Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK DELGADO, PTA
Active Sole ProprietorDERRICK DELGADO, PTA is a Physical Therapy Clinic healthcare provider located in SANTA TERESA, New Mexico. NPI 1639522964 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · SANTA TERESA, NM
Registration Details
- NPI Number
- 1639522964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2016 (10.025787560782 yrs)
- Last Updated
- Oct 19, 2025
- Licenses
-
PTA1723 (NM)PTA1723 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5312 RIO BRAVO DR STE 7SANTA TERESA, NM, 880089210Browse NM providers · Browse ZIP 88008
- Phone
- 5752013726
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
- Additional Specialty
- Physical Therapy Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.