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

Michelle Khoshaba

Individual provider Physical Therapist · NPI 1124993720

Michelle Khoshaba is a Physical Therapist in Private Practice in El Segundo, California. Qualified in 2025, 1 year ago. Practices with Davis and Derosa Physical Therapy Inc, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

325 Main St
El Segundo, CA 90245-3814
Phone: (310) 648-3167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1124993720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address2744 S Barrington Ave, Los Angeles, CA 90064-3611

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Davis And Derosa Physical Therapy Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in El Segundo