PEDIATRIC REHABILITATION ASSOCIATES, LLC
NPI 1558811372
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Marlton, NJ

Active since October 04, 2016
92 BRICK RD FL 3, MARLTON, NJ 08053(856) 489-4520 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pediatric Rehabilitation Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC REHABILITATION ASSOCIATES, LLC (NPI 1558811372) is a healthcare organization registered as a pediatric rehabilitation medicine in Marlton, New Jersey and active in the NPI registry since October 2016. The organization lists Connie Domingo, President, as its authorized official.

NPPES Registry Identity

NPI1558811372
Entity TypeOrganization
Primary Taxonomy2081P0010X
Legal Business NamePEDIATRIC REHABILITATION ASSOCIATES, LLC
Location Address92 BRICK RD FL 3Marlton, NJ 08053-2177
Mailing AddressPo Box 674Marlton, NJ 08053-0674
Organization SubpartNo
Authorized OfficialConnie DomingoPresident · (609) 410-8055
Enumeration DateOctober 4, 2016
Last NPPES UpdateFebruary 27, 2017
NPI 1558811372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License Licensed in NJ · 25MA06376400
Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

92 BRICK RD FL 3, Marlton, NJ 08053

Other Identifiers 1

Other1902896889Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558811372, enumerated as an "organization" on October 04, 2016.

The provider is located at 92 BRICK RD FL 3 MARLTON, NJ 08053 and the phone number is (856) 489-4520.

Physical Medicine & Rehabilitation with taxonomy code 2081P0010X and a focus in Pediatric Rehabilitation Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.