Brian Lewis Wike I, PT, DPT, DN
NPI 1336652957ActiveIndividual· Physical Therapist, Orthopedic· Glendale, AZ
Physical Therapist, Orthopedic (PT, DPT, DN) with Petkov Bodywork Therapy LLC, practicing in Glendale, Arizona. Medicare paid $30,189 for services to 69 patients in 2024.
Overview
| NPI | 1336652957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, DN |
| Sole proprietor | No |
| NPI issued | Nov 6, 2017 |
| Last updated in NPPES | Apr 18, 2025 |
| Certified by provider | Apr 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 9772893-2401 | UT |
| Physical Therapist | 225100000X | LPT-31722 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 1,528 across 11 procedure codes |
| Paid by Medicare | $30,189 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Petkov Bodywork Therapy LLCGlendale, AZ · 15 clinicians
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