Pediatric Rehabilitation Medicine (PRM) uses specialized training and interdisciplinary collaboration to care for children and adolescents with congenital or acquired physical disabilities. Pediatric telerehabilitation offers a means to overcome the disparity in geographical distribution of PRM providers, improving access to care and saving families significant amounts of time, travel, and cost. Like other forms of telerehabilitation, pediatric telerehabilitation can be offered through multiple delivery mechanisms to provide consultations, problem-focused services, therapy services, education, mentorship, and support. However, providers must apply special considerations to the practice of pediatric telerehabilitation, and critical payment, licensure, education, and technology developments need to occur to ensure that children with disabilities and their families can live in a world of health and information equity, optimization of function, and equal opportunity for a well-lived life.