Individual provider · Type 1 NPI

Mason Konnor Carpenter, PTA

Physical Therapy Assistant · Russellville, AR

NPI number 1336073071 Active

Practice location

2100 W Main St
Russellville, AR 72801-2758

Call (479) 968-2525 Map

Mailing address

400 Phillips Rd
Pottsville, AR 72858-8838

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA4875 (AR)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

30 other providers at this address

Other physical therapy assistant providers in Russellville

See all in Russellville →

About NPI 1336073071

Mason Konnor Carpenter, PTA's National Provider Identifier is 1336073071, issued on Jun 9, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Russellville, AR. The record was last updated on Jun 9, 2026.