Greenthumb Revenue LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GREENTHUMB REVENUE LLC

Practice address

10 Williams Way
Ocean View, NJ 08230-1206

Phone

(716) 998-6842

NPI assigned

May 22, 2025

Last updated

Apr 17, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vanessa Pearson

Title

Owner

Phone

(802) 473-1501

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1518759604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILLIAMS WAY",
            "city": "OCEAN VIEW",
            "state": "NJ",
            "postal_code": "082301206",
            "telephone_number": "802-473-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILLIAMS WAY",
            "city": "OCEAN VIEW",
            "state": "NJ",
            "postal_code": "082301206",
            "telephone_number": "716-998-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTHUMB REVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-473-1501"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald B Costigan, D.C.
• Beth Deforest, LCSW
• Jane Diep, APN
• Theresa Gans, RPH
• Gilbert Ginet, RPH
• Amy Hogan, BCBA
• Michael Ibrahem, M.D.
• James J O'Rourke DC LLC
• Lindsay Elizabeth Laielli, MS CCC-SLP
• Amirah Lindsay

• Physical Medicine & Rehabilitation Physician in Ocean View, NJ
• Providers in Ocean View, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.