Active NPI
Mackenzie Darol Dickson
- Occupational Therapy Assistant
- Morrilton, AR
National Provider Identifier
1730854837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OT-A1716
- Practice address
- 102 E Harding St
Morrilton, AR 72110-2047 - Phone
- (501) 697-9881
- NPI assigned
- Aug 11, 2021
- Last updated
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT-A1716 | AR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KNM Therapy LLC | Occupational Therapy Assistant | Current | 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.
-
dba Therapy Monkey @ SCCH
- Occupational Therapist
- Morrilton, AR
- NPI 1699412007
Occupational Therapy Assistant
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.