Isaac A Acosta, PT, MPT
Physical Therapist in Las Cruces, NM. Individual provider (NPI-1).
NPI number1194058438
StatusActive
Last updated in NPPESJun 16, 2014
Details
- NPI
- 1194058438
- Entity type
- Individual (NPI-1)
- Name
- Isaac A Acosta
- Credential
- PT, MPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2009
- Last updated
- Jun 16, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 3759 | NM | Yes |
Practice location
2445 Missouri AveSuite A
Las Cruces, NM 88001-5111
Phone 575-523-8080 · Fax 575-523-8861
Mailing address
2445 Missouri AveSuite A
Las Cruces, NM 88001-5111
Phone 575-523-8080
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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