Jacob White-Seabloom, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

129785 Issued in IA

Practice address

2500 Grant St
Bettendorf, IA 52722-5092

Phone

(563) 359-9171

NPI assigned

Feb 25, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1790639656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 22ND AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654513",
            "telephone_number": "309-373-5943",
            "fax_number": "309-373-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRANT ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225092",
            "telephone_number": "563-359-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-SEABLOOM",
        "first_name": "JACOB",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "129785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Westlund, M.A. CCC-SLP
• Richard L Weyman IV, MD
• Phyllis L Whaley, FNP-C
• Cody Wheeler
• Julie Ellen Wheeler, ARNP
• Max Whiting, DPT
• Nicholas Wiegand, PA-C
• Lisa Annette Wienclaw, PHARM D
• John C Wiesch, CCMHC, LCPC, LMHC
• Haley F Wiggins, FNP-C

• Physical Therapy Assistant in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.