Shanhat Yacob
Shanhat Yacob is a Physical Therapist in Private Practice in Marina del Rey, California. Qualified in 2023, 3 years ago. Practices with Blake Physical Therapy PC, a 10-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 3
- Licensed in
- CA
- In the registry since
- 2026
Practice location Address checks out
4820 Lincoln BlvdMarina del Rey, CA 90292-6917
Phone: (310) 392-7889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 307932 (CA) |
|---|
Record details
| NPI number | 1477404317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | February 6, 2026 |
| Last updated in NPPES | February 6, 2026 |
| Certification date | February 6, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Blake Physical Therapy Pc — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Marina del Rey
-
Sarah S. Miller MD, Incorporated
13160 Mindanao Way Ste 300, Marina del Rey, CA 90292-6358 · (310) 574-0400
-
Karin Sasaki
4820 Lincoln Blvd, Marina del Rey, CA 90292-6917 · (310) 392-7889
-
Sarah Patricia Tam
4820 Lincoln Blvd, Marina del Rey, CA 90292-6917 · (310) 392-7889
-
Katrina M Vlachos, MD
13160 Mindanao Way #300, Marina del Rey, CA 90292 · (310) 574-0384