Derik Khosrovian, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT308745 Issued in CA

Practice address

425 Lombard St
Thousand Oaks, CA 91360-5898

Phone

(805) 494-4145

NPI assigned

Sep 1, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California Hand and Physical Therapy Inc

  • Hand Physical Therapist
  • Thousand Oaks, CA
  • NPI 1518121516
  Medicare reassignment NPD
• California Hand and Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Thousand Oaks, CA
  • NPI 1538985858

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1033098199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 CREWE ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LOMBARD ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605898",
            "telephone_number": "805-494-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSROVIAN",
        "first_name": "DERIK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT308745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khodabakhshian Chiropractic Inc
• Sevak E. Khodabakhshian, D.C.
• Ramin N Khodadadi, D.D.S.
• Huan Khong, DO
• Melody Khonsari
• Fady Khoury, MD, MBA, MPH
• Kiavash Nikkhou MD Inc
• Jazelle Kidd
• Kidney Center of Thousand Oaks
• Andrew H Kim, DDS

• Physical Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.