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

Jenelle Conover, PTA

Individual provider Physical Therapy Assistant · NPI 1124592233

Jenelle Conover, PTA is a Physical Therapy Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
Specialties on file
2
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

111 Lakeside Dr NE
Grand Rapids, MI 49503-3811
Phone: (616) 438-2425
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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
Physical Therapy Assistant Taxonomy 225200000X · Licence 5502004636 (MI)

Record details

NPI number1124592233
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 11, 2019
Last updated in NPPESJanuary 11, 2019
Mailing address6884 Byron Lakes Dr Sw Apt 1b, Byron Center, MI 49315-9766

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