Individual provider Active NPI

Bailee Burningham, DPT

  • Physical Therapist
  • Ogden, UT
National Provider Identifier
1306296629
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12304848-2401 Issued in UT
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

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
12304848-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Bonneville Pelvic Health LLC CurrentSince Nov 17, 2024 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.

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.

Verify at the official NPI Registry.