Colby Wayne Thompson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

12565346-4810 Issued in UT

Practice address

14787 S Academy Pkwy
Herriman, UT 84096-2077

Phone

(801) 935-4045

NPI assigned

Dec 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1609381490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 W JORDAN LINE PKWY APT 223",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840887965",
            "telephone_number": "719-469-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14787 S ACADEMY PKWY",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840962077",
            "telephone_number": "801-935-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "COLBY",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-03",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "12565346-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Tanner
• Christopher D Taylor, D.C.
• Emily Louise Taylor, MA, BCBA
• The Speech Clinic LLC
• Thompson Family Chiropractic, PC
• Hannah Thompson, FNP-C
• Tanner D Thompson
• Wade C Thompson, D.C.
• Rodney Jonathan Thornell, D.M.D.
• TM Services LLC

• Athletic Trainer in Herriman, UT
• Providers in Herriman, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.