Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisimba Young

Individual provider Physical Therapy Assistant · NPI 1174445365

Lisimba Young is a Physical Therapy Assistant in Jackson, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi and North Carolina.

Licensed in
MS, NC
In the registry since
2026
Specialties on file
2

Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4699
Phone: (601) 200-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 7979 (MS)
Physical Therapy Assistant Taxonomy 225200000X · Licence CP059935A (NC)

Record details

NPI number1174445365
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address711 Lake Harbour Dr Apt 1010, Ridgeland, MS 39157-4305

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