Using realistic low-energy model with parameters derived from the first-principles electronic structure calculation, we address the origin of the quasi-one-dimensional behavior in orthorhombic NaV$_2$O$_4$, consisting of the double chains of edge-sharing VO$_6$ octahedra. We argue that the geometrical aspect alone does not explain the experimentally observed anisotropy of electronic and magnetic properties of NaV$_2$O$_4$. Instead, we attribute the unique behavior of NaV$_2$O$_4$ to one particular type of the orbital ordering, which respects the orthorhombic $Pnma$ symmetry. This orbital ordering acts to divide all $t_{2g}$ states into two types: the `localized ones, which are antisymmetric with respect to the mirror reflection $y rightarrow -$$y$, and the symmetric `delocalized ones. Thus, NaV$_2$O$_4$ can be classified as the double exchange system. The directional orientation of symmetric orbitals, which form the metallic band, appears to be sufficient to explain both quasi-one-dimensional character of interatomic magnetic interactions and the anisotropy of electrical resistivity.