KASSIDY JEAN YOUNG MEDLOCK PT, DPT
NPI 1437034154
Physical Therapist in Tupelo, MS
About Kassidy Jean Young Medlock Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSIDY JEAN YOUNG MEDLOCK PT, DPT (NPI 1437034154) is an individual physical therapist in Tupelo, Mississippi, licensed in Mississippi (8046) and active in the NPI registry since August 2025. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kassidy Jean Young Medlock Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kassidy Medlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUPELO, MS 38801
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 Kassidy Medlock's NPI number?
The NPI number for Kassidy Medlock is 1437034154. It was assigned to this individual provider in the NPPES registry on August 11, 2025. The provider is also known as Kassidy Jean Young Pt, Dpt.
Where is Kassidy Medlock located?
Kassidy Medlock practices at 600 Air Park Rd, Tupelo, MS 38801. The listed phone number is (662) 842-2100.
What is Kassidy Medlock's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kassidy Medlock enrolled in Medicare?
Yes. Kassidy Medlock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kassidy Medlock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kassidy Medlock reassigns Medicare benefits to Rebound Outpatient Physical Therapy, PA (Tupelo, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kassidy Medlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kassidy Medlock was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.