Healthcare Provider Details

I. General information

NPI: 1659289791
Provider Name (Legal Business Name): SYDNEY BRIANNE OSTROWSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 N SHERIDAN RD
PEORIA IL
61614-2932
US

IV. Provider business mailing address

1700 W MARIGOLD DR APT 5307
PEORIA IL
61615-7242
US

V. Phone/Fax

Practice location:
  • Phone: 309-621-4111
  • Fax:
Mailing address:
  • Phone: 217-823-4486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070040852
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: