Organization
COLAIZZI PEDORTHIC CENTER
Active
Other names
InStride Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE R KOWATIC (PRESIDENT)
(412) 748-0252
Entity
Organization
Contact information
Practice address
107 MOUNT NEBO POINTE RD STE 102, PITTSBURGH, PA 15237-1315
(412) 761-8100
(412) 761-1944
Mailing address
107 MOUNT NEBO POINTE RD STE 102, PITTSBURGH, PA 15237-1315
(412) 748-0252
(412) 748-0259
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01730343
—
PA
01
—
208657
BLUE CROSS BLUE SHIELD
PA
01
—
VOT560
UPMC HEALTH PLAN
PA
Enumeration date
03/06/2007
Last updated
08/13/2025
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