JACK BLUEBIRD II DPT
NPI 1639067853
Physical Therapist in San Antonio, TX

Active since June 26, 2025
18626 HARDY OAK BLVD STE 200, SAN ANTONIO, TX 78258(210) 614-6432(210) 293-1183 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 5, 2025, Jun 26, 2025 (2 updates tracked since 2025).

About Jack Bluebird Ii Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK BLUEBIRD II DPT (NPI 1639067853) is an individual physical therapist in San Antonio, Texas, licensed in Texas (1406950) and active in the NPI registry since June 2025. He maintains 2 additional practice locations and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639067853
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACK BLUEBIRD IICredential: DPT
Location Address18626 HARDY OAK BLVD STE 200San Antonio, TX 78258-4219
Mailing Address9150 Huebner Rd Ste 290San Antonio, TX 78240-1598 · (210) 614-6432 · Fax (210) 293-1183
Fax(210) 293-1183
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 26, 2025
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1639067853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in TX · 1406950
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

18626 HARDY OAK BLVD STE 200, San Antonio, TX 78258

Secondary Practice Locations 2

Location 16704 Guada Coma DrSchertz, TX 78154-3247 · Phone (210) 614-6432 · Fax (210) 293-1183
Location 29150 Huebner Rd Ste 290San Antonio, TX 78240-1598 · Phone (210) 614-6432 · Fax (210) 293-1183

Other Identifiers 1

Medicaid1639067853TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jack Bluebird Ii Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577071216
PECOS Enrollment IDI20250804002064

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
18626 HARDY OAK BLVD STE 200
SAN ANTONIO, TX 78258
Physical Therapist
18626 HARDY OAK BLVD STE 200
SAN ANTONIO, TX 78258
Physical Therapist
18626 HARDY OAK BLVD STE 200
SAN ANTONIO, TX 78258
Physical Therapist
18626 HARDY OAK BLVD STE 200
SAN ANTONIO, TX 78258

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639067853, enumerated as an "individual" on June 26, 2025.

The provider is located at 18626 HARDY OAK BLVD STE 200 SAN ANTONIO, TX 78258 and the phone number is (210) 614-6432.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Oscar Insurance Company, WellPoint, Medicare and. Please consult your insurance carrier or call the provider to verify.