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

MS. Samantha Depaulo, PTA

Individual provider Physical Therapy Assistant · NPI 1487911921

MS. Samantha Depaulo, PTA is a Physical Therapy Assistant in Staten Island, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

154 Edgegrove Ave
Staten Island, NY 10312-3333
Phone: (718) 356-4868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00286700 (NJ)

Record details

NPI number1487911921
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 23, 2012
Last updated in NPPESApril 23, 2012

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