Elyse Stafford, PTA
Elyse Stafford, PTA is a Rehabilitation Practitioner in Newbury Park, CA, registered under NPI 1396865366. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 575 EVERGREEN AVE, Newbury Park, CA 91320. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| AT 936 | CA | Rehabilitation Practitioner primary |
| AT 936 | CA | Physical Therapy Assistant |
This provider holds licence AT 936 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Rehabilitation Practitioner covers
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. NUCC Health Care Provider Taxonomy, code 225400000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | AT 936 | CA | primary |
| 225200000X | Physical Therapy Assistant | AT 936 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1396865366 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 30, 2007 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | PTA |
| Practice address |
575 EVERGREEN AVE Newbury Park, CA 91320 (805) 660-2623 Fax (805) 499-9106 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 9 | 6 | 8 | 6 | 5 | 3 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 9 | 6 | 7 | 6 | 1 | 3 | 3 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.