VALLEY SPORTS AND SPINE CLINIC
NPI 1447545751
Physical Medicine & Rehabilitation in Blacksburg, VA

NPI Status: Active since June 15, 2011

Contact Information

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

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  • Organization
  • Physical Medicine & Rehabilitation

About VALLEY SPORTS AND SPINE CLINIC

This page provides the complete NPI Profile along with additional information for Valley Sports And Spine Clinic, a provider established in Blacksburg, Virginia operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1447545751 assigned on June 2011. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Valley Sports And Spine Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Valley Sports And Spine Clinic. The authorized official of this NPI record is Dr. Ethan B Colliver Do (President)

NPI
1447545751
Provider Legal Name
COLLIVER SPORTS & SPINE INC
Other Organization Name
VALLEY SPORTS AND SPINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
120 PROFESSIONAL PARK DR SE STE 7 BLACKSBURG, VA 24060
Location Phone
(540) 443-3832
Location Fax
(540) 443-9362
Mailing Address
120 PROFESSIONAL PARK DR SE STE 7 BLACKSBURG, VA 24060
Mailing Phone
(540) 443-3832
Mailing Fax
(540) 443-9362
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2011
Last Update Date
12-16-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2207RS0010XAllopathic & Osteopathic Physicians

Internal Medicine
Sports Medicine

 
3208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ETHAN B COLLIVER DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(540) 553-4587

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447545751
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248710410710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 0 + 4 + 1 + 0 + 7 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1447545751 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760966824 SIERRA CHURCH PA-C
Individual
Physician Assistant (Medical)120 PROFESSIONAL PARK DR SE STE 7
BLACKSBURG, VA 24060
(540) 443-3832
1396376604VELYVIS ORTHOPEDICS
Organization
Orthopaedic Surgery120 PROFESSIONAL PARK DR SE STE 7
BLACKSBURG, VA 24060
(540) 242-0845
1184803330DR. ETHAN B COLLIVER D.O.
Individual
Physical Medicine & Rehabilitation120 PROFESSIONAL PARK DR SE STE 7
BLACKSBURG, VA 24060
(540) 443-3832

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447545751, enumerated in the NPI registry as an "organization" on June 15, 2011

The provider is located at 120 Professional Park Dr Se Ste 7 Blacksburg, Va 24060 and the phone number is (540) 443-3832

This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 208100000X

This NPI record was last updated on June 15, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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