Active NPI
Sydnie Frances Petoskey
- Physical Therapist
- San Jose, CA
National Provider Identifier
1003724261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310864
- Practice address
- 1267 Meridian Ave
San Jose, CA 95125-5210 - Phone
- (408) 265-4211
- NPI assigned
- Aug 31, 2026
- 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 | 310864 | CA | Primary |
Addresses
Primary practice location
1267 Meridian Ave
San Jose, CA 95125-5210
Mailing address
4412 White Oak CT
Hamilton, MI 49419-8808
Phone (269) 355-0049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1003724261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 WHITE OAK CT",
"city": "HAMILTON",
"state": "MI",
"postal_code": "494198808",
"telephone_number": "269-355-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 MERIDIAN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255210",
"telephone_number": "408-265-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETOSKEY",
"first_name": "SYDNIE",
"middle_name": "FRANCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.