Individual provider Active NPI

Mark Rutledge, PT

  • Physical Therapist
  • Mt Pleasant, SC
National Provider Identifier
1942216205
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1588 Issued in SC
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

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
TH0260MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070412000189 SC Practitioner - Physical Therapist in Private Practice 4183729726 Reassigns benefits to 1 organization

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
Berkeley Rehabilitation LLCGroup PAC ID 1850714379, 7 clinicians

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 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Rehabilitation, LLC Physical Therapist CurrentSince Nov 30, 2020 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.

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.

Verify at the official NPI Registry.