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

Braian Jonue Ballesteros

Individual provider Physical Therapist · NPI 1174313373

Braian Jonue Ballesteros is a Physical Therapist in Private Practice in Fallbrook, California. Qualified in 2024, 2 years ago. Practices with Rancho Physical Therapy Inc, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

521 E Elder St Ste 106
Fallbrook, CA 92028-3082
Phone: (760) 723-8337
Fax: (760) 723-5476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 307970 (CA)

Record details

NPI number1174313373
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 9, 2025
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address30428 Haun Rd Ste 810, Menifee, CA 92584-6824

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rancho Physical Therapy Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fallbrook