Ziyad Abdel-Fattah Elewa, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3335 Issued in MN

Practice address

2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433-3045

Phone

(612) 418-6077

NPI assigned

Jan 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1821562026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554192613",
            "telephone_number": "414-403-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333045",
            "telephone_number": "612-418-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEWA",
        "first_name": "ZIYAD",
        "middle_name": "ABDEL-FATTAH",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Eilts
• Mohamed E El Deeb, DDS DOS MS
• El Roi Health Services LLC
• El-Shaddai Assisted Living Inc
• Eleos Home Care LLC
• Mark A Elias, MD
• Scott Charles Elkerton, LICSW
• Ruth Karin Ellerbroek, LMFT
• Daniel Beau Ryan Ellis, D.C.
• Empath Hospice and Palliative Care

• Athletic Trainer in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.