Destiny Lyn Breaux, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9434692-2401 Issued in UT

Practice address

1091 W South Jordan Pkwy Ste 500
South Jordan, UT 84095-8841

Phone

(385) 887-7250

Fax

(385) 887-7295

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ihc Health Services Inc

  • Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033822085

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Therapy West Rehab Agency LLC

  • Physical Therapy Clinic/Center
  • Gunnison, UT
  • NPI 1336684794
  NPD (past)
• Dr. Adam T Keres LLC.

  • Chiropractor
  • Memphis, TN
  • NPI 1376738351
  NPD (past)
• Levy Dermatology, PC

  • Dermatology Physician
  • Germantown, TN
  • NPI 1508007790
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1295119402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25537",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 W SOUTH JORDAN PKWY STE 500",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958841",
            "telephone_number": "385-887-7250",
            "fax_number": "385-887-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1685 W 2200 S",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841191456",
            "country_code": "US",
            "telephone_number": "801-975-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5373 W Lake Park Blvd",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841208208",
            "country_code": "US",
            "telephone_number": "801-902-7940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "389 S 900 E",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841022310",
            "country_code": "US",
            "telephone_number": "385-282-2575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5541 W 13400 S",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "UT",
            "postal_code": "840965640",
            "country_code": "US",
            "telephone_number": "801-871-4770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 S 900 E",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841053208",
            "country_code": "US",
            "telephone_number": "801-464-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 W 9000 S",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840888542",
            "country_code": "US",
            "telephone_number": "801-256-6430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6272 S Highland Dr # 203",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841212126",
            "country_code": "US",
            "telephone_number": "801-871-6350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12473 S Minuteman Dr",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840207870",
            "country_code": "US",
            "telephone_number": "801-495-7950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 N Main St",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840106136",
            "country_code": "US",
            "telephone_number": "801-397-6740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 E 10th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841032870",
            "country_code": "US",
            "telephone_number": "801-408-5735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3845 W 4700 S",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841293454",
            "country_code": "US",
            "telephone_number": "801-840-2191",
            "fax_number": "801-840-2197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "DESTINY",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9434692-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacob Boyack, DMD
• Emily Boyer, BCBA, LBA
• Chrystal Bracken
• Jenae Brands
• Breakaway Counseling, LLC
• Dagna Sara Brendlinger, DENTAL ASSISTANT
• Gerard P Brennan, PT
• Jordan Briggs, CMHC
• Brighter Skies Services PLLC
• Brighton House Assisted Living LLC

• Physical Therapist in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.