Ethan Colliver, D.O.
NPI 1184803330 · Physical Medicine & Rehabilitation Physician · Princeton, WV
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Colliver, D.O. is a Physical Medicine & Rehabilitation Physician provider in Princeton, WV (NPI 1184803330).
Provider details
- NPI number
- 1184803330
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 0102202357 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Frequently asked questions
- What is Ethan Colliver's NPI number?
- Ethan Colliver's National Provider Identifier (NPI) is 1184803330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Colliver's specialty?
- Ethan Colliver is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Colliver located?
- Ethan Colliver's practice location on file with NPPES is 122 12th St, Princeton, WV 24740-2312.
- What is Ethan Colliver's phone number?
- The practice phone number listed in the NPPES registry for Ethan Colliver is (304) 425-7127.
- Does Ethan Colliver accept Medicare?
- Ethan Colliver is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Colliver's NPI active?
- Yes — Ethan Colliver's NPI (1184803330) is active in the NPPES registry as of the last update on 2025-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.