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

Samantha Herrell Bagnato, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1164017927

Samantha Herrell Bagnato, OTR/L is a Pediatric Occupational Therapist in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2235 Tacketts Mill Dr # C
Woodbridge, VA 22192-3036
Phone: (703) 491-1044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119008524 (VA)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 0119008524 (VA)

Record details

NPI number1164017927
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 3, 2021
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 11, 2022

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