Emma Breeze

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12929120-4102 Issued in UT

Practice address

12453 S 265 W Ste B
Draper, UT 84020-5420

Phone

(801) 443-7775

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Legendary Pediatric Therapy

  • Occupational Therapist
  • Draper, UT
  • NPI 1568869899

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1295427664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840650363",
            "telephone_number": "801-443-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12453 S 265 W STE B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205420",
            "telephone_number": "801-443-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEZE",
        "first_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "12929120-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordynn Bradshaw
• Megan Holly Bradshaw, RBT
• Aspen Brady
• Kaylee Braunberger
• Brianna Bravo
• Brenderlin Health LLC
• James Earl Brewster, DO
• Brette Alexa Brey, PA
• Jade Briar
• Bridgecare ABA Ut LLC

• Speech-Language Pathologist in Draper, UT
• Providers in Draper, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.