Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mason Konnor Carpenter, PTA

Individual provider Physical Therapy Assistant · NPI 1336073071

Mason Konnor Carpenter, PTA is a Physical Therapy Assistant in Russellville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2026
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2100 W Main St
Russellville, AR 72801-2758
Phone: (479) 968-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA4875 (AR)

Record details

NPI number1336073071
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address400 Phillips Rd, Pottsville, AR 72858-8838

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