Individual provider Active NPI

Makenzie Bennett, DPT

  • Orthopedic Physical Therapist
  • Hot Springs, AR
National Provider Identifier
1992472476
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT-5013 Issued in AR
Practice address
117 Piper St Ste C
Hot Springs, AR 71901-8263
Phone
(501) 463-9057
Fax
(666) 322-9348
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT-5013 AR Primary

Addresses

Primary practice location

117 Piper St Ste C
Hot Springs, AR 71901-8263

Mailing address

117 Piper St Ste C
Hot Springs, AR 71901-8263
Phone (501) 463-9057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210828000294 AR Practitioner - Physical Therapist in Private Practice 3971908997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris and Renshaw Rehab Center IncGroup PAC ID 1557496205, 19 clinicians

Practice addresses (Care Compare)

4801 Fairway Ave
North Little Rock, AR 72116-8009
Phone (501) 758-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-5013ARMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoarkansas, PA CurrentSince Aug 30, 2021 Accepting new patients
Harris & Renshaw Rehab Center, Inc. Orthopedic CurrentSince Apr 12, 2024 Accepting new patients
Orthoarkansas, PA CurrentSince Aug 30, 2021 Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

4656 N Highway 7
Ste M
Hot Springs Village, AR 71909
Phone (501) 984-5575

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007

4801 Fairway Ave
North Little Rock, AR 72116
Phone (501) 687-0328

3480 Landers Rd
North Little Rock, AR 72117
Phone (501) 955-5519

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1992472476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PIPER ST STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018263",
            "telephone_number": "501-463-9057",
            "fax_number": "866-632-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PIPER ST STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018263",
            "telephone_number": "501-463-9057",
            "fax_number": "666-322-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MAKENZIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AR",
            "license": "PT-5013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.