Individual provider Active NPI

Isabella Rene Hildreth, DPT

  • Physical Therapist
  • Dothan, AL
National Provider Identifier
1124904750
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12393 Issued in AL
Practice address
512 N Shady LN
Dothan, AL 36303-2991
Phone
(334) 699-5747
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH12393 AL Primary

Addresses

Primary practice location

512 N Shady LN
Dothan, AL 36303-2991

Mailing address

PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925000433 AL Practitioner - Physical Therapist in Private Practice 9335644871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Pelvic Health Physical Therapy, LLCGroup PAC ID 3072965441, 6 clinicians
Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

1314 Westgate Pkwy
Suite 7
Dothan, AL 36303-2154
Phone (334) 268-5880

512 N Shady LN
Dothan, AL 36303-2991
Phone (334) 699-5747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH12393ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, PC CurrentSince Sep 1, 2025 Accepting new patients
Hughston Clinic, P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

512 N Shady Ln
Dothan, AL 36303
Phone (334) 669-5747

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1124904750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N SHADY LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032991",
            "telephone_number": "334-699-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "ISABELLA",
        "middle_name": "RENE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.