Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly Ann Polivka, DPT

Individual provider Physical Therapist · NPI 1083497895

Dr. Kelly Ann Polivka, DPT is a Physical Therapist in Memphis, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

980 Poplar Ave
Memphis, TN 38105-4614
Phone: (901) 287-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4110 Minden Rd, Memphis, TN 38117-1516 — (901) 482-3997

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15123 (TN)

Record details

NPI number1083497895
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 15, 2023
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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