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

Jacob Michael Pelak, PTA

Individual provider Physical Therapy Assistant · NPI 1285426023

Jacob Michael Pelak, PTA is a Physical Therapy Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2510 Lake Michigan Dr NW
Grand Rapids, MI 49504-8042
Phone: (616) 259-0408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502006430 (MI)

Record details

NPI number1285426023
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address6902 Highland Dr E, Allendale, MI 49401-8637

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