Individual provider Active NPI

Eli Campbell

  • Physical Therapy Assistant
  • Westlake Village, CA
National Provider Identifier
1083506257
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
54127 Issued in CA
Practice address
2488 Townsgate Rd Ste C
Westlake Village, CA 91361-6113
Phone
(805) 910-9913
NPI assigned
Jul 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 54127 CA Primary

Addresses

Primary practice location

2488 Townsgate Rd Ste C
Westlake Village, CA 91361-6113

Mailing address

21425 Vanowen St Apt 509
Canoga Park, CA 91303-2772
Phone (208) 608-3942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
54127CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
X2 Performance Institute Inc. CurrentSince Jul 28, 2025 Accepting new patients
Evolution Physical Therapy, Inc PastSince Jul 28, 2025 Accepting new patients

Locations

2488 Townsgate Rd
Ste C
Westlake Vlg, CA 91361
Phone (805) 310-9913

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1083506257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21425 VANOWEN ST APT 509",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032772",
            "telephone_number": "208-608-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 TOWNSGATE RD STE C",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913616113",
            "telephone_number": "805-910-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ELI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.