ENNIS KHALEQ PT
NPI 1073325437
Physical Therapist in Desert Hot Springs, CA

Active since January 23, 2025Accepts Medicare Assignment
64870 LA COSTA CT, DESERT HOT SPRINGS, CA 92240(714) 605-3698(866) 225-9947 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ennis Khaleq Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENNIS KHALEQ PT (NPI 1073325437) is an individual physical therapist in Desert Hot Springs, California, licensed in California (303179) and active in the NPI registry since January 2025. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1073325437
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameENNIS KHALEQCredential: PT
Location Address64870 LA COSTA CTDesert Hot Springs, CA 92240-1415
Mailing Address69472 Serenity RdCathedral City, CA 92234-7921 · (760) 409-6383 · Fax (866) 225-9947
Fax(866) 225-9947
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
NPI 1073325437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · 303179
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
64870 LA COSTA CT, Desert Hot Springs, CA 92240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ennis Khaleq Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537698782
PECOS Enrollment IDI20250203000286

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ennis Khaleq's NPI number?

The NPI number for Ennis Khaleq is 1073325437. It was assigned to this individual provider in the NPPES registry on January 23, 2025.

Where is Ennis Khaleq located?

Ennis Khaleq practices at 64870 La Costa Ct, Desert Hot Springs, CA 92240. The listed phone number is (714) 605-3698.

What is Ennis Khaleq's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ennis Khaleq enrolled in Medicare?

Yes. Ennis Khaleq is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ennis Khaleq was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.