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

Jacob White-Seabloom, PTA

Individual provider Physical Therapy Assistant · NPI 1790639656

Jacob White-Seabloom, PTA is a Physical Therapy Assistant in Bettendorf, Iowa. Licensed in Iowa. Registered with an NPI since 2026.

Licensed in
IA
In the registry since
2026
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

2500 Grant St
Bettendorf, IA 52722-5092
Phone: (563) 359-9171
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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 129785 (IA)

Record details

NPI number1790639656
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 25, 2026
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address4509 22nd Ave, Moline, IL 61265-4513

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