Provider Demographics
NPI:1417109810
Name:JOWERS, JOHN (PT, DPT, SCS, CSCS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:JOWERS
Suffix:
Gender:M
Credentials:PT, DPT, SCS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 KING FARM BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5792
Mailing Address - Country:US
Mailing Address - Phone:301-986-4745
Mailing Address - Fax:301-657-4678
Practice Address - Street 1:5530 WISCONSIN AVE.
Practice Address - Street 2:MEDSTAR NATIONAL REHAB NETWORK - #960
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-986-4745
Practice Address - Fax:301-657-4678
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT-6410225100000X
DCPT8716272251S0007X
MD227642251X0800X, 2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic