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MRS. ELYSE CLAIRE STAFFORD PTA
NPI 1396865366
Rehabilitation Practitioner in Newbury Park, CA

Active since March 30, 2007
575 EVERGREEN AVE, NEWBURY PARK, CA 91320(805) 660-2623(805) 499-9106 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Elyse Claire Stafford Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELYSE CLAIRE STAFFORD PTA (NPI 1396865366) is an individual rehabilitation practitioner in Newbury Park, California, licensed in California (AT 936) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1396865366
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMRS. ELYSE CLAIRE STAFFORDCredential: PTA
Location Address575 EVERGREEN AVENewbury Park, CA 91320-5127
Mailing Address575 Evergreen AveNewbury Park, CA 91320-5127 · (805) 660-2623 · Fax (805) 499-9106
Phone(805) 660-2623
Fax(805) 499-9106
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1396865366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in CA · AT 936
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License AT 936 (CA)
575 EVERGREEN AVE, Newbury Park, CA 91320
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elyse Stafford's NPI number?

The NPI number for Elyse Stafford is 1396865366. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Elyse Stafford located?

Elyse Stafford practices at 575 Evergreen Ave, Newbury Park, CA 91320. The listed phone number is (805) 660-2623.

What is Elyse Stafford's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Elyse Stafford was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.