MEDICARE: LEVERAGE HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center
2	261QP2000X	Physical Therapy Clinic/Center	22123	FL
3	310400000X	Assisted Living Facility
4	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780902726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEVERAGE HEALTH, INC.

Provider Business Mailing Address
First Line	:	2655 E OAKLAND PARK BLVD
Second Line	:	SUITE 5
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1662
Country	:	US
Telephone Number	:	954-630-3131
Fax Number	:	954-630-3132

Provider Business Practice Location Address
First Line	:	2655 E OAKLAND PARK BLVD
Second Line	:	SUITE 5
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1662
Country	:	US
Telephone Number	:	954-630-3131
Fax Number	:	954-630-3132

Authorized Official
Title or Position	:	PRESIDENT/PHYSICAL THERAPIST
Name	:	MATEO JAMES MARTINEZ
Credential	:	PT
Telephone Number	:	954-993-6299

Provider Enumeration Date	:	05/15/2010
Last Update Date	:	12/18/2020

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Directions to “LEVERAGE HEALTH, INC. ” Practice Location

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