Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine and Extremity Institute of South Lyon, LLC

Organization Physical Therapist · NPI 1811209968

Spine and Extremity Institute of South Lyon, LLC is a Physical Therapist 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.

See every abbreviation used in this directory →

Practice location Address checks out

22180 Pontiac Trl Ste E
South Lyon, MI 48178-9097
Phone: (248) 446-0155
Fax: (248) 446-0177
Show map & directions

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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