Provider Demographics
NPI:1710708847
Name:SPERLAK, JOSEPH FRANK (DPT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FRANK
Last Name:SPERLAK
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 HILLCREST COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1366
Mailing Address - Country:US
Mailing Address - Phone:715-523-1477
Mailing Address - Fax:
Practice Address - Street 1:100 POWERS BLVD STE A
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-7981
Practice Address - Country:US
Practice Address - Phone:864-295-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI36922225100000X
SC10235225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist