MEDICARE: HAND TO SHOULDER WELLNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225XP0200X	Pediatric Occupational Therapist
2	225XG0600X	Gerontology Occupational Therapist
3	225XE1200X	Ergonomics Occupational Therapist
4	225XP0019X	Physical Rehabilitation Occupational Therapist
5	225X00000X	Occupational Therapist
6	225XE0001X	Environmental Modification Occupational Therapist
7	225XN1300X	Neurorehabilitation Occupational Therapist
8	225XM0800X	Mental Health Occupational Therapist
9	225XH1200X	Hand Occupational Therapist

General Provider Information

NPI Number	:	1487441804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND TO SHOULDER WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	6841 FOREST HILL AVE UNIT 408
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1603
Country	:	US
Telephone Number	:	804-424-5480
Fax Number	:

Provider Business Practice Location Address
First Line	:	6841 FOREST HILL AVE UNIT 408
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1603
Country	:	US
Telephone Number	:	804-424-5480
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND OCCUPATIONAL THERAPIST
Name	:	SARAH DIDOMENICO
Credential	:	MS, OTR/L, WCC, CHT
Telephone Number	:	804-424-5480

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	12/01/2025

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