Organization Active NPI

Berkeley Rehabilitation, LLC

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1194344150
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BERKELEY REHABILITATION, LLC
Practice address
1954 Ashley River Rd Ste E
Charleston, SC 29407-4904
Phone
(843) 761-1480
Fax
(843) 761-1481
NPI assigned
Apr 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Mark RutledgeNPI 1942216205
Title
Owner
Phone
(843) 936-3385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1954 Ashley River Rd Ste E
Charleston, SC 29407-4904

Mailing address

1954 Ashley River Rd Ste E
Charleston, SC 29407-4904
Phone (843) 761-1480

Other practice location 1

2070 Northbrook Blvd Ste B1
North Charleston, SC 29406-9325
Phone (843) 955-9765

Other practice location 2

1341 Old Georgetown Rd Ste C
MT Pleasant, SC 29464-7307
Phone (843) 936-3385

Other names 1

  • REHAB CAROLINA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200630003363 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850714379 Receives reassigned benefits from 13 practitioners
Practice locations: North Charleston, SC; Mount Pleasant, SC; Charleston, SC

National Provider Directory

National Provider Directory

Locations

1954 Ashley River Rd
Ste E
Charleston, SC 29407
Phone (843) 761-1480

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1194344150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 ASHLEY RIVER RD STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074904",
            "telephone_number": "843-761-1480",
            "fax_number": "843-761-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 ASHLEY RIVER RD STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074904",
            "telephone_number": "843-761-1480",
            "fax_number": "843-761-1481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 Northbrook Blvd Ste B1",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069325",
            "country_code": "US",
            "telephone_number": "843-955-9765",
            "fax_number": "843-410-5719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1341 Old Georgetown Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294647307",
            "country_code": "US",
            "telephone_number": "843-936-3385",
            "fax_number": "843-388-4868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERKELEY REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-936-3385"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REHAB CAROLINA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.