Individual provider Active NPI

Brandon Douglas Little, DPT

  • Physical Therapist
  • South Lyon, MI
National Provider Identifier
1538543095
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302275 Issued in MI
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5501302275OtherMIPT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapist@brostrompt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221028001638 MI Practitioner - Physical Therapist in Private Practice 9537463765 Reassigns benefits to 1 organization

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
Spine and Extremity Institute of South Lyon, L.L.C.Group PAC ID 3476742651, 9 clinicians

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 100Reported as group
Quality
80.41
Improvement activities
40
Cost
60.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Extremity Institute of South Lyon, L.L.C. Single Specialty CurrentSince Oct 26, 2022 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist PastSince Oct 26, 2022 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.

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.

Verify at the official NPI Registry.