Individual provider Active NPI

Mark W Siko, C.P.T.A.

  • Physical Therapy Assistant
  • Salina, KS
National Provider Identifier
1780992826
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-00560 Issued in KS
Practice address
1101 E Republic Ave
Salina, KS 67401-5282
Phone
(785) 825-1361
Fax
(785) 823-7077
NPI assigned
Sep 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-00560 KS Primary

Addresses

Primary practice location

1101 E Republic Ave
Salina, KS 67401-5282

Mailing address

1101 E Republic Ave
Salina, KS 67401-5282
Phone (785) 825-1361

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-00560KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1780992826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E REPUBLIC AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015282",
            "telephone_number": "785-825-1361",
            "fax_number": "785-823-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E REPUBLIC AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015282",
            "telephone_number": "785-825-1361",
            "fax_number": "785-823-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKO",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "C.P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-00560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.