SMART FORM INC
NPI 1033102330
Prosthetic/Orthotic Supplier in Pittsburgh, PA

Q: What is Smart Form Inc's NPI number?

The NPI number for Smart Form Inc is 1033102330. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider was formerly known as Smart Foam Corset Shop.

Q: What is Smart Form Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Smart Form Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 23, 2005

100 5TH AVE, SUITE 804, PITTSBURGH, PA 15222(412) 281-9913(412) 281-8074 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Smart Form Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMART FORM INC (NPI 1033102330), doing business as Smart Foam Corset Shop, is a healthcare organization registered as a prosthetic/orthotic supplier in Pittsburgh, Pennsylvania and active in the NPI registry since August 2005. The organization lists Laurie J Churma, General Manager, as its authorized official.

NPPES Registry Identity

NPI1033102330

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameSMART FORM INC

Location Address100 5TH AVE, SUITE 804Pittsburgh, PA 15222-1821

Mailing Address100 5th Ave, Suite 804Pittsburgh, PA 15222-1821 · (412) 281-9913 · Fax (412) 281-8074

Phone(412) 281-9913

Fax(412) 281-8074

Organization SubpartNo

Authorized OfficialLaurie J ChurmaGeneral Manager · (412) 281-9913

Enumeration DateAugust 23, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1033102330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

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.

100 5TH AVE, Pittsburgh, PA 15222

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Other Names 1

Former Legal Business NameSmart Foam Corset Shop

Other Identifiers 1

Medicaid0016096020001PA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LORI DUGAN

Audiologist

100 5TH AVE, SUITE 1208
PITTSBURGH, PA 15222

Allegheny County (412) 471-4352

MR. CHRISTOPHER MICHAEL ECKERT MS CCCA

Audiologist

100 5TH AVE, STE: 1208
PITTSBURGH, PA 15222

Allegheny County (412) 471-4352

COLLEEN MARIE O'SHEA MA, CFAS, CAADC

Counselor (Addiction (Substance Use Disorder))

100 5TH AVE
PITTSBURGH, PA 15222

Allegheny County (412) 759-4010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smart Form Inc's NPI number?

The NPI number for Smart Form Inc is 1033102330. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider was formerly known as Smart Foam Corset Shop.

Where is Smart Form Inc located?

Smart Form Inc is located at 100 5th Ave Suite 804, Pittsburgh, PA 15222. The listed phone number is (412) 281-9913.

What is Smart Form Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Smart Form Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.