Ketreena Roshawn Footman (NPI# 1689015026, PAC ID# 6002037744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1689015026 |
| PAC ID by PECOS | 6002037744 |
| Professional Enrollment ID | I20180928002151 |
| Full Name | Ketreena Roshawn Footman |
| Organization Legal Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Address |
1227 Rockbridge Rd Suite 402 Stone Mountain GA 30087-3012 |
| Phone Number | 7709259210 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2961312244 |
| Number of Group Practice Members | 354 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 | 7709259210 | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Organization Legal Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Physicians | 352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Thomas Ross | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 12050 Hwy 92, Suite 116, Woodstock, GA 30188-4287 |
| Allison Murphy Ryan | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 6361 Talokas Ln, Suite C170, Columbus, GA 31909-5648 |
| Amy Elizabeth Hill | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 2750 Chapel Hill Rd, Suite 1200, Douglasville, GA 30135-1721 |
| Nicholas A Foy | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 4510 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3478 |
| Gordon Thomas Peace | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 705 Town Blvd Ne, Suite S550, Brookhaven, GA 30319-7216 |
| Tyler James Hoek | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 590 441 Historic N Hwy E, Demorest, GA 30535-4561 |
| Morgan Camille Mcghee | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 898 Hampton Rd, Mcdonough, GA 30253-6514 |
| Spencer Edward Kasmere | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 5370 Hwy 92 530, Fairburn, GA 30213-2296 |
| Sarah Catherine Johnson | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 7805 Abercorn St, Suite 21, Savannah, GA 31406-2457 |
| Kevin Michael Collins | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 744 Noah Dr, Suite 107, Jasper, GA 30143-8704 |
| Street Address |
1227 ROCKBRIDGE RD SUITE 402 |
| City | STONE MOUNTAIN |
| State | GA |
| Zip | 30087-3012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Andrew Stevens | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Jose Roberto Aveiga | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Stephanie Wiggins Martin | Nurse Practitioner | Tlc of Georgia LLC | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 |
| Brandy Camille Long | Nurse Practitioner | Tlc of Georgia LLC | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 |
| Kathrine Mallard Meacham | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Jonathan D Norton | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Robert Lee Felber Iii | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen S Johnson | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Albert Scott Jr. | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Trudy Seivwright | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Anastasia Thomas | Podiatry | Instep Podiatry, LLC | 5385 Five Forks Trickum Rd F, Stone Mountain, GA 30087-3018 |
| Cheri Lipscomb | Nurse Practitioner | Piedmont Professional Services, LLC | 5435 Five Forks Trickum Rd, Stone Mountain, GA 30087-3045 |
| Max A Horowitz | Chiropractic | 1316 Rockbridge Rd, Suite O, Stone Mountain, GA 30087-3137 | |
| Faith J Wright | Clinical Social Worker | Fjw, Psychotherapist, Inc | 1310 Rockbridge Rd E, Stone Mountain, GA 30087-3163 |
| Lisa D Williams | Clinical Social Worker | Paradise for Living Services | 1836 Rockbridge Rd, Stone Mountain, GA 30087-3307 |
| Martha Vecker Mckenzie | Clinical Social Worker | Paradise for Living Services | 1836 Rockbridge Rd, Stone Mountain, GA 30087-3307 |
| Robin Mcghee | Optometry | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | |
| Find all physicians in zip 30087 | |||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | STONE MOUNTAIN + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ketreena Roshawn Footman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.