Individual provider Active NPI

Victoria Fowler Bolton, DPT

  • Orthopedic Physical Therapist
  • Huntsville, AL
National Provider Identifier
1093327306
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTH10104 Issued in AL
Practice address
927 Franklin St SE
Huntsville, AL 35801-4306
Phone
(256) 539-2728
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTH10104 AL Primary

Addresses

Primary practice location

927 Franklin St SE
Huntsville, AL 35801-4306

Mailing address

927 Franklin St SE
Huntsville, AL 35801-4306
Phone (256) 539-2728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510002859 AL Practitioner - Physical Therapist in Private Practice 0143639856 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH10104ALMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Center CurrentSince Mar 1, 2021 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

22454 US Highway 72
Ste 200
Athens, AL 35613
Phone (256) 233-2332

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Fl 1
Huntsville, AL 35801

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 2

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1093327306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014306",
            "telephone_number": "256-539-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014306",
            "telephone_number": "256-539-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "VICTORIA",
        "middle_name": "FOWLER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH10104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.