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

Mrs. Mackenzie Simon, PT

Individual provider Physical Therapist · NPI 1952829285

Mrs. Mackenzie Simon, PT is a Physical Therapist in Private Practice in Benton, Arkansas. Qualified in 2017, 9 years ago. Practices with Pro Active Rehab, Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
9
Licensed in
AR
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1308 Military Rd
Benton, AR 72015-2911
Phone: (501) 778-4960
Fax: (501) 778-4968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4388 (AR)

Record details

NPI number1952829285
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESFebruary 16, 2018
Mailing addressPo Box 1890, Benton, AR 72018-1890

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pro Active Rehab, Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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