Active NPI
Mateo J Martinez, PT
- Physical Therapist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22123
- Practice address
- 2655 E Oakland Park Blvd
Suite 5
Fort Lauderdale, FL 33306-1662 - Phone
- (954) 630-3131
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22123 | FL | Primary |
Addresses
Primary practice location
2655 E Oakland Park Blvd
Suite 5
Fort Lauderdale, FL 33306-1662
Mailing address
315 NE 3Rd Ave
Apt 908
Fort Lauderdale, FL 33301-1631
Phone (954) 993-6299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22123 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M&M Health Holdings | Current | Accepting new patients | |
| Leverage Health, Inc. | Physical Therapist | Current | Accepting new patients |
| Leverage Health, Inc. | Current | Accepting new patients |
Locations
6018 SW 18th St
Ste C11
Boca Raton, FL 33433
Phone (561) 417-8383
2655 E Oakland Park Blvd
Ste 5
Oakland Park, FL 33306
Phone (954) 630-3131
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mind & Mobility
- Home Health Agency
- Fort Lauderdale, FL
- NPI 1780902726
Physical Therapist
-
dba Mind and Mobility
- In Home Supportive Care Agency
- Miami Lakes, FL
- NPI 1013575505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1760524847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 NE 3RD AVE",
"address_2": "APT 908",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333011631",
"telephone_number": "954-993-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 E OAKLAND PARK BLVD",
"address_2": "SUITE 5",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061662",
"telephone_number": "954-630-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MATEO",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.