Fountain of Youth Rehab, PLLC
NPI 1982365300ActiveOrganization· Physical Therapist· Jackson, MS
Physical Therapist in Jackson, Mississippi, registered in NPPES in January 2022. The authorized official on file is Kimberly McNair, DPT, Physical Therapist.
Overview
| NPI | 1982365300 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2022 |
| Last updated in NPPES | Oct 10, 2022 |
| Certified by provider | Oct 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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