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

Zachary Douglass

Individual provider Physical Therapist · NPI 1891460101

Zachary Douglass is a Physical Therapist in Private Practice in Virginia Beach, Virginia. Qualified in 2021, 5 years ago. Practices with Direct Performance Physical Therapy, LLC, a 24-clinician group and works from 2 locations. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1717 Will O Wisp Dr
Virginia Beach, VA 23454-3102
Phone: (757) 422-8476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 911 B St Ste 102, Chesapeake, VA 23324-2462 — (757) 548-0014

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305214622 (VA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1891460101
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Direct Performance Physical Therapy, Llc — 24 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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