Individual provider · Type 1 NPI

Jacob White-Seabloom, PTA

Physical Therapy Assistant · Bettendorf, IA

NPI number 1790639656 Active

Practice location

2500 Grant St
Bettendorf, IA 52722-5092

Mailing address

4509 22nd Ave
Moline, IL 61265-4513

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X129785 (IA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1790639656

Jacob White-Seabloom, PTA's National Provider Identifier is 1790639656, issued on Feb 25, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bettendorf, IA. The record was last updated on Feb 25, 2026.