Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tavia Kelly, DPT

Individual provider Physical Therapist · NPI 1588210710

Tavia Kelly, DPT is a Physical Therapist in Private Practice in Norfolk, Virginia. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in District of Columbia.

Years since qualifying
7
Licensed in
DC
In the registry since
2019
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

301 Riverview Ave Ste 400
Norfolk, VA 23510-1065
Phone: (757) 252-1750
Fax: (833) 627-5148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT872477 (DC)

Record details

NPI number1588210710
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 13, 2019
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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