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

Jacob Van Pelt, PTA

Individual provider Physical Therapy Assistant · NPI 1912572181

Jacob Van Pelt, PTA is a Physical Therapy Assistant in Escanaba, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

2415 5th Ave S
Escanaba, MI 49829-1201
Phone: (906) 786-6907
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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 5502005850 (MI)

Record details

NPI number1912572181
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021
Mailing address106 Provider St, Gwinn, MI 49841-2726

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