DR. ETHAN B COLLIVER D.O. NPI 1184803330

NPI Information

  • NPI: 1184803330
  • Provider Name: DR. ETHAN B COLLIVER, D.O.
  • Classification: Physical Medicine & Rehabilitation - 208100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 120 PROFESSIONAL PARK DR SE STE 7
    BLACKSBURG, VA
    ZIP 24060
  • Phone: (540) 443-3832

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NPI Details

DR. Ethan B Colliver, D.O. is a physical medicine rehabilitation in Blacksburg, VA with 21 years of experience. The provider is 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. DR. Ethan B Colliver, D.O. NPI is 1184803330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2004

The provider's business location address is:

120 PROFESSIONAL PARK DR SE STE 7
BLACKSBURG, VA
ZIP 24060
Phone: (540) 443-3832
Fax: (540) 443-9362

The NPI 1184803330 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Administration of psychological or neuropsychological test by technician, first 30 minutes (HCPCS:96138)
  • Device supply with schedule recording and transmission for remote monitoring of rmusculoskeletal system, per 30 days (HCPCS:98977)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • Evaluation of psychological test, first hour (HCPCS:96130)
  • Set-up and patient education for remote monitoring of therapy (HCPCS:98975)
  • Evaluation of neuropsychological test, first hour (HCPCS:96132)
  • Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml (HCPCS:Q9965)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray lower and sacral spine, 2-3 views bending views (HCPCS:72120)
  • Nerve conduction, 7-8 studies (HCPCS:95910)
  • Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month (HCPCS:98980)
  • Nerve conduction, 3-4 studies (HCPCS:95908)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Osteopathic manipulative treatment, 1-2 body regions (HCPCS:98925)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of hip, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 10/24/2007 and was last updated on 12/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & Rehabilitation0102202357VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11184803330MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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