Provider Demographics
NPI:1316819758
Name:FATTAH, ZAYD
Entity type:Individual
Prefix:
First Name:ZAYD
Middle Name:
Last Name:FATTAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 MATTHEWS TOWNSHIP PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2388
Mailing Address - Country:US
Mailing Address - Phone:704-384-6638
Mailing Address - Fax:704-384-6664
Practice Address - Street 1:1450 MATTHEWS TOWNSHIP PKWY STE 150
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2388
Practice Address - Country:US
Practice Address - Phone:704-384-6638
Practice Address - Fax:704-384-6664
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP23495225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist