Individual provider · Type 1 NPI

Lisimba Young

Physical Therapy Assistant · Jackson, MS

NPI number 1174445365 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4699

Call (601) 200-2000 Map

Mailing address

711 Lake Harbour Dr Apt 1010
Ridgeland, MS 39157-4305

Other practice locations

  • 7277 Veterans Pkwy Ste 208, Raleigh, NC 27603-7528 · (919) 773-4086

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XCP059935A (NC)
Physical Therapy Assistant Primary 225200000X7979 (MS)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1174445365

Lisimba Young's National Provider Identifier is 1174445365, issued on Jul 28, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jackson, MS. The record was last updated on Jul 28, 2026.