Leah E Polack, PT is a
Physical Therapist based in Caledonia, Wisconsin. Leah E Polack is licensed to practice in Wisconsin (license number 10068-24) and her current practice location is
5625 Rachel Gln, Caledonia, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 498-9058.
NPI number for Leah E Polack is 1255288817 and her current mailing address is 5625 Rachel Gln, Caledonia, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255288817.
Healthcare Provider's Profile
| Full Name | Leah E Polack |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 5625 Rachel Gln, Caledonia, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255288817
- Provider Enumeration Date: 03/12/2026
- Last Update Date: 03/12/2026
Medical Identifiers
Medical identifiers for Leah E Polack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255288817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 10068-24 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leah E Polack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Leah E Polack, PT 5625 Rachel Gln, Caledonia, WI 53402-1790 Ph: (262) 498-9058 | Leah E Polack, PT 5625 Rachel Gln, Caledonia, WI 53402-1790 Ph: (262) 498-9058 |
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