DERIK KHOSROVIAN DPT
NPI 1033098199
Physical Therapist in Thousand Oaks, CA

Active since September 01, 2025
425 LOMBARD ST, THOUSAND OAKS, CA 91360(805) 494-4145 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derik Khosrovian Dpt NPPES

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

DERIK KHOSROVIAN DPT (NPI 1033098199) is an individual physical therapist in Thousand Oaks, California, licensed in California (PT308745) and active in the NPI registry since September 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1033098199
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDERIK KHOSROVIANCredential: DPT
Location Address425 LOMBARD STThousand Oaks, CA 91360-5898
Mailing Address12601 Crewe StNorth Hollywood, CA 91605-5307
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 1, 2025
NPPES CertifiedSeptember 1, 2025
NPI 1033098199 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 · PT308745
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

425 LOMBARD ST, Thousand Oaks, CA 91360

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Derik Khosrovian Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901393735
PECOS Enrollment IDI20251015003081

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
425 LOMBARD ST
THOUSAND OAKS, CA 91360
Chiropractor
425 LOMBARD ST
THOUSAND OAKS, CA 91360
Clinic/Center (Physical Therapy)
425 LOMBARD ST
THOUSAND OAKS, CA 91360
Clinic/Center (Physical Therapy)
425 LOMBARD ST
THOUSAND OAKS, CA 91360
Physical Therapist
425 LOMBARD ST
THOUSAND OAKS, CA 91360
Chiropractor
425 LOMBARD ST
THOUSAND OAKS, CA 91360

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 Derik Khosrovian's NPI number?

The NPI number for Derik Khosrovian is 1033098199. It was assigned to this individual provider in the NPPES registry on September 1, 2025.

Where is Derik Khosrovian located?

Derik Khosrovian practices at 425 Lombard St, Thousand Oaks, CA 91360. The listed phone number is (805) 494-4145.

What is Derik Khosrovian's specialty?

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

Is Derik Khosrovian enrolled in Medicare?

Yes. Derik Khosrovian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derik Khosrovian was last updated on September 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.