Bonneville Pelvic Health LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BONNEVILLE PELVIC HEALTH LLC

Practice address

1220 28TH St
Ogden, UT 84403-0319

Phone

(801) 510-1319

NPI assigned

May 16, 2023

Organization subpart

No

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

Authorized official

Name

Bailee Burningham, DPTNPI 1306296629

Title

Owner, Physical Therapist

Phone

(801) 510-1319

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bailee Burningham, DPT

  • Physical Therapist
  • Ogden, UT
  • NPI 1306296629
  NPD Authorized official

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1750072153",
    "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": "1220 28TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844030319",
            "telephone_number": "801-510-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNEVILLE PELVIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "BURNINGHAM",
        "authorized_official_first_name": "BAILEE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-510-1319",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Leigh Bojanower, APRN-BC
• Dakota Bone
• Staci Larene Bone, STUDENT NP
• Bonneville Dialysis Center
• Bonneville Dialysis Center
• Bonneville Preventive Dentistry PLLC
• Gregory Alan Booth, D. D. S.
• Jeffrey E Booth, M.D.
• Jeremy T Booth, MD
• Jodi C Booth, MD

• Physical Therapy Clinic/Center in Ogden, UT
• Providers in Ogden, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.