Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Fountain of Youth Rehab, PLLC

Organization Physical Therapist · NPI 1982365300

Fountain of Youth Rehab, PLLC provides Physical Therapist services in Jackson, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5260 Cedar Park Dr Ste E2
Jackson, MS 39206-4131
Phone: (601) 966-1014
Fax: (866) 598-2650
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1982365300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly McNair — Physical Therapist · (601) 966-1014
NPI enumeratedJanuary 7, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address127 S Roach St Apt 1004, Jackson, MS 39201-2916

Other providers in Jackson