Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LISIMBA YOUNG
NPI 1174445365
Physical Therapy Assistant in Jackson, MS

Active since July 28, 2026
969 LAKELAND DR, JACKSON, MS 39216(601) 200-2000 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisimba Young NPPES

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

LISIMBA YOUNG (NPI 1174445365) is an individual physical therapy assistant in Jackson, Mississippi, licensed in Mississippi (7979) and active in the NPI registry since July 2026. He maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1174445365
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameLISIMBA YOUNG
Location Address969 LAKELAND DRJackson, MS 39216-4699
Mailing Address711 Lake Harbour Dr Apt 1010Ridgeland, MS 39157-4305 · (662) 590-3993
Sole ProprietorYes
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1174445365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
Licenses Licensed in MS · 7979 Licensed in NC · CP059935A
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
969 LAKELAND DR, Jackson, MS 39216

Secondary Practice Location 1

Location 17277 Veterans Pkwy Ste 208Raleigh, NC 27603-7528 · Phone (919) 773-4086

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 Lisimba Young's NPI number?

The NPI number for Lisimba Young is 1174445365. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Lisimba Young located?

Lisimba Young practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-2000.

What is Lisimba Young's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Lisimba Young was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.