Healthcare Provider Details

I. General information

NPI: 1275448417
Provider Name (Legal Business Name): PROGRESSIVE FEET LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13934 BALTIMORE AVE UNIT 9
LAUREL MD
20707-5000
US

IV. Provider business mailing address

6130 OXON HILL RD STE 305
OXON HILL MD
20745-3168
US

V. Phone/Fax

Practice location:
  • Phone: 301-567-5005
  • Fax:
Mailing address:
  • Phone: 301-567-5005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: ARASH ARI CHANGIZI
Title or Position: CEO
Credential:
Phone: 301-567-5005