Individual provider Active NPI

Brooke Gilchrist Perrett, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1669223707
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305826 Issued in CA
Practice address
5757 Wilshire Blvd Ste 460
Los Angeles, CA 90036-3658
Phone
(323) 634-0221
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305826 CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste 460
Los Angeles, CA 90036-3658

Mailing address

10639 Eastborne Ave Apt 1
Los Angeles, CA 90024-5929
Phone (480) 818-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003942 CA Practitioner - Physical Therapist in Private Practice 5294175634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Physical Therapy Service, Inc.Group PAC ID 4587761887, 7 clinicians

Practice addresses (Care Compare)

10474 Santa Monica Blvd
Suite 435
Los Angeles, CA 90025-6932
Phone (310) 275-4137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305826CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Physical Therapy Service, Inc. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Physicians Physical Therapy Service Inc Physical Therapist PastSince Aug 1, 2024 Accepting new patients

Locations

10474 Santa Monica Blvd
Ste 435
Los Angeles, CA 90025
Phone (310) 275-4137

7230 Medical Ctr
Ste 401
West Hills, CA 91307
Phone (747) 888-3562

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1669223707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10639 EASTBORNE AVE APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245929",
            "telephone_number": "480-818-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363658",
            "telephone_number": "323-634-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRETT",
        "first_name": "BROOKE",
        "middle_name": "GILCHRIST",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.