Individual provider Active NPI

Donald Ballesteros, PT

  • Physical Therapist
  • Wayne, NJ
National Provider Identifier
1306105507
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01048800 Issued in NJ
Practice address
500 Valley Rd Ste 101
Wayne, NJ 07470-3528
Phone
(973) 595-7500
Fax
(973) 595-7770
NPI assigned
May 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01048800 NJ Primary

Addresses

Primary practice location

500 Valley Rd Ste 101
Wayne, NJ 07470-3528

Mailing address

11 Ackerman Ave
Airmont, NY 10901-7119
Phone (917) 495-7597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Therapy Center LLC Current Accepting new patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince Feb 19, 2023 Accepting new patients
North Jersey Therapy Center LLC Current Accepting new patients
North Jersey Diagnostics Center, LLC Current Accepting new patients

Locations

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

500 Valley Rd
Ste 101
Wayne, NJ 07470
Phone (973) 595-7500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1306105507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ACKERMAN AVE",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109017119",
            "telephone_number": "917-495-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VALLEY RD STE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703528",
            "telephone_number": "973-595-7500",
            "fax_number": "973-595-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "DONALD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01048800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.