Provider Demographics
NPI:1861172801
Name:DIDOMENICO, SARAH (MS, OTR/L, WCC, CHT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DIDOMENICO
Suffix:
Gender:F
Credentials:MS, OTR/L, WCC, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6841 FOREST HILL AVE UNIT 408
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-1603
Mailing Address - Country:US
Mailing Address - Phone:804-424-5480
Mailing Address - Fax:804-424-4114
Practice Address - Street 1:6841 FOREST HILL AVE UNIT 408
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-1603
Practice Address - Country:US
Practice Address - Phone:804-424-5480
Practice Address - Fax:804-424-4114
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005912225XN1300X, 225X00000X, 225XH1300X, 225XE1200X, 225XP0019X, 225XP0200X, 225XH1200X, 225XE0001X, 225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHuman Factors
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology