Organization Active NPI

The Orthopedic Wellness Center of Pittsburgh PLLC

  • Sports Medicine (Family Medicine) Physician
  • Canonsburg, PA
National Provider Identifier
1033924865
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
THE ORTHOPEDIC WELLNESS CENTER OF PITTSBURGH PLLC
Practice address
2476 Washington Rd
Canonsburg, PA 15317-2299
Phone
(717) 431-6267
Fax
(717) 431-0061
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brittany Lee Ketter
Title
Manager
Phone
(412) 929-0249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

2476 Washington Rd
Canonsburg, PA 15317-2299

Mailing address

PO Box 16008
Pittsburgh, PA 15242-0008
Phone (412) 929-0249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250325001844 PA Part B Supplier - Clinic/Group Practice 2961925516 Receives reassigned benefits from 1 practitioner
Practice locations: Canonsburg, PA

National Provider Directory

National Provider Directory

Locations

400 Southpointe Blvd
Ste 100
Canonsburg, PA 15317
Phone (412) 359-3895

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1033924865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16008",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152420008",
            "telephone_number": "412-929-0249",
            "fax_number": "412-920-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 WASHINGTON RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172299",
            "telephone_number": "717-431-6267",
            "fax_number": "717-431-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPEDIC WELLNESS CENTER OF PITTSBURGH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "KETTER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-929-0249"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.