Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Spine and Extremity Institute of South Lyon, LLC

Organization Physical Therapist · NPI 1811209968

Spine and Extremity Institute of South Lyon, LLC provides Physical Therapist services in South Lyon, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22180 Pontiac Trl Ste E
South Lyon, MI 48178-9097 Not confirmed with CMS for 16 years — call before visiting
Phone: (248) 446-0155
Fax: (248) 446-0177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501010651 (MI)

Record details

NPI number1811209968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Brostrom — Owner/Director Of Physical Therapy · (248) 446-0155
Other names Brostrom Physical Therapy
NPI enumeratedJuly 6, 2010
Last updated in NPPESJuly 6, 2010
Mailing address22180 Pontiac Trail, Suite E, South Lyon, MI 48178-9097

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