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

Q: What is Pediatric Rehabilitation Associates, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

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: August 09, 2026.

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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

Phone(856) 489-4520

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

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Rehabilitation Associates, LLC's NPI number?

The NPI number for Pediatric Rehabilitation Associates, LLC is 1558811372. It was assigned to this organization in the NPPES registry on October 4, 2016.

Where is Pediatric Rehabilitation Associates, LLC located?

Pediatric Rehabilitation Associates, LLC is located at 92 Brick Rd Fl 3, Marlton, NJ 08053. The listed phone number is (856) 489-4520.

What is Pediatric Rehabilitation Associates, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

When was this NPI record last updated?

The NPPES record for Pediatric Rehabilitation Associates, LLC was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.