Jamison C Maynard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012257 Issued in MI

Practice address

5484 Richfield Rd.
Flint, MI 48506-1455

Phone

(810) 730-6921

Fax

(810) 515-1002

NPI assigned

Apr 30, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120
  Medicare reassignment Care Compare group
• Summit Physical Therapy, PLLC

  • Physical Therapist
  • Oxford, MI
  • NPI 1679926513
  Medicare reassignment NPD
• Boike Medical Services PLLC

  • Neurology Physician
  • Flint, MI
  • NPI 1467645317
  NPD (past)
• Genesys Regional Medical Center

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1972643146
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1083834147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5484 RICHFIELD RD.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485061455",
            "telephone_number": "810-730-6921",
            "fax_number": "810-515-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5484 RICHFIELD RD.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485061455",
            "telephone_number": "810-730-6921",
            "fax_number": "810-515-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "JAMISON",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayfield Adult Foster Care Home, Inc.
• Stephanie Mayfield, RN
• Ashley Erin Maynard, CRNA
• Brian Andrew Maynard, CRNA
• Demarco Maynard
• Juwandre Maynie
• Tara Lashunda Maynie
• Keith Maynor
• Melissa Mays, CHW
• Michael Sean Mays, LPTA

• Physical Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.

Verify at the official NPI Registry.