Healthcare Provider Details

I. General information

NPI: 1861172801
Provider Name (Legal Business Name): SARAH DIDOMENICO MS, OTR/L, WCC, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6841 FOREST HILL AVE UNIT 408
RICHMOND VA
23225-1603
US

IV. Provider business mailing address

6841 FOREST HILL AVE UNIT 408
RICHMOND VA
23225-1603
US

V. Phone/Fax

Practice location:
  • Phone: 804-424-5480
  • Fax: 804-424-4114
Mailing address:
  • Phone: 804-424-5480
  • Fax: 804-424-4114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number0119005912
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119005912
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License Number0119005912
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number0119005912
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number0119005912
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119005912
License Number StateVA
# 7
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number0119005912
License Number StateVA
# 8
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number0119005912
License Number StateVA
# 9
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number0119005912
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: