BROOKE PETKOVICH
NPI 1659181469
Physical Therapist in Beverly Hills, CA
About Brooke Petkovich NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKE PETKOVICH (NPI 1659181469) is an individual physical therapist in Beverly Hills, California, licensed in California (307551) and active in the NPI registry since January 2025. She maintains a secondary practice location in New Orleans and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brooke Petkovich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brooke Petkovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fredericksburg, TX 78624
- Reassigned Medicare billing, Texas enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEVERLY HILLS, CA 90211
BEVERLY HILLS, CA 90211
BEVERLY HILLS, CA 90211
BEVERLY HILLS, CA 90211
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brooke Petkovich's NPI number?
The NPI number for Brooke Petkovich is 1659181469. It was assigned to this individual provider in the NPPES registry on January 13, 2025.
Where is Brooke Petkovich located?
Brooke Petkovich practices at 8501 Wilshire Blvd Ste 336, Beverly Hills, CA 90211. The listed phone number is (424) 239-7817.
What is Brooke Petkovich's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Brooke Petkovich enrolled in Medicare?
Yes. Brooke Petkovich is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brooke Petkovich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Petkovich reassigns Medicare benefits to Ascent Therapy Group, LLC (Fredericksburg, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooke Petkovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brooke Petkovich was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.