Green Jellybean Pediatric Therapy, Inc.
NPI 1710895800ActiveOrganization· Pediatrics, Neurodevelopmental Disabilities· Anaheim, CA
Pediatrics, Neurodevelopmental Disabilities in Anaheim, California, registered in NPPES in August 2026. The authorized official on file is Emily Frevert, PT, Owner.
Overview
| NPI | 1710895800 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2026 |
| Last updated in NPPES | Aug 31, 2026 |
| Certified by provider | Aug 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Neurodevelopmental Disabilities Primary | 2080P0008X | — | — |
| Pediatrics | 208000000X | — | — |
| Physical Therapist, Pediatrics | 2251P0200X | — | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|