Isaac A Acosta, PT, MPT – Physical Therapist

Key facts

NPI: 1194058438
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 3759 (NM)
Practice address: 2445 Missouri Ave
Suite a
Las Cruces, NM 88001-5111
Phone: (575) 523-8080
Fax: (575) 523-8861
NPI assigned: Sep 17, 2009
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Del Valle Physical Therapy and Rehabilitation Orthopedic Physical Therapist · Las Cruces, NM · NPI 1871688184

Medicare reassignment Care Compare group NPD NM · PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2009
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Del Valle Physical Therapy and Rehabilitation (11 clinicians)

Practice addresses (Care Compare)

2445 Missouri Ave
Suite a
Las Cruces, NM 88001-5111
Phone (575) 523-8080

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20141002001912	NM	Practitioner - Physical Therapist in Private Practice	7416177035	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
3759	NM	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Del Valle Physical Therapy and Rehabilitation	Physical Therapist	Current since Oct 1, 2014	Accepting new patients

Locations

2445 Missouri Ave
Ste A
Las Cruces, NM 88001
Phone (575) 523-8080

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	3759	NM	Yes

Addresses

Primary practice location

2445 Missouri Ave
Suite a
Las Cruces, NM 88001-5111

Mailing address

2445 Missouri Ave
Suite a
Las Cruces, NM 88001-5111
Phone (575) 523-8080

Other providers in Las Cruces, NM

All providers in Las Cruces, NM · Physical Therapist in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.