Plymouth Physical Therapy Specialists
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Contact Info

4128 E. Grand River Road
Howell, MI 48843

Phone: (517) 540-1060
Fax: (517) 540-1063

Mon- Friday, 6:00am to 7:00pm
Sat: by appointment


Nicole Hakala

Nicole Hakala, PT, DPT, OCS
Howell Center Director

Plymouth Physical Therapy Specialists Howell Center

About PPTS Howell Center

Our Howell center opened its doors April, 2012. The center has been steadily growing alongside the historic and tight knit community. Services at this center include a certified hand therapist in addition to strong clinical specialists in orthopedics and sports medicine. We are proud founders and providers of Cleary University’s sports medicine program for their athletic department.

Howell Center Director

Nicole Hakala, PT, DPT, OCS, has been the center director since its doors opened. Nicole has a passion for treating athletic injuries and complex orthopedic surgical cases. She is also an expert in treating orthopedic spinal pathologies, helping patients conservatively treat their symptoms and avoid unnecessary surgical procedures. Nicole is a board-certified orthopedic specialist and recently completed her fellowship in Applied Functional Science from the Gray Institute. Nicole is now currently working toward her certification in Mechanical Diagnosis and Treatment.

Nicole’s education: B.S. from University of Michigan, DPT from Boston University.


LSVT BIG is a research-backed protocol that has many years of research behind it, originally tailored specifically for individuals diagnosed with Parkinson’s Disease. This treatment protocol focuses on large amplitude movements to offset smaller movements typically seen in those affected by Parkinson’s. This helps to keep quality of life maximized by teaching individuals the effort needed to produce these movements. LSVT, however, is not exclusively for individuals with Parkinson’s. It can also be delivered to any population that has balance, ambulation, strength, and range of motion difficulties. Furthermore, the LSVT protocol can be adapted to those who have conditions that require assistance with ambulation and are wheelchair or bed-ridden.

In the current environment, COVID-19 has made accessing LSVT certified clinicians difficult. Plymouth Physical Therapy Specialists is excited to expand the services we provide to include LSVT, making specialized care for those with Parkinson’s Disease and other balance/movement difficulties readily available. We are excited to provide this unique rehabilitation to this deserving population.

Breeann Carlton

Breeann Carlton

Massage Therapist

Breeann Carlton is a licensed Physical therapist assistant and licensed massage therapist.  She became certified from Flint’s School of Therapeutic Massage in 2011 and became licensed in 2014 (per Statewide Law came into effect). She graduated Delta college and became licensed in 2017 as a Physical Therapy Assistant. Breeann has a history working in outpatient and inpatient rehab facilities. She is passionate about helping others overcome functional limitations with personalized care. By providing and teaching different approaches, she strives to help individuals relearn movements, regain abilities, and feel renewed.

Contact Howell Center Today

    Plymouth PTS

    Howell Center

    Call us at: 517-540-1060