Matthew Alexander Brostrom (NPI# 1356400808, PAC ID# 0547288383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1356400808 |
| PAC ID by PECOS | 0547288383 |
| Professional Enrollment ID | I20051110000058 |
| Full Name | Matthew Alexander Brostrom |
| Organization Legal Name | SPINE AND EXTREMITY INSTITUTE OF SOUTH LYON, L.L.C. |
| Address |
22180 Pontiac Trail E South Lyon MI 48178-9097 |
| Phone Number | 2484460155 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3476742651 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 22180 Pontiac Trail E, South Lyon, MI 48178-9097 | 2484460155 | SPINE AND EXTREMITY INSTITUTE OF SOUTH LYON, L.L.C. |
| 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 | 2484460155 | SPINE AND EXTREMITY INSTITUTE OF SOUTH LYON, L.L.C. |
| Organization Legal Name | SPINE AND EXTREMITY INSTITUTE OF SOUTH LYON, L.L.C. |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy D Waltz | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Kathleen J Dobbie | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Carly Bianca Bernadotte | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Jill Marie Sullivan | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Ann A Bishop | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Debra L Reish-mitchell | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Natalie L Grant | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Samantha L Murray | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Amy S Ramage | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Ellen T Lecureux | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, South Lyon, MI 48178-9097 |
| Street Address |
22180 PONTIAC TRAIL E |
| City | SOUTH LYON |
| State | MI |
| Zip | 48178-9097 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy D Waltz | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Kathleen J Dobbie | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Carly Bianca Bernadotte | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Jill Marie Sullivan | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Ann A Bishop | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Debra L Reish-mitchell | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Natalie L Grant | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Samantha L Murray | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Amy S Ramage | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, Brostrom Physical Therapy, South Lyon, MI 48178-9097 |
| Ellen T Lecureux | Physical Therapy | Spine and Extremity Institute of South Lyon, L.L.C. | 22180 Pontiac Trail E, South Lyon, MI 48178-9097 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry G Kaplan | Chiropractic | 410 N Lafayette St, South Lyon, MI 48178-1378 | |
| Veronica Dpt Chenault | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Michael Forgach | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Janet M Cronin | Occupational Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Jennifer R Morris | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 301 S Lafayette St, Ati Physical Therapy, South Lyon, MI 48178-1407 |
| Barbara A Herzog | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Prajnya Shenoy Katapadikar | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 22450 Pontiac Trl, South Lyon, MI 48178-1618 |
| Anthony M Mastrogiacomo | Podiatry | 22245 Pontiac Trail, South Lyon, MI 48178-1639 | |
| Philip Kontry | Optometry | 22371 Pontiac Trl, South Lyon, MI 48178-1658 | |
| Mark Zawisa | Family Medicine | Iha Health Services Corporation | 23200 Pontiac Trl, Suite 100, South Lyon, MI 48178-1983 |
| Find all physicians in zip 48178 | |||
| City | SOUTH LYON |
| Zip Code | 48178 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SOUTH LYON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Matthew Alexander Brostrom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.