Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bobby Korez Zachariah

Individual provider Physical Therapist · NPI 1336400886

Mr. Bobby Korez Zachariah is a Physical Therapist in Private Practice in Leesburg, Virginia. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Michigan and Virginia.

Years since qualifying
26
Licensed in
MI, VA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

315 Dry Mill Rd SW
Leesburg, VA 20175-2601
Phone: (586) 215-8990
Fax: (703) 737-2130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305205659 (VA)
Physical Therapist Taxonomy 225100000X · Licence 5501012722 (MI)

Record details

NPI number1336400886
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 31, 2012
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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