MR. MARTIN KEITH FOOTE (PT) – Physical Therapist, NPI 1104015114

MR. MARTIN KEITH FOOTE (PT) is a healthcare provider. based in Gaylord, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501008967 (MI). The NPI Number for MR. MARTIN KEITH FOOTE (PT) is 1104015114

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARTIN KEITH FOOTE (PT)
NPI
1104015114
Phone
(989) 705-2700
Address
PO BOX 519
Enumeration Date
16 October 2007
Last Update Date
16 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897052700
Graduation Year
1997 (29 years ago)
PAC ID
3779590492
Professional Enrollment ID
I20060321000280
Address ID
MI497357749GA1325XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MR. MARTIN KEITH FOOTE (PT)

  • PO BOX 519

    GAYLORD, MI 497340519

    Phone: (989) 705-2700

    Fax: (989) 705-2727

    Type: Mailing

  • 1325, South Otsego Avenue, Gaylord, Otsego County, Michigan, 49735, United States

    GAYLORD, MI 497357749

    Phone: (989) 705-2700

    Fax: (989) 705-2727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060321000280IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,12759$0
97140Therapy procedure using manual technique, each 15 minutes12438$0
97161Evaluation for physical therapy, typically 20 minutes5752$0
View full utilization report →

Insurance plans in this area (ZIP 49734)

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Provider's Procedures

MR. MARTIN KEITH FOOTE (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97001Physical therapy evaluation7065
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes21644

Reviews

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Frequently asked questions

How do payers reference MR. MARTIN KEITH FOOTE (PT)?
For MR. MARTIN KEITH FOOTE (PT), use NPI 1104015114 as the unique 10-digit identifier.
Is MR. MARTIN KEITH FOOTE (PT) shown as active in public data?
Registry records indicate MR. MARTIN KEITH FOOTE (PT) maintains an active NPI.
What clinical focus is listed for MR. MARTIN KEITH FOOTE (PT)?
At a glance, MR. MARTIN KEITH FOOTE (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. MARTIN KEITH FOOTE (PT) located near Gaylord?
MR. MARTIN KEITH FOOTE (PT) currently maps to Gaylord, Michigan in this extract.
When was this NPI issued?
Enumeration for MR. MARTIN KEITH FOOTE (PT) is noted as October 16, 2007 where the registry provides it.

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