Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Green Jellybean Pediatric Therapy, Inc

Organization Pediatrics Physician · NPI 1710895800

Green Jellybean Pediatric Therapy, Inc provides Pediatrics Physician services in Anaheim, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

140 S Chaparral Ct Ste 160
Anaheim, CA 92808-2283
Phone: (714) 794-5889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Neurodevelopmental Disabilities Physician (primary) Taxonomy 2080P0008X
Pediatrics Physician Taxonomy 208000000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1710895800
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Frevert — Owner · (714) 794-5889
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 30, 2026
Mailing address140 S Chaparral Ct Ste 160, Anaheim, CA 92808-2283

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