Individual provider Active NPI

Kayla Trantham Waterfield, DPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1912654013
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211052 Issued in VA
Practice address
984B Laskin Rd
Virginia Beach, VA 23451-3905
Phone
(757) 395-6900
Fax
(757) 425-7180
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305211052 VA Primary

Addresses

Primary practice location

984B Laskin Rd
Virginia Beach, VA 23451-3905

Mailing address

2033 Fisher Arch
Suite 120
Virginia Beach, VA 23456
Phone (757) 895-8485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810000061 VA Practitioner - Physical Therapist in Private Practice 2567845456 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305211052VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients

Locations

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1912654013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 FISHER ARCH",
            "address_2": "SUITE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23456",
            "telephone_number": "757-895-8485",
            "fax_number": "757-689-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984B LASKIN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234513905",
            "telephone_number": "757-395-6900",
            "fax_number": "757-425-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERFIELD",
        "first_name": "KAYLA",
        "middle_name": "TRANTHAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.