Provider Demographics
NPI:1033924865
Name:THE ORTHOPEDIC WELLNESS CENTER OF PITTSBURGH PLLC
Entity type:Organization
Organization Name:THE ORTHOPEDIC WELLNESS CENTER OF PITTSBURGH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-929-0249
Mailing Address - Street 1:PO BOX 16008
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15242-0008
Mailing Address - Country:US
Mailing Address - Phone:412-929-0249
Mailing Address - Fax:412-920-5861
Practice Address - Street 1:2476 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-2299
Practice Address - Country:US
Practice Address - Phone:717-431-6267
Practice Address - Fax:717-431-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty