Ketreena Roshawn Footman, PT, DPT in Loganville, GA - Medicare Physical Therapy Provider

Ketreena Roshawn Footman, PT, DPT is a medicare enrolled "Physical Therapist" provider in Loganville, Georgia. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Team Rehabilitation Services Llc and her current practice location is 3939 Atlanta Hwy, Loganville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 884-2800.

Ketreena Roshawn Footman is licensed to practice in Georgia (license number PT013495) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689015026.

Contact Information

	Ketreena Roshawn Footman, PT, DPT
	3939 Atlanta Hwy, Loganville, GA 30052-3761
	(770) 884-2800
	(770) 884-2805

Map and Direction

Healthcare Provider's Profile

Full Name	Ketreena Roshawn Footman
Gender	Female
Speciality	Physical Therapy
Experience	12 Years
Location	3939 Atlanta Hwy, Loganville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ketreena Roshawn Footman graduated from medical school in 2012

NPI Data:

NPI Number: 1689015026
Provider Enumeration Date: 07/15/2013
Last Update Date: 06/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6002037744
Enrollment ID: I20180928002151

Medical Identifiers

Medical identifiers for Ketreena Roshawn Footman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689015026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT27492 (Florida)	Secondary
225100000X	Physical Therapist	7411 (South Carolina)	Secondary
225100000X	Physical Therapist	PT013495 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Team Rehabilitation Services Llc	2264479518	529

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ketreena Roshawn Footman allows following entities to bill medicare on her behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Provider Name	Benchmark Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120

Provider Name	Team Rehabilitation Ga12 Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1275147431 PECOS PAC ID: 5294146965 Enrollment ID: O20201201002922

Provider Name	Team Rehabilitation Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1508538158 PECOS PAC ID: 2264479518 Enrollment ID: O20211115001221

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ketreena Roshawn Footman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ketreena Roshawn Footman, PT, DPT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644	Ketreena Roshawn Footman, PT, DPT 3939 Atlanta Hwy, Loganville, GA 30052-3761 Ph: (770) 884-2800

Reviews and Comments

Physical Therapist in Loganville, GA

Katherine Martell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Athens Hwy, Loganville, GA 30052 Phone: 770-554-2307
Tracy Aifuwa, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4743 Atlanta Hwy Ste 100, Loganville, GA 30052 Phone: 770-466-9343 Fax: 770-466-9345
Merin Mathew, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3939 Atlanta Hwy Ste 104, Loganville, GA 30052 Phone: 770-884-2800
Jason Thelen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Athens Hwy, Loganville, GA 30052 Phone: 770-554-2307
Sherri Wilder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 Towler Dr, Loganville, GA 30052 Phone: 404-694-2480
Nancy Turpin, PT, CERT MDT, TDPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3440 Highway 81, Loganville, GA 30052 Phone: 770-554-5009 Fax: 706-546-8792
Christopher Chase Aurandt, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4743 Atlanta Hwy Ste 100, Loganville, GA 30052 Phone: 770-466-9343 Fax: 770-466-9345

Ketreena Roshawn Footman, PT, DPT - Medicare Physical Therapist in Loganville, GA