Brooke Petkovich

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

307551 Issued in CA

Practice address

8501 Wilshire Blvd Ste 336
Beverly Hills, CA 90211-3134

Phone

(424) 239-7817

NPI assigned

Jan 13, 2025

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1659181469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 ERLANGER RD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651564",
            "telephone_number": "504-615-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD STE 336",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113134",
            "telephone_number": "424-239-7817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 Prytania St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701153761",
            "country_code": "US",
            "telephone_number": "504-897-8157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETKOVICH",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11483",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orli Jo Peter, PH.D.
• Anne L. Peters, M.D.
• Joyce Peters, PHD
• Melissa Sheridan Peters, PT, DPT
• Cynthia J Petersen, NP
• Peyman Banooni MD Inc
• Peyman Saadat, M.D. Inc.
• Peyton P. Berookim, MD Inc
• Roxanne Sara Pezeshk, PHARMD
• Pfusion Psychological Ser Inc.

• Physical Therapist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.