Polly Ann Landgraf, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003396 Issued in MI

Practice address

29275 Northwestern Hwy
Suite 150
Southfield, MI 48034-1044

Phone

(248) 351-6300

Fax

(248) 351-9329

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Polly Ann Leschuck Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75.18 of 100Reported as group

Quality

74.03

Improvement activities

40

Cost

64.88

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KRS of Clawson LLC

  • Physical Therapy Clinic/Center
  • Clawson, MI
  • NPI 1194840223
  Medicare reassignment NPD
• Michigan Rehabilitation Specialists of Fowlerville LLC

  • Physical Therapist
  • Fowlerville, MI
  • NPI 1669531166
  Medicare reassignment NPD
• HQ of Bloomfield Hills LLC

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1104655810
  NPD
• HQ of Southfield LLC

  • Physical Therapist
  • Southfield, MI
  • NPI 1275021370
  NPD
• Michigan Rehabilitation Specialists of Fowlerville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dexter, MI
  • NPI 1407525892
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1275663866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY",
            "address_2": "SUITE 150",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341044",
            "telephone_number": "248-351-6300",
            "fax_number": "248-351-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDGRAF",
        "first_name": "POLLY",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POLLY",
            "last_name": "LESCHUCK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Lambert, PAC
• Michelle H. Lame', MA, LLP
• Valynsia Lampkin, LLPC
• Lana Coxton Nutrition LLC
• Landers Rehabilitation Services LLC
• Kim C Landis, MD
• Landmark Medical of Michigan PC
• Landmark Therapy LLC
• Landmark Therapy PLLC
• Andrea Landrum

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.