Individual provider Active NPI

Brooke Israel, DPT

  • Physical Therapist
  • Beverly Hills, CA
National Provider Identifier
1922554070
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 291941 Issued in CA
Practice address
200 N Robertson Blvd Ste 301
Beverly Hills, CA 90211-6001
Phone
(310) 273-8256
Fax
(310) 273-8542
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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 PT 291941 CA Primary

Addresses

Primary practice location

200 N Robertson Blvd Ste 301
Beverly Hills, CA 90211-6001

Mailing address

200 N Robertson Blvd Ste 301
Beverly Hills, CA 90211-6001
Phone (310) 273-8256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 291941CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Physical Therapy, Inc Physical Therapist CurrentSince Mar 5, 2018 Accepting new patients
Vert Sports Inc Physical Therapist CurrentSince Jun 23, 2022 Accepting new patients
Next Phase Medical PC PastSince Sep 28, 2025 Accepting new patients
W. Seth Bolling, MD, Inc PastSince Aug 29, 2016 Accepting new patients

Locations

201 N Robertson Blvd
Ste 101
Beverly Hills, CA 90211
Phone (424) 303-7647

11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100

12400 Santa Monica Blvd
Los Angeles, CA 90025
Phone (310) 264-8385

322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 461-8712

3011 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-8385

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1922554070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD STE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902116001",
            "telephone_number": "310-273-8256",
            "fax_number": "310-273-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD STE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902116001",
            "telephone_number": "310-273-8256",
            "fax_number": "310-273-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 291941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.