Samantha Rose Tartaglia

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

030550 Issued in NY

Practice address

2403 Ellsworth Blvd
Ballston Spa, NY 12020-3352

Phone

(585) 474-3009

NPI assigned

Oct 8, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1013882190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 ELLSWORTH BLVD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203352",
            "telephone_number": "585-474-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 ELLSWORTH BLVD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203352",
            "telephone_number": "585-474-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTAGLIA",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "030550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene C Stiffler, LCSW
• Mary Frances Stortini
• Kristen Sumple
• Brooke Szczesniak, RN
• Georgena Tallman
• Gina Marie Tedford, MS-SLP
• Kevin P Terbush
• Thomas C. Petrie, C.D.N.
• Edward Palmer Thompson, DNP, NP-P
• Camille Marie Tichenor, R.N.

• Occupational Therapist in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.