Bailee Burningham, DPT | |
372 24th St Ste 120, Ogden, UT 84401-6888 | |
(385) 504-4979 | |
(877) 290-0487 |
Full Name | Bailee Burningham |
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Gender | Female |
Speciality | Physical Therapist |
Location | 372 24th St Ste 120, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306296629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070023554 (Illinois) | Secondary |
225100000X | Physical Therapist | 12304848-2401 (Utah) | Primary |
Provider Name | Physical Therapy For Women, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1144406539 PECOS PAC ID: 6709045453 Enrollment ID: O20120315000500 |
Mailing Address | Practice Location Address |
---|---|
Bailee Burningham, DPT 1220 28th St, Ogden, UT 84403-0319 Ph: (801) 510-1319 | Bailee Burningham, DPT 372 24th St Ste 120, Ogden, UT 84401-6888 Ph: (385) 504-4979 |
Ernie Chasias Chavez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 S Adams Ave, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 | |
Melissa Arlene Ita'aehau, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 S Adams Ave, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 | |
Dallen S Wheelwright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 E 5350 S, Ogden, UT 84405 Phone: 801-479-5700 | |
Chariton Arnold Ferrin Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7615 Fax: 801-387-7667 | |
Scott C Roberts, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3870 Fax: 801-475-3876 | |
Carly Noel Adams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 |