POLLY ANN LANDGRAF (PT) – Physical Therapist, NPI 1275663866

POLLY ANN LANDGRAF (PT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501003396 (MI). The NPI Number for POLLY ANN LANDGRAF (PT) is 1275663866

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
POLLY ANN LANDGRAF (PT)
NPI
1275663866
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
6 March 2007
Last Update Date
19 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485991166
Graduation Year
1987 (39 years ago)
PAC ID
0244412690
Group Practice PAC ID
2163527276
Professional Enrollment ID
I20110307000910
Address ID
MI480345705SO29121HWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for POLLY ANN LANDGRAF (PT)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 29275 NORTHWESTERN HWY

    SUITE 150

    SOUTHFIELD, MI 480341044

    Phone: (248) 351-6300

    Fax: (248) 351-9329

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110307000910IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,26089$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,084103$0
97530Therapy procedure using functional activities89983$0
97140Therapy procedure using manual technique, each 15 minutes42365$0
97535Training for self-care or home management, each 15 minutes16863$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163527276View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

How do I look up POLLY ANN LANDGRAF (PT) by NPI?
Use NPI 1275663866 when you need to reference POLLY ANN LANDGRAF (PT) in forms, claims, or directories.
Is POLLY ANN LANDGRAF (PT) currently active in the NPI registry?
CMS-published data lists POLLY ANN LANDGRAF (PT) as an active registrant.
What field does POLLY ANN LANDGRAF (PT) work in?
You can think of POLLY ANN LANDGRAF (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place POLLY ANN LANDGRAF (PT)?
The snapshot lists Bolingbrook, Illinois for POLLY ANN LANDGRAF (PT); download NPPES for the complete set.
How can I contact POLLY ANN LANDGRAF (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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