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Pediatric Rehabilitation Associates, LLC

Pediatric Rehabilitation Medicine Physician in Marlton, NJ · enumerated 2016 · authorized official Connie Domingo, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558811372

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Rehabilitation Associates, LLC
Practice address 92 Brick Rd Fl 3, Marlton, NJ, 08053
Phone (856) 489-4520
Enumeration date Oct 4, 2016
Last updated in NPPES Feb 27, 2017

Taxonomy & classification

2081P0010X Pediatric Rehabilitation Medicine Physician Allopathic & Osteopathic Physicians · License 25MA06376400 (NJ) Primary

Authorized official

Name Connie Domingo
Title President
Phone (609) 410-8055

Other identifiers

Identifier Type State Issuer
1902896889 Other - NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pediatric Rehabilitation Associates, LLC?
The NPI for Pediatric Rehabilitation Associates, LLC is 1558811372, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pediatric Rehabilitation Associates, LLC?
NPPES lists Connie Domingo (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-27.