Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Rehabilitation Associates, LLC

Organization Pediatric Rehabilitation Medicine Physician · NPI 1558811372

Pediatric Rehabilitation Associates, LLC is a Pediatric Rehabilitation Medicine Physician in Marlton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

92 Brick Rd Fl 3
Marlton, NJ 08053-2177
Phone: (856) 489-4520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 25MA06376400 (NJ)

Record details

NPI number1558811372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Domingo — President · (609) 410-8055
NPI enumeratedOctober 4, 2016
Last updated in NPPESFebruary 27, 2017
Mailing addressPo Box 674, Marlton, NJ 08053-0674

Other providers in Marlton