IndividualActive
Dirk Wilson
NPI 1184365413 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Ogden, UT
Provider details
- NPI number
- 1184365413
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense 14211531-1204 (UT)
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone: (801) 387-3364
Street-level locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Additional practice locations (1)
- 2401 S 31st St # Ms 01161bTemple, TX 76508-0001Phone: (254) 724-8797
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.