Individual provider Active NPI

James Louis Roundtree III, LAT, ATC, MBA

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Coraopolis, PA
National Provider Identifier
1013722602
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
RT007029 Issued in PA
Practice address
2419 State Ave
Coraopolis, PA 15108-2233
Phone
(724) 980-4233
NPI assigned
Feb 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X RT007029 PA Primary

Addresses

Primary practice location

2419 State Ave
Coraopolis, PA 15108-2233

Mailing address

334 Academy St
Carnegie, PA 15106-2782
Phone (724) 980-4233

Other practice location 1

510 W Station Square Dr
Pittsburgh, PA 15219-1166
Phone (412) 660-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
RT007029PAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1013722602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 ACADEMY ST",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151062782",
            "telephone_number": "724-980-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 STATE AVE",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082233",
            "telephone_number": "724-980-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W Station Square Dr",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191166",
            "country_code": "US",
            "telephone_number": "412-660-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUNDTREE",
        "first_name": "JAMES",
        "middle_name": "LOUIS",
        "name_suffix": "III",
        "credential": "LAT, ATC, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "RT007029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.