Active NPI
Sophia Janicki, DPT
- Physical Therapist
- Saint Charles, IL
National Provider Identifier
1285542217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.040779
- Practice address
- 3381 W Main St Ste 1
Saint Charles, IL 60175-1008 - Phone
- (630) 549-0511
- 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 | 070.040779 | IL | Primary |
Addresses
Primary practice location
3381 W Main St Ste 1
Saint Charles, IL 60175-1008
Mailing address
201 N Tyler Rd Apt 305
Saint Charles, IL 60174-2355
Phone (815) 218-3793
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": "1285542217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N TYLER RD APT 305",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601742355",
"telephone_number": "815-218-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3381 W MAIN ST STE 1",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601751008",
"telephone_number": "630-549-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANICKI",
"first_name": "SOPHIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.040779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, IL
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.