Brostrom Physical Therapy - Medicare Physical Therapist in South Lyon, MI

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Brostrom Physical Therapy is a medicare enrolled "Physical Therapist" provider in South Lyon, Michigan. Their current practice location is 22180 Pontiac Trail, Suite E, South Lyon, Michigan. You can reach out to their office (for appointments etc.) via phone at (248) 446-0155.

Brostrom Physical Therapy is licensed to practice in Michigan (license number 5501010651) and it also participates in the medicare program. Brostrom Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1811209968.

Contact Information

Brostrom Physical Therapy
22180 Pontiac Trail, Suite E,
South Lyon, MI 48178-9097
(248) 446-0155
(248) 446-0177

Map and Direction




Healthcare Provider's Profile

Full NameBrostrom Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location22180 Pontiac Trail, South Lyon, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811209968
  • Provider Enumeration Date: 07/06/2010
  • Last Update Date: 07/06/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3476742651
  • Enrollment ID: O20110105000023

Medical Identifiers

Medical identifiers for Brostrom Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811209968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5501010651 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Brostrom Physical Therapy acts as a billing entity for following providers:
Provider NameAnn A Bishop
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811034879
PECOS PAC ID: 4587657648
Enrollment ID: I20040405001415
Provider NameMatthew Alexander Brostrom
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356400808
PECOS PAC ID: 0547288383
Enrollment ID: I20051110000058
Provider NameRenee M Pawloski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346503786
PECOS PAC ID: 9032332887
Enrollment ID: I20140522002204
Provider NameAmy D Waltz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457742751
PECOS PAC ID: 2264759463
Enrollment ID: I20150327001357
Provider NameDebra L Reish-mitchell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083005383
PECOS PAC ID: 3577882026
Enrollment ID: I20150505000490
Provider NameTaylor M Chiatalas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467002485
PECOS PAC ID: 8527398213
Enrollment ID: I20190923002763
Provider NameJill Marie Sullivan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780755405
PECOS PAC ID: 9234562927
Enrollment ID: I20191211001011
Provider NameRyan Pawloski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770119646
PECOS PAC ID: 6002226958
Enrollment ID: I20201103003069
Provider NameKimberly Berkovich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528712866
PECOS PAC ID: 0446644199
Enrollment ID: I20220223002486
Provider NameStephanie Paige Liederbach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184355372
PECOS PAC ID: 5698155893
Enrollment ID: I20220706001678
Provider NameEliana Sirkin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770211740
PECOS PAC ID: 1153704325
Enrollment ID: I20220822000433
Provider NameBrandon Douglas Little
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538543095
PECOS PAC ID: 9537463765
Enrollment ID: I20221028001638

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brostrom Physical Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brostrom Physical Therapy
22180 Pontiac Trail, Suite E,
South Lyon, MI 48178-9097

Ph: (248) 446-0155		Brostrom Physical Therapy
22180 Pontiac Trail, Suite E,
South Lyon, MI 48178-9097

Ph: (248) 446-0155

Reviews and Comments


Physical Therapist in South Lyon, MI

Jenna Cato, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 62500 Nine Mile Rd # B, South Lyon, MI 48178
Phone: 248-573-8220    
Ms. Amy Ramage, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 22180 Pontiac Trl Ste E, South Lyon, MI 48178
Phone: 248-446-0155    Fax: 248-446-0177
Ms. Christa Milena Carlomusto, MPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 25450 Villagewood Ct, South Lyon, MI 48178
Phone: 248-308-0400    
Ellen Thomi Lecureux, PHYSICAL THERAPIST
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 22180 Pontiac Trl, Suite E, South Lyon, MI 48178
Phone: 248-446-0155    Fax: 248-446-0177
Dana Lynn Karfonta, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 301 S Lafayette St, South Lyon, MI 48178
Phone: 248-486-1110    Fax: 248-486-3318
Stephanie Paige Liederbach, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 22180 Pontiac Trl Ste E, South Lyon, MI 48178
Phone: 248-446-0155    Fax: 248-446-0177
Michele Marie Bird, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 22062 Brookfield Ct, South Lyon, MI 48178
Phone: 248-437-6910    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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