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

Paxton Dettor Ghazal

Individual provider Physical Therapist · NPI 1982484234

Paxton Dettor Ghazal is a Physical Therapist in Private Practice in Matthews, North Carolina. Qualified in 2023, 3 years ago. Practices with Fox Rehab PT Nc LLC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2008 Moore Rd
Matthews, NC 28105-4978
Phone: (877) 407-3422
Fax: (877) 407-4329
Show map & directions

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

Additional practice locations (1)

  • 11201 Galleria Ave Ste 105, Raleigh, NC 27614-6699 — (919) 670-3350

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P22562 (NC)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1982484234
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2023
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fox Rehab Pt Nc Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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