Active NPI
Bailee Burningham, DPT
- Physical Therapist
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12304848-2401
- Practice address
- 372 24TH St Ste 120
Ogden, UT 84401-6888 - Phone
- (385) 504-4979
- Fax
- (877) 290-0487
- NPI assigned
- Jun 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070023554 | IL | |
| Physical Therapist | 225100000X | 12304848-2401 | UT | Primary |
Addresses
Primary practice location
372 24TH St Ste 120
Ogden, UT 84401-6888
Mailing address
1220 28TH St
Ogden, UT 84403-0319
Phone (801) 510-1319
Other practice location 1
355 E Erie St
Chicago, IL 60611-3167
Phone (312) 238-1000
Other practice location 2
1630 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5719
Phone (910) 798-2318
Other names 1
- Bailee Burningham McGrath
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12304848-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Bonneville Pelvic Health LLC | Current | Accepting new patients |
Locations
1630 Military Cutoff Rd
Ste 110
Wilmington, NC 28403
Phone (910) 798-2318
372 24th St
Ste 120
Ogden, UT 84401
Phone (385) 504-4979
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Ogden, UT
- NPI 1750072153
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1306296629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 28TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844030319",
"telephone_number": "801-510-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 24TH ST STE 120",
"city": "OGDEN",
"state": "UT",
"postal_code": "844016888",
"telephone_number": "385-504-4979",
"fax_number": "877-290-0487"
}
],
"practiceLocations": [
{
"address_1": "355 E Erie St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113167",
"country_code": "US",
"telephone_number": "312-238-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 Military Cutoff Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284035719",
"country_code": "US",
"telephone_number": "910-798-2318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNINGHAM",
"first_name": "BAILEE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023554",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "12304848-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAILEE",
"last_name": "MCGRATH",
"middle_name": "BURNINGHAM",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.