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

Charles Toshimichi Johansen

Individual provider Physical Therapist · NPI 1568010718

Charles Toshimichi Johansen is a Physical Therapist in Private Practice in Thousand Oaks, California. Qualified in 2019, 7 years ago. Practices with Orthopedic Centers of Colorado LLC, a 328-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011
Phone: (805) 370-1020
Fax: (805) 370-1022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6235 S Main St Ste C-101, Aurora, CO 80016-5373 — (303) 344-9090
  • 1248 S Broadway, Denver, CO 80210-1504 — (720) 699-9095

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 297265 (CA)

Record details

NPI number1568010718
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2019
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orthopedic Centers Of Colorado Llc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Thousand Oaks