Provider Demographics
NPI:1780644450
Name:BOWERS, JOSEPH MICHAEL (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:BOWERS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MARCUS HOOK
Mailing Address - State:PA
Mailing Address - Zip Code:19061-4513
Mailing Address - Country:US
Mailing Address - Phone:610-859-8850
Mailing Address - Fax:610-859-7876
Practice Address - Street 1:4301 PENN AVE
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1370
Practice Address - Country:US
Practice Address - Phone:610-927-4136
Practice Address - Fax:610-927-4139
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016907225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1629760OtherHIGHMARK PA BLUE SHIELD
PA1629760OtherFREEDOM BLUE
286017OtherUNISON
PA30070837OtherKEYSTONE MERCY
PA286017OtherAMERICHOICE
PA101004787-0002Medicaid
PA23056542000OtherIBC
PA50090600OtherCAPITAL BLUE CROSS
PA50090600OtherCAPITAL BLUE CROSS
PA1629760OtherFREEDOM BLUE