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

Individual provider Physical Therapist · NPI 1801828272

Jacob Mutholam, PT, DPT is a Physical Therapist in Palos Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6400 W College Dr Ste 800
Palos Heights, IL 60463-1785
Phone: (708) 489-6777
Fax: (708) 489-6303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-004073 (IL)

Record details

NPI number1801828272
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESMarch 20, 2013

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