Individual provider Active NPI

Zachary Deans

  • Physical Therapist
  • Roswell, NM
National Provider Identifier
1376328559
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2025-0355 Issued in NM
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

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2305216018VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Safety and Physical Therapy Specialists, LLC Physical Therapist CurrentSince Jun 1, 2026 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Sentry Home Health Care LLC Physical Therapist CurrentSince Jun 1, 2026 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.

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.

Verify at the official NPI Registry.