Individual ProviderBrooke PetkovichPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8501 Wilshire Blvd Ste 336, Beverly Hills, CA 90211-3134(424) 239-7817(504) 615-2133PECOS EnrollmentBased on the most recent information from CMS, provider Brooke Petkovich does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1659181469Provider TypeIndividualFull NamePetkovich, BrookeGenderFemaleSole ProprietorNoEnumeration Date1/13/2025Last Updated2/11/2025Contact InformationPractice LocationPractice Address8501 Wilshire Blvd Ste 336, Beverly Hills, CA 90211-3134Phone(424) 239-7817FaxUnlisted FaxMailing LocationMailing Address5608 Erlanger Rd, Kenner, LA 70065-1564Phone(504) 615-2133FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense307551CaliforniaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11483Louisiana