Active NPI
Charles Toshimichi Johansen
- Physical Therapist
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297265
- Practice address
- 2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011 - Phone
- (805) 370-1020
- Fax
- (805) 370-1022
- NPI assigned
- Aug 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297265 | CA | Primary |
Addresses
Primary practice location
2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011
Mailing address
2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011
Phone (805) 370-1020
Other practice location 1
1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095
Other practice location 2
6235 S Main St Ste C-101
Aurora, CO 80016-5373
Phone (303) 344-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Centers of Colorado, LLC | Physical Therapist | Current | Accepting new patients |
| Bartley Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2166 N Moorpark Rd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 370-1020
6235 S Main St
Ste C101
Aurora, CO 80016
1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134
6235 S Main St
Ste 101
Aurora, CO 80016
Phone (303) 785-7928
1248 S Broadway
Denver, CO 80210
Phone (720) 699-9095
8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998
Organizations & group practices 3
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.
-
dba Perioperative Medicine Care Center
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
Physical Therapist
-
- Physical Therapist
- Thousand Oaks, CA
- NPI 1336430560
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1568010718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2166 N MOORPARK RD STE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605011",
"telephone_number": "805-370-1020",
"fax_number": "805-370-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2166 N MOORPARK RD STE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605011",
"telephone_number": "805-370-1020",
"fax_number": "805-370-1022"
}
],
"practiceLocations": [
{
"address_1": "1248 S Broadway",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802101504",
"country_code": "US",
"telephone_number": "720-699-9095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6235 S Main St Ste C-101",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800165373",
"country_code": "US",
"telephone_number": "303-344-9090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHANSEN",
"first_name": "CHARLES",
"middle_name": "TOSHIMICHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-30",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.