Smart Form Inc
Prosthetic & Orthotic Supplier
100 5th Ave, Suite 804, Pittsburgh
Pennsylvania, 15222-1821
412-281-9913 412-281-8074
Maps & DirectionsSmart Form Inc is a Prosthetic & Orthotic Supplier in Pittsburgh, Pennsylvania. It is situated at 100 5th Ave, Suite 804, Pittsburgh and its contact number is 412-281-9913. The authorized person of Smart Form Inc is Mrs. Laurie J Churma
who is General Manager of the store and his/her contact number is 412-281-9913.
Smart Form Inc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Smart Form Inc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 100 5th Ave, Suite 804, Pittsburgh,
Pennsylvania, 15222-1821 |
| Phone: | 412-281-9913 |
| Fax: | 412-281-8074 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Laurie J Churma |
| Position: | General Manager |
| Contact Number: | 412-281-9913 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Smart Form Inc center are as mentioned below.
| NPI Number: | 1033102330 |
| NPI Enumeration Date: | 23 Aug, 2005 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smart Form Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0016096020001 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Smart Form Inc
100 5th Ave, Suite 804
Pittsburgh, Pennsylvania |
| Zip: | 15222-1821 |
| Phone Number: | 412-281-9913 |
| Fax Number: | 412-281-8074 |
Patients can reach Smart Form Inc at
100 5th Ave, Suite 804, Pittsburgh, Pennsylvania or can
call to book an appointment on 412-281-9913.
Comments/ Reviews:
Patients can read all the reviews posted for Smart Form Inc below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Smart Form Inc. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.