Organization Active NPI

Adaptive Team Therapy Services

  • Occupational Therapist
  • Little Rock, AR
National Provider Identifier
1235856436
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ADAPTIVE TEAM THERAPY SERVICES
Practice address
1001 N Tyler St
Little Rock, AR 72205-1749
Phone
(501) 413-9546
Fax
(501) 325-1315
NPI assigned
Oct 27, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Rachel Glenn, MS OTR/LNPI 1710106992
Title
Sole Member
Phone
(501) 413-9546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

NPPES NPI Registry

Primary practice location

1001 N Tyler St
Little Rock, AR 72205-1749

Mailing address

3722 Graceful Oaks Dr
Benton, AR 72019-2028
Phone (501) 413-9546

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL 501-325-1315

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2022.

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1235856436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 GRACEFUL OAKS DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192028",
            "telephone_number": "501-413-9546",
            "fax_number": "501-325-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N TYLER ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051749",
            "telephone_number": "501-413-9546",
            "fax_number": "501-325-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE TEAM THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "501-413-9546",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "501-325-1315",
            "affiliation": "N",
            "address_1": "1001 N Tyler St",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722051749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.