DIRK TAYLOR WILSON
NPI 1184365413
Physical Medicine & Rehabilitation - Sports Medicine in Ogden, UT

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
4401 HARRISON BLVD, OGDEN, UT 84403(801) 387-3364 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dirk Taylor Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIRK TAYLOR WILSON (NPI 1184365413) is an individual sports medicine provider in Ogden, Utah, licensed in Utah (14211531-1204) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1184365413
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDIRK TAYLOR WILSON
Location Address4401 HARRISON BLVDOgden, UT 84403-3195
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
NPI 1184365413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License Licensed in UT · 14211531-1204
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
4401 HARRISON BLVD, Ogden, UT 84403

Secondary Practice Location 1

Location 12401 S 31st St # MS 01161BTemple, TX 76508-0001 · Phone (254) 724-8797

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dirk Taylor Wilson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577941905
PECOS Enrollment IDI20250616002525
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460061
Location201 West Layton ParkwayLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
4401 HARRISON BLVD
OGDEN, UT 84403
Nurse Practitioner
4401 HARRISON BLVD
OGDEN, UT 84403
Hospitalist
4401 HARRISON BLVD
OGDEN, UT 84403
Pharmacist
4401 HARRISON BLVD
OGDEN, UT 84403
Physical Medicine & Rehabilitation
4401 HARRISON BLVD
OGDEN, UT 84403
Pharmacy (Institutional Pharmacy)
4401 HARRISON BLVD
OGDEN, UT 84403
Speech-Language Pathologist
4401 HARRISON BLVD
OGDEN, UT 84403
Internal Medicine (Pulmonary Disease)
4401 HARRISON BLVD
OGDEN, UT 84403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dirk Wilson's NPI number?

The NPI number for Dirk Wilson is 1184365413. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Dirk Wilson located?

Dirk Wilson practices at 4401 Harrison Blvd, Ogden, UT 84403. The listed phone number is (801) 387-3364.

What is Dirk Wilson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Dirk Wilson enrolled in Medicare?

Yes. Dirk Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dirk Wilson accept?

Health plans from Select Health list Dirk Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dirk Wilson affiliated with any hospitals?

According to CMS data, Dirk Wilson is affiliated with Mckay-Dee Hospital and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Dirk Wilson was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.