| Mary Leen Mansfield, PT, DPT | |
|
7800 Rivers Ave Ste 1240, North Charleston, SC 29406-4067 | |
| (843) 277-0710 | |
| (843) 573-7412 |
| Full Name | Mary Leen Mansfield |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7800 Rivers Ave Ste 1240, North Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184350886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P22707 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | 12952 (South Carolina) | Primary |
| Provider Name | Jaco Rehab Honolulu Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265073878 PECOS PAC ID: 8527495092 Enrollment ID: O20200221001176 |
| Provider Name | Jaco Rehab Waikele Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629619234 PECOS PAC ID: 2769819804 Enrollment ID: O20200302000493 |
| Provider Name | Jaco Rehab Mililani Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700427325 PECOS PAC ID: 5991132847 Enrollment ID: O20200305001547 |
| Provider Name | Jaco Rehab Kapolei Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437790052 PECOS PAC ID: 6305275355 Enrollment ID: O20200326002830 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Leen Mansfield, PT, DPT 141 Atrium Way, Columbia, SC 29223-6301 Ph: (843) 277-0710 | Mary Leen Mansfield, PT, DPT 7800 Rivers Ave Ste 1240, North Charleston, SC 29406-4067 Ph: (843) 277-0710 |
Kimberly Waters, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405 Phone: 866-571-2700 | |
Sara Desmarais, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2760 Tricom St, North Charleston, SC 29406 Phone: 843-300-8585 | |
Dr. Sarah Carter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-797-7000 | |
Jared Lethco, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2695 Elms Plantation Blvd, Ste. C, North Charleston, SC 29406 Phone: 843-974-4097 Fax: 843-974-4125 | |
Nathen Alex Andrews, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8950 University Blvd Ste 200a, North Charleston, SC 29406 Phone: 843-414-1140 Fax: 843-553-2946 | |
Mrs. Leslie Brewer Burton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2375 Baker Hospital Blvd, North Charleston, SC 29405 Phone: 843-744-2750 | |
Ms. Darcy M Jones, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 Bakers Landing Dr, North Charleston, SC 29418 Phone: 843-814-0680 Fax: 843-760-0906 |