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

Ennis Khaleq, PT

Individual provider Physical Therapist · NPI 1073325437

Ennis Khaleq, PT is a Physical Therapist in Private Practice in Desert Hot Springs, California. Qualified in 2022, 4 years ago. Practices with On the Move Rehab, a 27-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

64870 La Costa Ct
Desert Hot Springs, CA 92240-1415
Phone: (714) 605-3698
Fax: (866) 225-9947
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 303179 (CA)

Record details

NPI number1073325437
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 23, 2025
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice On The Move Rehab — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Desert Hot Springs