Green Jellybean Pediatric Therapy, Inc.

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

Legal business name

GREEN JELLYBEAN PEDIATRIC THERAPY, INC.

Practice address

140 S Chaparral CT Ste 160
Anaheim, CA 92808-2283

Phone

(714) 794-5889

NPI assigned

Aug 31, 2026

Organization subpart

No

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

Authorized official

Name

Emily Frevert, PT

Title

Owner

Phone

(714) 794-5889

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1710895800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S CHAPARRAL CT STE 160",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082283",
            "telephone_number": "714-794-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S CHAPARRAL CT STE 160",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082283",
            "telephone_number": "714-794-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN JELLYBEAN PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "FREVERT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-794-5889",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter P. Greaney, M.D.
• Great Hope Home Health, Inc.
• Great Hope Hospice Care Inc
• Great Value Hospice Care
• Quinn Haydn Green Avella
• Andrew Green
• Carlos Ernesto Green, O.D.
• Kimberlee Anne Anne Green
• Beth Anne Greenberg, LPT
• Jennifer Greene, DPT

• Pediatric Neurodevelopmental Disabilities Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pediatric Neurodevelopmental Disabilities Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.