Leah Camille Corda Pahati, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070028105 Issued in IL

Practice address

612 W Saint Marys Rd
Sterling, IL 61081-9040

Phone

(815) 626-9020

NPI assigned

Jul 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1083459093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 1ST AVE APT 10",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811284",
            "telephone_number": "732-685-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W SAINT MARYS RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610819040",
            "telephone_number": "815-626-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHATI",
        "first_name": "LEAH CAMILLE",
        "middle_name": "CORDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047746",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Illinois Home Medical Supply
• Occupational Health Services 1
• Lindsey Ohlwine, PHARMD
• Omaha Vamc
• Oneopto Il 2 PLLC
• Rojie M Palatolon, PT
• John Frederick Park
• Wendy Parker
• Parkview Place of Sterling, LP
• Parkway Center

• Physical Therapist in Sterling, IL
• Providers in Sterling, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.

Verify at the official NPI Registry.