Doctor profile · Federal record

Dr. Jeremy Domina, OTR

Occupational Therapist (CMS: Occupational Therapist in Private Practice) · Hanover, NH

  • NPI 1720255201
  • Accepts Medicare
  • 23 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
49 Lyme RD
Hanover, NH 037551205
(603) 643-2854
Mailing address
227 Old Route 15
Cambridge, VT 054449772

Credentials & registration

NPPES · NUCC
NPI registered
May 2008 — 18 yrs on file
Year of graduation
2003 — 23 yrs since
Specialty taxonomy
225X00000X — NUCC code
State license (1)
New Hampshire #1702

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1720255201. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
507
Distinct HCPCS
8
Medicare allowed
$18,489
HCPCS Description Services Patients Avg allowed
97530 Therapy procedure using functional activities 183 22 $38
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 108 21 $25
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97 16 $29
97140 Therapy procedure using manual technique, each 15 minutes 42 17 $23
98980 Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month 24 17 $56
98977 Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days 20 16 $61
97165 Evaluation for occupational therapy, typically 30 minutes 19 19 $114
98975 Set-up and patient education for remote monitoring of therapy 14 14 $23

In context: peer comparison

Among 1 peers in this city , average services per provider: 63. This provider delivers 8.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jeremy Domina's medical specialty?
Dr. Jeremy Domina practices Occupational Therapist in Hanover, NH.
Where does Dr. Jeremy Domina practice?
Dr. Jeremy Domina practices at 49 Lyme RD, Hanover, NH 037551205. Office phone: 6036432854.
What is Dr. Jeremy Domina's NPI?
Dr. Jeremy Domina's National Provider Identifier (NPI) is 1720255201, issued by NPPES.
Does Dr. Jeremy Domina accept Medicare assignment?
Yes. Dr. Jeremy Domina accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jeremy Domina commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.