John Wageeh Mahrous Yacoub
NPI 1396144168ActiveIndividual· Physical Therapist· San Bernardino, CA
Physical Therapist with All Star Physical Therapy, practicing in San Bernardino, California. Medicare paid $6,536 for services to 21 patients in 2024.
Overview
| NPI | 1396144168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 18, 2014 |
| Last updated in NPPES | Dec 22, 2020 |
| Certified by provider | Dec 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 035016 | NY |
| Physical Therapist | 225100000X | 292523 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 285 across 8 procedure codes |
| Paid by Medicare | $6,536 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- All Star Physical TherapyHemet, CA · 149 clinicians
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