Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamison C Maynard, PT

Individual provider Physical Therapist · NPI 1083834147

Jamison C Maynard, PT is a Physical Therapist in Private Practice in Flint, Michigan. Qualified in 2004, 22 years ago. Practices with Ivyrehab Michigan LLC, a 155-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5484 Richfield Rd
Flint, MI 48506-1455
Phone: (810) 730-6921
Fax: (810) 515-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501012257 (MI)

Record details

NPI number1083834147
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 30, 2007
Last updated in NPPESSeptember 7, 2007
Mailing address5484 Richfield Rd., Flint, MI 48506-1455

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ivyrehab Michigan Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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