Adeline Kaye Green, OTR

Individual provider Active NPI Occupational Therapist · Charleston, AR

NPI 1306584446 · NPPES record last updated Jul 23, 2026

Key facts

NPI
1306584446
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTR4253 (AR)
Practice address
1811 E Main St
Charleston, AR 72933-9254
Phone
(479) 275-9150
Fax
(479) 662-4766
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR4253 AR Yes

Addresses

Primary practice location

1811 E Main St
Charleston, AR 72933-9254

Mailing address

1811 E Main St
Charleston, AR 72933-9254
Phone (479) 275-9150

Other names

  • Adeline Newhart Former name

Other providers in Charleston, AR

All providers in Charleston, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.