Active NPI
Mark Allen Rentfrow, PT, DPT
- Physical Therapist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11116 | Other | SC | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 89.43
- Improvement activities
- 40
- Cost
- 74.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Grace Physical Therapy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Summerville, SC
- NPI 1356544415
-
- Physical Therapist
- Charleston, SC
- NPI 1912378365
-
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
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.