Provider Demographics
NPI:1013722602
Name:ROUNDTREE, JAMES LOUIS III (LAT, ATC, MBA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:LOUIS
Last Name:ROUNDTREE
Suffix:III
Gender:M
Credentials:LAT, ATC, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2782
Mailing Address - Country:US
Mailing Address - Phone:724-980-4233
Mailing Address - Fax:
Practice Address - Street 1:2419 STATE AVE
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2233
Practice Address - Country:US
Practice Address - Phone:724-980-4233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0070292081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine