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

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 NameKetreena Roshawn Footman
GenderFemale
SpecialityPhysical Therapy
Experience12 Years
Location3939 Atlanta Hwy, Loganville, Georgia
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1689015026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT27492 (Florida)Secondary
225100000XPhysical Therapist 7411 (South Carolina)Secondary
225100000XPhysical Therapist PT013495 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Team Rehabilitation Services Llc2264479518522

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 NameIndependent Physical Therapy Of Georgia Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396
Provider NameBenchmark Physical Therapy, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083666903
PECOS PAC ID: 1557395209
Enrollment ID: O20050921001120
Provider NameTeam Rehabilitation Ga12 Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1275147431
PECOS PAC ID: 5294146965
Enrollment ID: O20201201002922
Provider NameTeam Rehabilitation Services Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI 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 AddressPractice 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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.