# ADAPTIVE TEAM THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235856436
- **Authorized official:** RACHEL GLENN MS OTR/L (SOLE MEMBER)
- **Authorized official phone:** (501) 413-9546

## Contact information

- **Practice address:** 1001 N TYLER ST, LITTLE ROCK, AR 72205-1749
- **Practice address phone:** (501) 413-9546
- **Practice address fax:** (501) 325-1315
- **Mailing address:** 3722 GRACEFUL OAKS DR, BENTON, AR 72019-2028
- **Mailing address phone:** (501) 413-9546
- **Mailing address fax:** (501) 325-1315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 10/27/2022
- **Last updated:** 10/27/2022