Michael Hildebrand, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08806 Issued in LA

Practice address

205 Barker Dr
Monroe, LA 71203-6547

Phone

(318) 512-1887

NPI assigned

May 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• M3 Physio LLC

  • Physical Therapist
  • Monroe, LA
  • NPI 1205483872
  NPD Authorized official

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1447638788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BARKER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036547",
            "telephone_number": "318-512-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BARKER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036547",
            "telephone_number": "318-512-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712013704",
            "country_code": "US",
            "telephone_number": "318-600-4260",
            "fax_number": "318-600-4268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1256807",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scotty Lloyd Hicks, O.D.
• Shaquita Hicks
• High Hopes Pediatric Therapy, LLP
• Calondra Hightower-Reliford
• Jeffrey Hilbun, MD
• John C Hildenbrand III
• A'Zhane Hill
• April D Hill
• Candi Hill, PHD, MP
• Daffney Hill

• Physical Therapist in Monroe, LA
• Providers in Monroe, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.