Individual provider Active NPI

Mackenzie Darol Dickson

  • Occupational Therapy Assistant
  • Morrilton, AR
National Provider Identifier
1730854837
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A1716 Issued in AR
Practice address
102 E Harding St
Morrilton, AR 72110-2047
Phone
(501) 697-9881
NPI assigned
Aug 11, 2021
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1716 AR Primary

Addresses

Primary practice location

102 E Harding St
Morrilton, AR 72110-2047

Mailing address

813 W Church St
Morrilton, AR 72110-3205
Phone (479) 280-0430

Other names 1

  • Mackenzie Hendrix Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-A1716ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
KNM Therapy LLC Occupational Therapy Assistant CurrentSince Oct 12, 2025 Accepting new patients

Locations

102 E Harding St
Morrilton, AR 72110
Phone (501) 697-9881

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1730854837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W CHURCH ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721103205",
            "telephone_number": "479-280-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E HARDING ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102047",
            "telephone_number": "501-697-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "MACKENZIE",
        "middle_name": "DAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "HENDRIX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.