FOUNTAIN OF YOUTH REHAB, PLLC
NPI 1982365300
Physical Therapist in Jackson, MS

Active since January 07, 2022
5260 CEDAR PARK DR STE E2, JACKSON, MS 39206(601) 966-1014(866) 598-2650 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2022, Mar 8, 2022, Jan 7, 2022 (3 updates tracked since 2022).

About Fountain Of Youth Rehab, Pllc NPPES

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

FOUNTAIN OF YOUTH REHAB, PLLC (NPI 1982365300) is a healthcare organization registered as a physical therapist in Jackson, Mississippi and active in the NPI registry since January 2022. The organization lists Kimberly Mcnair, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1982365300
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFOUNTAIN OF YOUTH REHAB, PLLC
Location Address5260 CEDAR PARK DR STE E2Jackson, MS 39206-4131
Mailing Address127 S Roach St Apt 1004Jackson, MS 39201-2916 · (601) 966-1014
Fax(866) 598-2650
Organization SubpartNo
Authorized OfficialKimberly McnairPhysical Therapist · (601) 966-1014
Enumeration DateJanuary 7, 2022
Last NPPES UpdateOctober 10, 20223 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
NPI 1982365300 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
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:
  • 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.
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.
5260 CEDAR PARK DR STE E2, Jackson, MS 39206

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Physical Therapist
5260 CEDAR PARK DR STE E2
JACKSON, MS 39206

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 Fountain Of Youth Rehab, PLLC's NPI number?

The NPI number for Fountain Of Youth Rehab, PLLC is 1982365300. It was assigned to this organization in the NPPES registry on January 7, 2022.

Where is Fountain Of Youth Rehab, PLLC located?

Fountain Of Youth Rehab, PLLC is located at 5260 Cedar Park Dr Ste E2, Jackson, MS 39206. The listed phone number is (601) 966-1014.

What is Fountain Of Youth Rehab, PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Fountain Of Youth Rehab, PLLC was last updated on October 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.