Fountain of Youth Rehab, PLLC
NPI 1982365300 · Physical Therapist · Jackson, MS
Fountain of Youth Rehab, PLLC is a Physical Therapist organization in Jackson, MS (NPI 1982365300).
Provider details
- NPI number
- 1982365300
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Mcnair, Physical Therapist(601) 966-1014
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-07
- Last updated
- 2022-10-10
- Certified
- 2022-10-10
Frequently asked questions
- What is Fountain of Youth Rehab, PLLC's NPI number?
- Fountain of Youth Rehab, PLLC's National Provider Identifier (NPI) is 1982365300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain of Youth Rehab, PLLC?
- Fountain of Youth Rehab, PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Fountain of Youth Rehab, PLLC located?
- Fountain of Youth Rehab, PLLC's practice location on file with NPPES is 5260 Cedar Park Dr Ste E2, Jackson, MS 39206-4131.
- What is Fountain of Youth Rehab, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fountain of Youth Rehab, PLLC is (601) 966-1014.
- Who is the authorized official for Fountain of Youth Rehab, PLLC?
- The authorized official listed on Fountain of Youth Rehab, PLLC's NPPES record is Kimberly Mcnair, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain of Youth Rehab, PLLC's NPI active?
- Yes — Fountain of Youth Rehab, PLLC's NPI (1982365300) is active in the NPPES registry as of the last update on 2022-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.