Active NPI
Zachary Deans
- Physical Therapist
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2025-0355
- Practice address
- 805 N Richardson Ave
Roswell, NM 88201-4920 - Phone
- (575) 622-6260
- NPI assigned
- Aug 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305216018 | VA | |
| Physical Therapist | 225100000X | PT-2025-0355 | NM | Primary |
Addresses
Primary practice location
805 N Richardson Ave
Roswell, NM 88201-4920
Mailing address
208 W 9TH St
Roswell, NM 88201-4904
Other practice location 1
4668 Pembroke Blvd Ste 115A
Virginia Beach, VA 23455-6423
Phone (757) 648-8562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305216018 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Safety and Physical Therapy Specialists, LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Sentry Home Health Care LLC | Physical Therapist | Current | Accepting new patients |
Locations
805 N Richardson Ave
Roswell, NM 88201
Phone (575) 622-6260
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000
4668 Pembroke Blvd
Ste 115
Virginia Beach, VA 23455
Phone (757) 648-8562
Organizations & group practices 4
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.
-
- Physical Therapist
- Roswell, NM
- NPI 1619349743
-
- Physical Medicine & Rehabilitation Physician
- Verona, VA
- NPI 1235955709
Physical Therapist
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1982657433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1376328559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 W 9TH ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882014904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N RICHARDSON AVE",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882014920",
"telephone_number": "575-622-6260"
}
],
"practiceLocations": [
{
"address_1": "4668 Pembroke Blvd Ste 115A",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234556423",
"country_code": "US",
"telephone_number": "757-648-8562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEANS",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-28",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305216018",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT-2025-0355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.