Individual provider Active NPI

Mary Leen Mansfield, PT, DPT

  • Physical Therapist
  • North Charleston, SC
National Provider Identifier
1184350886
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12952 Issued in SC
Practice address
7800 Rivers Ave Ste 1240
North Charleston, SC 29406-4067
Phone
(843) 277-0710
Fax
(843) 573-7412
NPI assigned
Jul 26, 2022
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22707 NC
Physical Therapist 225100000X 12952 SC Primary

Addresses

Primary practice location

7800 Rivers Ave Ste 1240
North Charleston, SC 29406-4067

Mailing address

141 Atrium Way
Columbia, SC 29223-6301
Phone (843) 277-0710

Other names 1

  • Mary K Leen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220819000007 HI Practitioner - Physical Therapist in Private Practice 9931582228 Reassigns benefits to 4 organizations
I20231113003114 NC Practitioner - Physical Therapist in Private Practice 9931582228 Reassigns benefits to 1 organization
I20251008001660 SC Practitioner - Physical Therapist in Private Practice 9931582228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7800 Rivers Ave
Suite 1240
North Charleston, SC 29406-4067
Phone (843) 277-0710

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22707NCMDPhysical Therapist
12952SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaco Rehab Kapolei, LLC Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Jaco Rehab Honolulu Limited Partnership Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Jaco Rehab Kapolei Limited Partnership Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Jaco Rehab Mililani LLC Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Jaco Rehab Waikele Limited Partnership Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Jaco Rehab Mililani Limited Partnership Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Jaco Rehab Waikele LLC Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients

Locations

1401 S Beretania St
Ste 550
Honolulu, HI 96814
Phone (808) 591-2244

599 Farrington Hwy
Ste 206
Kapolei, HI 96707
Phone (301) 421-1125

95-1105 Ainamakua Dr
Ste 203
Mililani, HI 96789
Phone (800) 586-4356

94-849 Lumiaina St
Unit 101
Waipahu, HI 96797
Phone (808) 536-8947

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

7880 Alexander Promenade Pl
Ste 100
Raleigh, NC 27617
Phone (919) 583-7223

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

7800 Rivers Ave
Ste 1240
North Charleston, SC 29406
Phone (843) 277-0710

Interoperability endpoints

  • Direct secure messaging: mary.mansfield.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1184350886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ATRIUM WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236301",
            "telephone_number": "843-277-0710",
            "fax_number": "843-573-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 RIVERS AVE STE 1240",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064067",
            "telephone_number": "843-277-0710",
            "fax_number": "843-573-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "MARY",
        "middle_name": "LEEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22707",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LEEN",
            "middle_name": "K",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.