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Destiny Lyn Breaux, DPT

NPI 1295119402ActiveIndividual· Physical Therapist· South Jordan, UT

Physical Therapist (DPT) with Ihc Health Services Inc, practicing in South Jordan, Utah. Medicare paid $7,904 for services to 21 patients in 2024.

Overview

NPI1295119402
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedJul 17, 2015
Last updated in NPPESJun 25, 2026
Certified by providerJun 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X9434692-2401UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (UT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients21
Services billed362 across 9 procedure codes
Paid by Medicare$7,904

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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