NPIMap

Organization Active NPI

X2 Performance Institute Inc.

Doing business as Live Athletics

  • Physical Therapist
  • Westlake Village, CA
National Provider Identifier
1962755694
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36231 Issued in CA
Legal business name
X2 PERFORMANCE INSTITUTE INC.
Doing business as
Live Athletics
Practice address
2488 Townsgate Rd Ste C
Westlake Village, CA 91361-6113
Phone
(818) 661-0779
Fax
(805) 494-4465
NPI assigned
Oct 18, 2012
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Sheyenne Machida
Title
Director of Operations
Phone
(805) 910-9913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT36231 CA Primary

Addresses

Primary practice location

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

Mailing address

2488 Townsgate Rd Ste C
Westlake Village, CA 91361-6113
Phone (805) 910-9913

Other names 1

  • Live Athletics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150430002140 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7113246828 Receives reassigned benefits from 9 practitioners
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

10738 Riverside Dr
Ste A
Toluca Lake, CA 91602
Phone (818) 505-3292

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

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1962755694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 TOWNSGATE RD STE C",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913616113",
            "telephone_number": "805-910-9913",
            "fax_number": "805-309-7605"
        },
        {
            "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": "818-661-0779",
            "fax_number": "805-494-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X2 PERFORMANCE INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "MACHIDA",
        "authorized_official_first_name": "SHEYENNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "805-910-9913"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Athletics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Athletics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2024; 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.

Verify at the official NPI Registry.