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

Jacob Fillmore

Individual provider Rehabilitation Practitioner · NPI 1548685464

Jacob Fillmore is a Rehabilitation Practitioner in Grand Rapids, Michigan. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336
Phone: (616) 940-0040
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1548685464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2014
Last updated in NPPESFebruary 28, 2014

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