Active NPI
Mark Rutledge, PT
- Physical Therapist
- Mt Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1588
- Practice address
- 1341 Old Georgetown Rd Ste C
Mt Pleasant, SC 29464-7307 - Phone
- (843) 936-3385
- Fax
- (843) 388-4868
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1588 | SC | Primary |
Addresses
Primary practice location
1341 Old Georgetown Rd Ste C
Mt Pleasant, SC 29464-7307
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
1954 Ashley River Rd Ste E
Charleston, SC 29407-4904
Phone (843) 761-1480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH0260 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1341 Old Georgetown Rd
Suite C
Mount Pleasant, SC 29464-7307
Phone (843) 936-3385
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1954 Ashley River Rd
Ste E
Charleston, SC 29407
Phone (843) 761-1480
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Organizations & group practices 1
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
- Charleston, SC
- NPI 1194344150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1942216205",
"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": "1341 OLD GEORGETOWN RD STE C",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294647307",
"telephone_number": "843-936-3385",
"fax_number": "843-388-4868"
}
],
"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": "1954 Ashley River Rd Ste E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294074904",
"country_code": "US",
"telephone_number": "843-761-1480",
"fax_number": "843-761-1481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "MARK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH0260",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, 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.
- 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.