Kassidy Jean Young Medlock, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8046 Issued in MS

Practice address

600 Air Park Rd
Tupelo, MS 38801-7022

Phone

(662) 842-2100

NPI assigned

Aug 11, 2025

Last updated

Jul 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kassidy Jean Young Former name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Outpatient Physical Therapy PAGroup PAC ID 2860591120, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rebound Outpatient Physical Therapy, PA

  dba Rebound Physical Therapy

  • Physical Therapy Clinic/Center
  • Tupelo, MS
  • NPI 1407915754

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783209600000",
    "number": "1437034154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 HIGHWAY 363",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388558362",
            "telephone_number": "662-760-3392"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "KASSIDY",
        "middle_name": "JEAN YOUNG",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2026-07-05",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "8046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIDY",
            "last_name": "YOUNG",
            "middle_name": "JEAN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Elizabeth McNair
• Pamela McNairy
• Allison McWilliams
• Medical Imaging, LLC
• Medical Imaging, LLC
• Medplus Urgent Clinic LLC
• Medvast Medical Solutions, LLC
• Syed Salman Mehdi, MD
• Maggie Meinz
• Michael Oneal Melcher Jr., RN

• Physical Therapist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.