Active NPI
John Charles Bowker, PT
- Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62590
- Practice address
- 10915 SE Stark St
Portland, OR 97216-3348 - Phone
- (503) 261-1120
- Fax
- (503) 261-8936
- NPI assigned
- Feb 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62590 | OR | Primary |
Addresses
Primary practice location
10915 SE Stark St
Portland, OR 97216-3348
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180425000204 | OR | Practitioner - Physical Therapist in Private Practice | 5193088276 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11977 SE Sunnyside Rd
Clackamas, OR 97015-9312
Phone (503) 486-6944
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.22 of 100
- Quality
- 87.65
- Improvement activities
- 40
- Cost
- 73.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Health Acupuncture | Current | Accepting new patients | |
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Dimond Physical Therapy and Performance Lab, LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
14603 SW Teal Blvd
Beaverton, OR 97007
Phone (941) 348-4641
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
11709 SW Beaverton Hillsdale Hwy
Ste B6
Beaverton, OR 97005
Phone (971) 327-4906
11977 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 486-6944
8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120
495 W Arlington St
Gladstone, OR 97027
Phone (971) 233-0309
2259 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (971) 708-7322
5262 NE Brookwood Pkwy
Hillsboro, OR 97124
Phone (503) 395-3000
564 NE Highway 99W
McMinnville, OR 97128
Phone (503) 472-0096
9500 SE 82nd Ave
Ste B
Portland, OR 97086
Phone (971) 323-6234
3322 N Vancouver Ave
Portland, OR 97227
7545 SW Barnes Rd
Ste 117
Portland, OR 97225
Phone (503) 205-6704
2296 Gable Rd
Ste 230
Saint Helens, OR 97051
Phone (503) 438-3210
3165 Commercial St SE
Ste 101
Salem, OR 97302
2480 Liberty St NE
Ste 140
Salem, OR 97301
Phone (503) 763-3525
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
20655 SW Roy Rogers Rd
Sherwood, OR 97140
Phone (503) 862-5540
7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090
30060 SW Boones Ferry Rd
Ste C34
Wilsonville, OR 97070
Phone (503) 404-3068
Organizations & group practices 3
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.
-
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
OR, Physical Therapist
-
- Acupuncturist
- Clackamas, OR
- NPI 1184040255
-
- Physical Therapist
- Beaverton, OR
- NPI 1184864365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1831699008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10915 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163348",
"telephone_number": "503-261-1120",
"fax_number": "503-261-8936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWKER",
"first_name": "JOHN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-14",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.