NPIMap

Organization Active NPI

Rebound Outpatient Physical Therapy, PA

Doing business as Rebound Physical Therapy

  • Physical Therapy Clinic/Center
  • Tupelo, MS
National Provider Identifier
1407915754
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT3201 Issued in MS
Legal business name
REBOUND OUTPATIENT PHYSICAL THERAPY, PA
Doing business as
Rebound Physical Therapy
Practice address
600 Air Park Rd
Tupelo, MS 38801-7022
Phone
(662) 842-2100
Fax
(662) 842-2105
NPI assigned
Dec 6, 2006
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Diana C Young
Title
Office Manager
Phone
(662) 842-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT3201 MS Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

600 Air Park Rd
Tupelo, MS 38801-7022

Mailing address

600 Air Park Rd
Tupelo, MS 38801-7022
Phone (662) 842-2100

Other names 1

  • Rebound Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070627000346 MS Part B Supplier - Clinic/Group Practice 2860591120 Receives reassigned benefits from 7 practitioners
Practice locations: Tupelo, MS

National Provider Directory

National Provider Directory

Locations

283 Third Ave
Sherman, MS 38828
Phone (662) 842-2100

600 Air Park Rd
Tupelo, MS 38801
Phone (662) 842-2100

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1407915754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 AIR PARK RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017022",
            "telephone_number": "662-842-2100",
            "fax_number": "662-842-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 AIR PARK RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017022",
            "telephone_number": "662-842-2100",
            "fax_number": "662-842-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND OUTPATIENT PHYSICAL THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-842-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT3201",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebound Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.