Individual provider Active NPI

Cole Robert Taylor, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Sandy, UT
National Provider Identifier
1700959525
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
12298754-1205 Issued in UT
Practice address
9450 S 1300 E Ste 120
Sandy, UT 84094-5555
Phone
(801) 501-2113
Fax
(801) 501-6161
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BT9852941 NE
Sports Medicine (Family Medicine) Physician 207QS0010X 12298754-1205 UT Primary

Addresses

Primary practice location

9450 S 1300 E Ste 120
Sandy, UT 84094-5555

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1920 Ballenger Avenue
Suite 200
Alexandria, VA 22314
Phone (703) 810-5209

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctaylor19181@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190318001888 DC Practitioner - Sports MedicinePractitioner - Family Practice 7517195902 Reassigns benefits to 1 organization
I20220322003357 UT Practitioner - Sports MedicinePractitioner - Family Practice 7517195902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Utah School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

9450 S 1300
Suite 120
Sandy, UT 84094-5559
Phone (801) 501-6150

Hospital & facility affiliations

  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BT9852941NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Orthovirginia Inc. Current Accepting new patients
Orthovirginia, Inc CurrentSince Mar 1, 2019 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 24, 2021 Accepting new patients
Orthovirginia, Inc CurrentSince Mar 1, 2019 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 24, 2021 Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5848 S Fashion Blvd
Ste 120
Salt Lake City, UT 84107
Phone (801) 314-4100

181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266

9450 S 1300 E
Ste 120
Sandy, UT 84094
Phone (801) 501-5500

1920 Ballenger Ave
Ste 200
Alexandria, VA 22314
Phone (703) 810-5209

2805 Duke St
Alexandria, VA 22314
Phone (703) 380-3880

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1700959525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 S 1300 E STE 120",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945555",
            "telephone_number": "801-501-2113",
            "fax_number": "801-501-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Ballenger Avenue",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "22314",
            "country_code": "US",
            "telephone_number": "703-810-5209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "COLE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "BT9852941",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "UT",
            "license": "12298754-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctaylor19181@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Taylor direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "1920 Ballenger Avenue",
            "address_2": "Suite 200",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.