Mackenna Smith, PTA, OTR/L
NPI 1003429150ActiveIndividual· Occupational Therapist· Paris, TN
Occupational Therapist (PTA, OTR/L) with Aegis Group Practice LLC, practicing in Paris, Tennessee. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1003429150 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA, OTR/L |
| Sole proprietor | Yes |
| NPI issued | Aug 28, 2020 |
| Last updated in NPPES | Sep 22, 2025 |
| Certified by provider | Sep 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 8465 | TN |
| Physical Therapy Assistant | 225200000X | 7475 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (TN) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Aegis Group Practice LLCToledo, OH · 390 clinicians
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