Physical Therapist
FOUNTAIN OF YOUTH REHAB, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1982365300 · enumerated 2022-01-07 · record updated 2022-10-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KIMBERLY MCNAIR DPT, Physical Therapist · (601) 966-1014
Addresses and phones
- Practice location 5260 CEDAR PARK DR STE E2, JACKSON, MS, 39206-4131 (601) 966-1014 Fax (866) 598-2650 Google Maps Apple Maps OpenStreetMap
- Mailing address 127 S ROACH ST APT 1004, JACKSON, MS, 39201-2916 (601) 966-1014 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary
In this directory
Locations and evidence
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Practice location
JACKSON, MS, 392064131
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.