Individual provider Active NPI

Samantha Marie Tartaglia, OTR/L, MS

  • Occupational Therapist
  • Ronkonkoma, NY
National Provider Identifier
1902165400
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
013406 Issued in NY
Practice address
192 Magua St
Ronkonkoma, NY 11779-3522
Phone
(631) 332-1997
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 013406 NY
Neurorehabilitation Occupational Therapist 225XN1300X 013406 NY
Occupational Therapist 225X00000X 013406 NY Primary
Hand Occupational Therapist 225XH1200X 013406 NY

Addresses

Primary practice location

192 Magua St
Ronkonkoma, NY 11779-3522

Mailing address

192 Magua St
Ronkonkoma, NY 11779-3522
Phone (631) 332-1997

Other practice location 1

475 Northern Blvd Ste 19
Great Neck, NY 11021-4802
Phone (516) 829-0030

Other names 1

  • Miss Samantha Marie Conzo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109002038 NY Practitioner - Occupational Therapist in Private Practice 0749718393 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Reddy Care Physical and Occupational Therapy PLLCGroup PAC ID 6103176987, 52 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

475 Northern Blvd
Great Neck, NY 11021-4802
Phone (516) 829-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
013406NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Care Physical and Occupational Therapy PLLC CurrentSince Mar 17, 2026 Accepting new patients
New York University CurrentSince Nov 4, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients
New York University CurrentSince Nov 4, 2024 Accepting new patients
Reddy Care Physical Therapy PC PastSince Mar 17, 2026 Accepting new patients

Locations

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

801 Merrick Ave
East Meadow, NY 11554
Phone (516) 393-8900

285 Sills Rd
Bldg 5-6C
East Patchogue, NY 11772
Phone (631) 475-2858

309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900

475 Northern Blvd
Ste 19
Great Neck, NY 11021
Phone (516) 344-0023

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1902165400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 MAGUA ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793522",
            "telephone_number": "631-332-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 MAGUA ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793522",
            "telephone_number": "631-332-1997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214802",
            "country_code": "US",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARTAGLIA",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "013406",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "013406",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013406",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "013406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CONZO",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "OTR/L, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.