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Ennis Khaleq, PT

NPI 1073325437ActiveIndividual· Physical Therapist· Desert Hot Springs, CA

Physical Therapist (PT) with On the Move Rehab, practicing in Desert Hot Springs, California. Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1073325437
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorYes
NPI issuedJan 23, 2025
Last updated in NPPESJan 23, 2025
Certified by providerJan 23, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X303179CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (CA)

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Desert Hot Springs

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