Provider Demographics
NPI:1396147864
Name:LEVERAGE HEALTH, INC.
Entity type:Organization
Organization Name:LEVERAGE HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MATEO
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-993-6299
Mailing Address - Street 1:6018 SW 18TH ST
Mailing Address - Street 2:SUITES C-10 AND C-11
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7199
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6018 SW 18TH ST
Practice Address - Street 2:SUITES C-10 AND C-11
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7199
Practice Address - Country:US
Practice Address - Phone:954-993-6299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QP2000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy