DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KAPTIVATIVE KONSULTANTS PLLC DBA KAPTIVATIVE CARE AND WELLNESS

MEDICARE: KAPTIVATIVE KONSULTANTS PLLC DBA KAPTIVATIVE CARE AND WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1124904727
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAPTIVATIVE KONSULTANTS PLLC DBA KAPTIVATIVE CARE AND WELLNESS
Provider Business Mailing Address
First Line : 5301 PROVIDENCE RD STE 50
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-4128
Country : US
Telephone Number : 757-799-0837
Fax Number : 949-883-7213
Provider Business Practice Location Address
First Line : 5301 PROVIDENCE RD STE 50
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-4128
Country : US
Telephone Number : 757-799-0837
Fax Number :
Authorized Official
Title or Position : OWNER/OPERATOR
Name : SHERRY RITA JOHNSON
Credential : FNP
Telephone Number : 757-644-9847
Provider Enumeration Date : 08/12/2025
Last Update Date : 06/02/2026

Similar Medicare Providers

1982657433 — IVYREHAB SEPT, LLC
Practice Location Address:
5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128
Practice Phone: 757-467-4604
Practice Fax: 757-467-2716
1265485726 — MR. RANDY EARL WANTTAJA M.A., C.C.C.-S.L.P.
Practice Location Address:
5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128
Practice Phone: 757-467-1900
Practice Fax: 757-467-7900
1669426714 — MS. JENNIFER ROSE WATSON M.P.T.
Practice Location Address:
5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128
Practice Phone: 757-467-1900
Practice Fax: 757-467-7900
1487608535 — MR. ERNEST PAUL RODRIGUEZ M.P.T.
Practice Location Address:
5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128
Practice Phone: 757-467-1900
Practice Fax: 757-467-7900
1659325603 — MS. SUMMER T GARRISON M.P.T
Practice Location Address:
5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128
Practice Phone: 757-467-1900
Practice Fax: 757-467-7900
1710931761 — MRS. ERIN ALLISON MAHONEY M.O.T.,O.T.R/L
Practice Location Address:
5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128
Practice Phone: 757-467-1900
Practice Fax: 757-467-7900

Directions to “KAPTIVATIVE KONSULTANTS PLLC DBA KAPTIVATIVE CARE AND WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.