Active NPI
Brandon Douglas Little, DPT
- Physical Therapist
- South Lyon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501302275
- Practice address
- 22180 Pontiac TRL Ste E
South Lyon, MI 48178-9097 - Phone
- (248) 446-0155
- Fax
- (248) 446-0177
- NPI assigned
- Jul 15, 2015
- Last updated
- Oct 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501302275 | MI | Primary |
Addresses
Primary practice location
22180 Pontiac TRL Ste E
South Lyon, MI 48178-9097
Mailing address
22180 Pontiac TRL Ste E
South Lyon, MI 48178-9097
Phone (248) 446-0155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501302275 | Other | MI | PT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | therapist@brostrompt.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Pittsburgh School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22180 Pontiac TRL
Suite E
South Lyon, MI 48178-9097
Phone (248) 446-0155
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.38 of 100
- Quality
- 80.41
- Improvement activities
- 40
- Cost
- 60.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine and Extremity Institute of South Lyon, L.L.C. | Single Specialty | Current | Accepting new patients |
| Plymouth Physical Therapy Specialists Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Kinetic Rehabilitation Inc. | Past | Accepting new patients | |
| Therapeutic Associates Inc | Single Specialty | Past | Accepting new patients |
Locations
22180 Pontiac Trl
Ste E
South Lyon, MI 48178
Phone (248) 446-0155
22180 Pontiac Trl
South Lyon, MI 48178
Phone (248) 446-0155
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- South Lyon, MI
- NPI 1811209968
Single Specialty
-
- Rehabilitation Clinic/Center
- South Lyon, MI
- NPI 1235670373
-
- Physical Therapist
- Livonia, MI
- NPI 1689691388
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1538543095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22180 PONTIAC TRL STE E",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481789097",
"telephone_number": "248-446-0155",
"fax_number": "248-446-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22180 PONTIAC TRL STE E",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481789097",
"telephone_number": "248-446-0155",
"fax_number": "248-446-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "BRANDON",
"middle_name": "DOUGLAS",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-15",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501302275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "5501302275",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "therapist@brostrompt.com",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "22180 Pontiac Trl Ste E",
"city": "South Lyon",
"state": "MI",
"country_code": "US",
"postal_code": "481789097",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.