Active NPI
Carolyn Siskoff, DPT
- Physical Therapist
- Marshalltown, IA
National Provider Identifier
1508197310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004507
- Practice address
- 312 E Main St
Marshalltown, IA 50158-1888 - Phone
- (641) 844-2294
- Fax
- (641) 844-2297
- NPI assigned
- Jan 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004507 | IA | Primary |
Addresses
Primary practice location
312 E Main St
Marshalltown, IA 50158-1888
Mailing address
205 W Wacker Dr
Ste 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004507 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263772800000",
"number": "1508197310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"address_2": "STE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "312-640-0329",
"fax_number": "312-640-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E MAIN ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501581888",
"telephone_number": "641-844-2294",
"fax_number": "641-844-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISKOFF",
"first_name": "CAROLYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-18",
"last_updated": "2010-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.