Individual provider Active NPI

Ethan Najeeb Saliba, PT, ATC

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1083736771
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
R0345 Issued in MO
Practice address
University of Virginia Athletics
290 Massie Road
Charlottesville, VA 22904-2290
Phone
(434) 982-5451
Fax
(434) 982-5470
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305002380 VA
Physical Therapist 225100000X R0345 MO Primary
Athletic Trainer 2255A2300X 0126000443 VA

Addresses

Primary practice location

University of Virginia Athletics
290 Massie Road
Charlottesville, VA 22904-2290

Mailing address

2150 Milton Rd
Charlottesville, VA 22902-7306
Phone (434) 970-9757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R0345MOMDPsychologist
2305002380VAMDPhysical Therapist
0126000443VAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083736771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 MILTON RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027306",
            "telephone_number": "434-970-9757",
            "fax_number": "434-982-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF VIRGINIA ATHLETICS",
            "address_2": "290 MASSIE ROAD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229042290",
            "telephone_number": "434-982-5451",
            "fax_number": "434-982-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIBA",
        "first_name": "ETHAN",
        "middle_name": "NAJEEB",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002380",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R0345",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.