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

Mike John Maynard, PTA

Individual provider Physical Therapy Assistant · NPI 1700901253

Mike John Maynard, PTA is a Physical Therapy Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4655 Ruffner St Ste 270
San Diego, CA 92111-2275
Phone: (800) 787-6787
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3934 (CA)

Record details

NPI number1700901253
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJuly 8, 2007

Other providers in San Diego