OrganizationActive
Footprint Podiatry Consultants, LLC
NPI 1083932438 · Podiatric Clinic/Center · Washington, DC
Provider details
- NPI number
- 1083932438
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Footprint Podiatry Consultants, LLC
- Organization subpart
- Yes
- Authorized official
- Michangelo Scruggs, Podiatrist/Ceo(202) 506-1001
- License
- PO1000031 (DC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1328 Southern Ave Se
Suite 209
Washington, DC 20032-4689
Phone: (202) 506-1001
Fax: (202) 506-1008
Approximate (ZIP-level) locationGet directions
Mailing address
4316 18th St Nw
Washington, DC 20011-4228
Other names (DBA / former)
- Former legal business name
- Footprint Podiatry Consultants, LLC
Registry dates
- Enumerated
- 2010-05-10
- Last updated
- 2010-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.