Leah Mae Pataki, M.A., ATC, CWT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3301 N Mulford Rd
Rockford, IL 61114-5640

Phone

(815) 921-3821

Fax

(815) 921-3829

NPI assigned

Mar 15, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790754422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 SUE CT",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611115369",
            "telephone_number": "815-316-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145640",
            "telephone_number": "815-921-3821",
            "fax_number": "815-921-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAKI",
        "first_name": "LEAH",
        "middle_name": "MAE",
        "credential": "M.A., ATC, CWT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Parsons, LCPC
• Taylor Parus
• Shahmohammed Farid Parves, MD
• Ahmed Khurshid Pasha, MD
• Robert Pasky III, M.ED.
• Sabrina Lee Patan, PA-C
• Alpa Mahendra Patel, M.D.
• Arpita F Patel
• Ashay Patel
• Atul Jayant Patel, M.D.

• Athletic Trainer in Rockford, IL
• Providers in Rockford, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.