Victoria Botz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018232 Issued in GA

Practice address

24049 Laureldale Rd
Shaker Heights, OH 44122-2141

Phone

(512) 541-9588

NPI assigned

Oct 2, 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

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back in the Game Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Flowery Branch, GA
  • NPI 1962669275
  NPD
• Northeast Georgia Rehabilitation Center,Inc

  • Physical Therapy Clinic/Center
  • Royston, GA
  • NPI 1821008087
  NPD (past)

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1053191577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 MARTIN RD STE 200",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24049 LAURELDALE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222141",
            "telephone_number": "512-541-9588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4754 Martin Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Flowery Branch",
            "state": "GA",
            "postal_code": "305423507",
            "country_code": "US",
            "telephone_number": "770-967-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTZ",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Ann Blumenthal, LSW
• Sharon A Bobik
• Marissa Bodell
• Howard Morris Bonem, PH.D.
• Gianna Bordonaro
• Mary Bourdrez, LISW
• Tamika Shawndalynne Bowman
• Nicholius De'Aunte Vincent Boyd
• Patricia Boykin
• Ivy Roberta Boyle

• Physical Therapist in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.