DR. ETHAN B COLLIVER (NPI# 1184803330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184803330 |
| Entity Type | Individual |
| Full Name | DR. ETHAN B COLLIVER |
| Credential | D.O. |
| Practice Address |
120 Professional Park Dr Se Ste 7 Blacksburg VA 24060 |
| Mailing Address |
120 Professional Park Dr Se Ste 7 Blacksburg VA 24060-6739 |
| Practice Telephone | 5404433832 |
| Practice Fax Number | 5404439362 |
| Mailing Telephone | 5404433832 |
| Mailing Fax Number | 5404439362 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2019-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 0102202357 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1184803330 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3706 S Main St, Suite D, Blacksburg, VA 240607006 | 5404433832 | 5404439362 |
| 120 Professional Park Dr Se Ste 7, Blacksburg, VA 24060 | 5404433832 | 5404439362 |
| Street Address |
120 PROFESSIONAL PARK DR SE STE 7 |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396376604 | Velyvis Orthopedics | Orthopaedic Surgery | 120 Professional Park Dr Se Ste 7, Blacksburg, VA 24060-6739 | 2020-01-27 |
| 1760966824 | Sierra Church | Physician Assistant | 120 Professional Park Dr Se Ste 7, Blacksburg, VA 24060-6739 | 2018-09-24 |
| 1447545751 | Colliver Sports & Spine Inc | Physical Medicine & Rehabilitation | 120 Professional Park Dr Se Ste 7, Blacksburg, VA 24060-6739 | 2011-06-15 |
| 1447489109 | Thomas Edward Dicarlo | Internal Medicine | 120 Professional Park Dr Se Ste 7, Blacksburg, VA 24060 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831535798 | Natalie Hyppolite | Physical Medicine & Rehabilitation | 1691 Innovation Dr Ste 2100, Blacksburg, VA 24060-6828 | 2013-05-20 |
| 1447545751 | Colliver Sports & Spine Inc | Physical Medicine & Rehabilitation | 120 Professional Park Dr Se Ste 7, Blacksburg, VA 24060-6739 | 2011-06-15 |
| 1740572205 | Ethan B. Colliver D.o. Pllc | Physical Medicine & Rehabilitation | 3706 S Main St, Blacksburg, VA 24060-7006 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152023 | Leap Physical Therapy, Pllc | Physical Medicine & Rehabilitation | 1708 Dakota Ave, Richmond, VA 23220-6911 | 2020-10-23 |
| 1962018200 | Greenbrier Valley Physical Therapy, LLC | Physical Medicine & Rehabilitation | 9292 Sam Snead Hwy Unit 3, Hot Springs, VA 24445-2928 | 2020-09-22 |
| 1760095657 | Rise Up Physical Therapy PC | Physical Medicine & Rehabilitation | 313 Cutter Cv, Stafford, VA 22554-2621 | 2020-08-28 |
| 1659995173 | Hysa Cognitive and Neurorehabilitation Pllc | Physical Medicine & Rehabilitation | 2465 Centreville Rd # J17-734, Herndon, VA 20171-4586 | 2020-06-01 |
| 1639716855 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 137 Court St Se, Abingdon, VA 24210-3305 | 2019-12-06 |
| 1932746153 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 1945 Thomson Dr, Lynchburg, VA 24501-1025 | 2019-12-06 |
| 1205473428 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 590 W Ridge Rd Ste K, Wytheville, VA 24382-1067 | 2019-12-06 |
| 1386281509 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 739 Thimble Shoals Blvd Ste 108, Newport News, VA 23606-3562 | 2019-12-06 |
| 1447892997 | Greenbrier Valley Physical Therapy LLC | Physical Medicine & Rehabilitation | 29 Cedar Plateau Way, Daleville, VA 24083-1119 | 2019-10-16 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.