Individual provider Active NPI

John Michael Rounds, DPT

  • Physical Therapist
  • Pierre, SD
National Provider Identifier
1609230309
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1695 Issued in SD
Practice address
633 E Sioux Ave Ste 5
Pierre, SD 57501-3368
Phone
(605) 222-8724
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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 1695 SD Primary

Addresses

Primary practice location

633 E Sioux Ave Ste 5
Pierre, SD 57501-3368

Mailing address

633 E Sioux Ave Ste 5
Pierre, SD 57501-3368
Phone (605) 222-8724

Other practice location 1

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-3162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729000303 SD Practitioner - Physical Therapist in Private Practice 4587089206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresh Life LLCGroup PAC ID 3678998390, 4 clinicians

Practice addresses (Care Compare)

633 E Sioux Ave
Suite 5
Pierre, SD 57501-3368
Phone (605) 222-8724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1695SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Life LLC Physical Therapist CurrentSince Jul 21, 2020 Accepting new patients

Locations

633 E Sioux Ave
Ste 5
Pierre, SD 57501
Phone (605) 222-8724

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1609230309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E SIOUX AVE STE 5",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013368",
            "telephone_number": "605-222-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E SIOUX AVE STE 5",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013368",
            "telephone_number": "605-222-8724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Sioux Ave",
            "address_purpose": "LOCATION",
            "city": "Pierre",
            "state": "SD",
            "postal_code": "575013323",
            "country_code": "US",
            "telephone_number": "605-224-3162",
            "fax_number": "605-224-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUNDS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.