Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Smart Form Inc

Organization Prosthetic/Orthotic Supplier · NPI 1033102330

Smart Form Inc is a Prosthetic/Orthotic Supplier in Pittsburgh, Pennsylvania. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 5th Ave Ste 804
Pittsburgh, PA 15222-1821
Phone: (412) 281-9913
Fax: (412) 281-8074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1033102330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurie Churma — General Manager · (412) 281-9913
Other names Smart Foam Corset Shop
NPI enumeratedAugust 23, 2005
Last updated in NPPESAugust 22, 2020
Mailing address100 5th Ave, Suite 804, Pittsburgh, PA 15222-1821

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