Fazal Khaliq, PT
NPI 1861866303ActiveIndividual· Physical Therapist· Dearborn, MI
Physical Therapist (PT) in Dearborn, Michigan, licensed in MI, with an NPI issued in November 2015. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1861866303 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Nov 20, 2015 |
| Last updated in NPPES | Jul 23, 2024 |
| Certified by provider | Jul 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501017486 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|
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