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

John Wageeh Mahrous Yacoub

Individual provider Physical Therapist · NPI 1396144168

John Wageeh Mahrous Yacoub is a Physical Therapist in Private Practice in San Bernardino, California. Qualified in 2015, 11 years ago. Practices with All Star Physical Therapy, a 150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
11
Licensed in
CA, NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

295 E Caroline St
San Bernardino, CA 92408-3700
Phone: (909) 723-1161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 133 E 58th St Ste 708, New York, NY 10022-1133 — (212) 371-2000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 035016 (NY)
Physical Therapist Taxonomy 225100000X · Licence 292523 (CA)

Record details

NPI number1396144168
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 18, 2014
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice All Star Physical Therapy — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Bernardino