Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KASSIDY JEAN YOUNG MEDLOCK PT, DPT
NPI 1437034154
Physical Therapist in Tupelo, MS

Active since August 11, 2025Accepts Medicare Assignment
600 AIR PARK RD, TUPELO, MS 38801(662) 842-2100 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1437034154
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKASSIDY JEAN YOUNG MEDLOCKCredential: PT, DPT
Location Address600 AIR PARK RDTupelo, MS 38801-7022
Mailing Address9235 Highway 363Mantachie, MS 38855-8362 · (662) 760-3392
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 11, 2025
Last NPPES UpdateJuly 5, 2026
NPPES CertifiedJuly 5, 2026
NPI 1437034154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MS · 8046
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

600 AIR PARK RD, Tupelo, MS 38801

Other Names 1

Former Name (1)Kassidy Jean Young Pt, Dpt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1557865730
PECOS Enrollment IDI20250919001841

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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physical Therapist
600 AIR PARK RD
TUPELO, MS 38801
Physical Therapist
600 AIR PARK RD
TUPELO, MS 38801
Physical Therapist
600 AIR PARK RD
TUPELO, MS 38801
Physical Therapist
600 AIR PARK RD
TUPELO, MS 38801
Physical Therapist
600 AIR PARK RD
TUPELO, MS 38801
Occupational Therapist
600 AIR PARK RD
TUPELO, MS 38801
Clinic/Center (Physical Therapy)
600 AIR PARK RD
TUPELO, MS 38801
Physical Therapist
600 AIR PARK RD
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.

When was this NPI record last updated?

The NPPES record for Kassidy Medlock was last updated on July 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.