Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremy C Domina, OTR

Individual provider Occupational Therapist · NPI 1720255201

Mr. Jeremy C Domina, OTR is an Occupational Therapist in Private Practice in Hanover, New Hampshire. Qualified in 2003, 23 years ago. Practices with Integrated Rehabilitation Group PC, a 195-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
23
Licensed in
NH
In the registry since
2008
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

49 Lyme Rd
Hanover, NH 03755-1205
Phone: (603) 643-2854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 1702 (NH)

Record details

NPI number1720255201
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorYes
NPI enumeratedMay 13, 2008
Last updated in NPPESMay 13, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Integrated Rehabilitation Group Pc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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