Spine and Extremity Institute of South Lyon, L.L.C.
NPI 1811209968 · Physical Therapist · South Lyon, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spine and Extremity Institute of South Lyon, L.L.C. is a Physical Therapist organization in South Lyon, MI (NPI 1811209968).
Provider details
- NPI number
- 1811209968
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Matthew Brostrom, Owner/Director of Physical Therapy(248) 446-0155
- License
- 5501010651 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Brostrom Physical Therapy
Registry dates
- Enumerated
- 2010-07-06
- Last updated
- 2010-07-06
Frequently asked questions
- What is Spine and Extremity Institute of South Lyon, L.L.C.'s NPI number?
- Spine and Extremity Institute of South Lyon, L.L.C.'s National Provider Identifier (NPI) is 1811209968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spine and Extremity Institute of South Lyon, L.L.C.?
- Spine and Extremity Institute of South Lyon, L.L.C. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Spine and Extremity Institute of South Lyon, L.L.C. located?
- Spine and Extremity Institute of South Lyon, L.L.C.'s practice location on file with NPPES is 22180 Pontiac Trail, South Lyon, MI 48178-9097.
- What is Spine and Extremity Institute of South Lyon, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Spine and Extremity Institute of South Lyon, L.L.C. is (248) 446-0155.
- Does Spine and Extremity Institute of South Lyon, L.L.C. accept Medicare?
- Spine and Extremity Institute of South Lyon, L.L.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spine and Extremity Institute of South Lyon, L.L.C.?
- The authorized official listed on Spine and Extremity Institute of South Lyon, L.L.C.'s NPPES record is Matthew Brostrom, Owner/Director of Physical Therapy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spine and Extremity Institute of South Lyon, L.L.C.'s NPI active?
- Yes — Spine and Extremity Institute of South Lyon, L.L.C.'s NPI (1811209968) is active in the NPPES registry as of the last update on 2010-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.