Carly Siko, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034249 Issued in AZ

Practice address

25101 N Lake Pleasant Pkwy Ste B-1340
Peoria, AZ 85383-1386

Phone

(623) 471-5550

NPI assigned

Aug 22, 2022

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Runners Edge AlaskaGroup PAC ID 3971978537, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Runners Edge Alaska

  • Physical Therapist
  • Anchorage, AK
  • NPI 1669017398
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1093434326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 N LAKE PLEASANT PKWY STE B-1340",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831386",
            "telephone_number": "623-471-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 N LAKE PLEASANT PKWY STE B-1340",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831386",
            "telephone_number": "623-471-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKO",
        "first_name": "CARLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215241",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "034249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ankur Janak Shukla, M.D.
• Jimis Shukri, RN
• Nimrit Kaur Sidhu
• Megan Sigl
• Signature Chiropractic, LTD
• Crysta Silas, NP
• Lisa Marie Refuerzo Sim, RN, MSN, CNS
• Deborah L Simboli
• Amina Simmons, PHD
• Paulina Simon, AGPCNP

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.