Santa Teresa, NM