Mackenzie N Powers, OTT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3683 Issued in AR

Practice address

2808 Fox Meadow Lane
Jonesboro, AR 72404-9346

Phone

(870) 335-2240

Fax

(870) 931-4457

NPI assigned

Jan 24, 2019

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

• Mackenzie Nicole Powers Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1346704251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 FOX MEADOW LANE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049346",
            "telephone_number": "870-335-2240",
            "fax_number": "870-931-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 FOX MEADOW LANE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049346",
            "telephone_number": "870-335-2240",
            "fax_number": "870-931-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MACKENZIE",
        "middle_name": "N",
        "credential": "OTT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3683",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000006124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "POWERS",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelli Powell
• Kenneth Raymond Powell, PD
• Lindsey Powell
• Jessica Powers
• Lidwina Wangsadipura Powers, PA-C
• Pamela Powers
• Yasmine Prater
• Andie Pratt, M.S. CF-SLP
• Taelor Lyn Predmore, OT
• Premiere Family Practice

• Occupational Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.