Active NPI
The Orthopedic Wellness Center of Pittsburgh PLLC
- Sports Medicine (Family Medicine) Physician
- Canonsburg, PA
National Provider Identifier
1033924865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sports Medicine (Family Medicine) Physician
- Canonsburg, PA
- NPI 1912119967
-
- Sports Medicine (Family Medicine) Physician
- Pittsburgh, PA
- NPI 1598763229
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.