MACKENNA SMITH PTA, OTR/L
NPI 1003429150
Occupational Therapist in Paris, TN

Active since August 28, 2020Accepts Medicare Assignment
109 COMMERCE ST, PARIS, TN 38242(731) 336-7352 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mackenna Smith Pta, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENNA SMITH PTA, OTR/L (NPI 1003429150) is an individual occupational therapist in Paris, Tennessee, licensed in Tennessee (8465) and active in the NPI registry since August 2020. She maintains 2 additional practice locations and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003429150
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMACKENNA SMITHCredential: PTA, OTR/L
Location Address109 COMMERCE STParis, TN 38242-4917
Mailing Address178 Layman RdTrenton, TN 38382-9762 · (731) 618-2114
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 28, 2020
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1003429150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in TN · 8465
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 7475 (TN)
109 COMMERCE ST, Paris, TN 38242

Other Names 1

Former Name (1)Mackenna Butler

Secondary Practice Locations 2

Location 1616 W Forest AveJackson, TN 38301-3902 · Phone (731) 574-3000
Location 234 Garland DrJackson, TN 38305-3654 · Phone (731) 664-3670

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mackenna Smith Pta, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719476019
PECOS Enrollment IDI20251028001556

Medicare Billing Reassignments

2

Medicare enrollment records show Mackenna Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
9001 TELECOM DR
Milan, TN 38358
  • Reassigned Medicare billing, Tennessee enrollment
  • 96 clinicians in this Medicare group
Clinic/Center
34 GARLAND DR
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 56 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
109 COMMERCE ST
PARIS, TN 38242
Occupational Therapist
109 COMMERCE ST
PARIS, TN 38242
Physical Therapist
109 COMMERCE ST
PARIS, TN 38242
Physical Therapist
109 COMMERCE ST
PARIS, TN 38242
Physical Therapist
109 COMMERCE ST
PARIS, TN 38242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenna Smith's NPI number?

The NPI number for Mackenna Smith is 1003429150. It was assigned to this individual provider in the NPPES registry on August 28, 2020. The provider is also known as Mackenna Butler.

Where is Mackenna Smith located?

Mackenna Smith practices at 109 Commerce St, Paris, TN 38242. The listed phone number is (731) 336-7352.

What is Mackenna Smith's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Mackenna Smith enrolled in Medicare?

Yes. Mackenna Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mackenna Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenna Smith reassigns Medicare benefits to 2 organizations: Aegis Group Practice LLC (Milan, TN) and Therapy & Learning Center Inc (Jackson, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenna Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mackenna Smith was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.