Active NPI
Samantha Marie Tartaglia, OTR/L, MS
- Occupational Therapist
- Ronkonkoma, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013406
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 013406 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Care Physical and Occupational Therapy PLLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Reddy Care Physical Therapy PC | Past | 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.
-
- Specialist
- Great Neck, NY
- NPI 1477052967
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
Occupational Therapist
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Specialist
- Great Neck, NY
- NPI 1932171097
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.