Active NPI
Isabella Rene Hildreth, DPT
- Physical Therapist
- Dothan, AL
National Provider Identifier
1124904750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH12393
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH12393 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hughston Clinic, PC | Current | Accepting new patients | |
| Hughston Clinic, P.C. | Current | 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.
-
- Physical Therapy Clinic/Center
- Dothan, AL
- NPI 1942948427
AL
-
- Durable Medical Equipment & Medical Supplies
- Newnan, GA
- NPI 1902682347
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.