Individual provider Active NPI

Mark Allen Rentfrow, PT, DPT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1720733165
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
325 Folly Rd Ste 107
Charleston, SC 29412-2507
Phone
(843) 762-0147
Fax
(843) 762-0421
NPI assigned
Feb 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 SC Primary
Physical Therapist 225100000X

Addresses

Primary practice location

325 Folly Rd Ste 107
Charleston, SC 29412-2507

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

440 Old Trolley Rd Ste D
Summerville, SC 29485-5685
Phone (843) 871-3522

Other identifiers 1

IdentifierTypeStateIssuer
11116OtherSCSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026002258 SC Practitioner - Physical Therapist in Private Practice 6709272388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 19, 2024 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 19, 2024 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Grace Physical Therapy, LLC Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

1812 Sam Rittenberg Blvd
Ste 18
Charleston, SC 29407
Phone (843) 779-7377

325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

440 Old Trolley Rd
Ste D
Summerville, SC 29485
Phone (843) 871-3522

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1720733165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FOLLY RD STE 107",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122507",
            "telephone_number": "843-762-0147",
            "fax_number": "843-762-0421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Old Trolley Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294855685",
            "country_code": "US",
            "telephone_number": "843-871-3522",
            "fax_number": "843-871-3523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTFROW",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11116",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2024; 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.