Active NPI
Polly E. Leonard, D.O., LTD
- Family Medicine Physician
- Warwick, RI
National Provider Identifier
1972746550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- POLLY E. LEONARD, D.O., LTD
- Practice address
- 390 Toll Gate Rd
Suite 203
Warwick, RI 02886-4326 - Phone
- (401) 732-2031
- Fax
- (888) 948-3254
- NPI assigned
- Apr 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Polly Leonard, D.O.
- Title
- Owner/Doctor
- Phone
- (401) 732-2031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
390 Toll Gate Rd
Suite 203
Warwick, RI 02886-4326
Mailing address
390 Toll Gate Rd Ste 203
Warwick, RI 02886-4326
Phone (401) 732-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9002762 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
390 Toll Gate Rd
Ste 203
Warwick, RI 02886
Phone (401) 732-2031
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Warwick, RI
- NPI 1801893367
Neuromusculoskeletal Medicine & Omm
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1972746550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD STE 203",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864326",
"telephone_number": "401-732-2031",
"fax_number": "888-948-3254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD",
"address_2": "SUITE 203",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864326",
"telephone_number": "401-732-2031",
"fax_number": "888-948-3254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLLY E. LEONARD, D.O., LTD",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-13",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "POLLY",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "401-732-2031",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9002762",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.