P Praxis·MD
● Active Type 1 · Individual

Ketreena Roshawn Footman, PT, DPT

Physical Therapist·Loganville, GA· NPI 1689015026 · Enumerated 2013 · 12 years on NPI
Footman is 1 of 61 physical therapist providers in Loganville and 1 of 7225 in Georgia.
NPI age
12 years
Enumerated 2013-07-15
Primary specialty
Physical Therapist
Plus 2 subspecialties
Licensed in
GA, FL, SC
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-06-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7225 active physical therapist providers in Georgia.

NPI age
12 years
↑ 2 yr above median (10 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
3939 Atlanta Hwy
Loganville, GA 300523761
📞 7708842800fax 7708842805
Mailing address
33900 Harper Ave Ste 104
Clinton Twp, MI 480354258
📞 5863502644

Additional practice locations

1 secondary location on file with NPPES.

Location 2
325 Mdg, 340 Magnolia Circle
Tyndall Afb, FL 32403
📞 8502837019

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #PT013495FL license #PT27492SC license #7411 taxonomy 225100000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new physical therapist providers have been added in Loganville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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