Mackenna Smith, PTA, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8465 Issued in TN

Practice address

109 Commerce St
Paris, TN 38242-4917

Phone

(731) 336-7352

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mackenna Butler Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLCGroup PAC ID 5193036432, 399 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 and National Provider Directory roles.

• Aegis Group Practice LLC

  • Physical Therapist
  • Germantown, TN
  • NPI 1174308647

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Therapy & Learning Center Inc

  • Clinic/Center
  • Jackson, TN
  • NPI 1780395830

  Single Specialty

  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Collierville, TN
  • NPI 1326824780

  Occupational Therapist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD
• Primrose Pediatric Therapy, LLC

  • Rehabilitation Clinic/Center
  • Paris, TN
  • NPI 1932787835

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1003429150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 LAYMAN RD",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383829762",
            "telephone_number": "731-618-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 COMMERCE ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424917",
            "telephone_number": "731-336-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Garland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053654",
            "country_code": "US",
            "telephone_number": "731-664-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 W Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013902",
            "country_code": "US",
            "telephone_number": "731-574-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MACKENNA",
        "credential": "PTA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7475",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENNA",
            "last_name": "BUTLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeannie J. Sims, LPC, MHSP
• Donna P. Sinclair, APN
• Stephanie Slack Allen, DNP, APRN, PMHNP-BC
• Joshua Joe Smith, PTA
• Kimberly A Smith, RN, CDE
• SNH Tenn Tenant LLC
• Lori Bruce Snow, DPT
• Bruce D Spinzig, MD
• State of Tennessee
• Laurie Stegall

• Occupational Therapist in Paris, TN
• Providers in Paris, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.