Provider Demographics
NPI:1073799342
Name:CROWLEY, ADRIANE MICHELLE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ADRIANE
Middle Name:MICHELLE
Last Name:CROWLEY
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:ADRIANE
Other - Middle Name:MICHELLE
Other - Last Name:HYLLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 GREENHOUSE ROAD
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-9292
Mailing Address - Country:US
Mailing Address - Phone:479-795-1260
Mailing Address - Fax:479-795-1261
Practice Address - Street 1:3896 ELM SPRINGS RD
Practice Address - Street 2:STE. D
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-2703
Practice Address - Country:US
Practice Address - Phone:479-750-7778
Practice Address - Fax:479-750-7708
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR2167174400000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR167160721Medicaid