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

Brooke Petkovich

Individual provider Physical Therapist · NPI 1659181469

Brooke Petkovich is a Physical Therapist in Private Practice in Beverly Hills, California. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in California and Louisiana.

Years since qualifying
3
Licensed in
CA, LA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

8501 Wilshire Blvd Ste 336
Beverly Hills, CA 90211-3134
Phone: (424) 239-7817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3715 Prytania St, New Orleans, LA 70115-3761 — (504) 897-8157

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 307551 (CA)
Physical Therapist Taxonomy 225100000X · Licence 11483 (LA)

Record details

NPI number1659181469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2025
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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