Active NPI
Marlene K Sperka, LMT
- Mechanotherapist
- Kailua-Kona, HI
National Provider Identifier
1861614802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MAT 6128
- Practice address
- 77-6425 Kuakini Hwy. Suite D103
Kailua-Kona, HI 96740 - Phone
- (808) 937-7611
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MAT 6128 | HI | Primary |
Addresses
Primary practice location
77-6425 Kuakini Hwy. Suite D103
Kailua-Kona, HI 96740
Mailing address
P.O.Box 763
Honaunau, HI 96726
Phone (808) 937-7611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAT 6128 | HI | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861614802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 763",
"city": "HONAUNAU",
"state": "HI",
"postal_code": "96726",
"telephone_number": "808-937-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77-6425 KUAKINI HWY. SUITE D103",
"city": "KAILUA-KONA",
"state": "HI",
"postal_code": "96740",
"telephone_number": "808-937-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERKA",
"first_name": "MARLENE",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "HI",
"license": "MAT 6128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua-Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.