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

Carly Siko, PT, DPT

Individual provider Physical Therapist · NPI 1093434326

Carly Siko, PT, DPT is a Physical Therapist in Private Practice in Peoria, Arizona. Qualified in 2022, 4 years ago. Practices with Runners Edge Alaska, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona and Virginia.

Years since qualifying
4
Licensed in
AZ, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

25101 N Lake Pleasant Pkwy Ste B-1340
Peoria, AZ 85383-1386
Phone: (623) 471-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 034249 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 2305215241 (VA)

Record details

NPI number1093434326
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Runners Edge Alaska — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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