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

Lisa Kimberly Ennis, PTMPT

Individual provider Physical Therapist · NPI 1871577759

Lisa Kimberly Ennis, PTMPT is a Physical Therapist in Private Practice in Murrieta, California. Qualified in 1996, 30 years ago. Practices with Green Physical Therapy Inc, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2005
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Practice location Address checks out

26755 Jefferson Ave Ste D-1
Murrieta, CA 92562-8924
Phone: (951) 574-6300
Fax: (951) 574-6301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 277 Rancheros Dr Ste 150, San Marcos, CA 92069-2976 — (442) 385-5700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT22506 (CA)

Record details

NPI number1871577759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTMPT
Sole proprietorNo
NPI enumeratedDecember 3, 2005
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Green Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Murrieta