Physical Therapist Opening in San Antonio, TX
An outpatient orthopedic and Pilates practice on De Zavala Road, where you keep your patient for the whole session and the plan of care is yours to own.
One patient. One therapist. The whole session.
Pyramid Physical Therapy & Pilates is a single-location outpatient orthopedic practice at 4939 De Zavala Rd, Suite 103 in San Antonio. Our patients run from weekend warriors with nagging pain to adults working hard to stay independent, and a lot of them arrive having already been treated one body part at a time somewhere else.
The physical therapist here is the person who evaluates, reasons through the problem, and owns the plan of care from the first visit to discharge. You are not writing a program for someone else to run and then hearing about it later. You keep the patient, you see what changed between visits, and you adjust it yourself.
The clinical work, plainly stated.
This is the day, not a job-board abstraction. If any of it sounds like someone else’s job, this is probably not the right practice.
Evaluate before you treat
Take the initial evaluation yourself. Watch how the person walks, reaches, loads and shifts, then build the working diagnosis from what you see, not from the referral line alone.
Own the plan of care
Set the goals, write the plan, and revise it as the patient responds. Our patients are frequently managing more than one region at once, and the plan is expected to account for all of it.
Treat with your hands
Manual therapy is part of the work here, not an upsell: joint mobilization, soft tissue work, and the hands-on reassessment that tells you whether it moved the needle.
Build it back with Pilates
Apply Pilates principles to rehabilitation on the reformer, the tower and the mat, scaled to whoever is in front of you. This is the part of the plan that has to hold after discharge.
Direct the assistant team
Provide the supervision, direction and progression our physical therapist assistants work from, and stay genuinely involved in the patients they carry.
Document, and speak up to referrers
Clean, timely notes, plus real communication with referring physicians. Our owner names one specific frustration with the system: patients not being heard by their referring MDs about what they need. Closing that gap is part of this job.
Six things that actually matter here.
Texas PT licensure
A current Texas physical therapist license, or eligibility for one, before your first patient. New graduates are welcome to apply.
An orthopedic foundation
Comfort with a general outpatient orthopedic caseload: spine, shoulder, hip, knee, foot and ankle, plus rehabilitation before and after surgery.
Hands-on skill
You should be confident assessing and treating with your hands, and comfortable being watched doing it, because the room is one-on-one.
Real interest in Pilates-based rehab
A Pilates certification is not required to start. Genuine interest is, because the method runs through the plan of care here. Dr. Cynthia Mendez certified as a Pilates instructor in 2008 through Body Arts and Science International.
An attentive listener
The quote on our owner’s bio page is the hiring filter: “People don’t care how much you know until they know how much you care.”
Patience with complex cases
A large share of our patients are managing arthritis, chronic pain, balance problems, or recovery from hip and knee replacement. Patience is a clinical skill in this building.
A practice somebody chose to save.
In 2020 the pandemic put this clinic on the verge of closing. Dr. Cynthia Mendez, PT, DPT, OCS had been here since 2006, first as its primary physical therapist and later as Clinical Director, and she was not willing to watch the reputation those years built disappear. She bought the practice in 2021. Almost everything about how this place runs traces back to that decision.
“Pyramid feels like a big family! We support and uplift each other.”
Bethany Roberts, PTA, NCPT, Physical Therapist Assistant
The 1:1 ratio is not a slogan, it is the schedule. Sara Mejia, PTA, describes it this way: “our abdominal strengthening approach as well as the 1:1 patient to Therapist ratio is hands down the best care I have seen in an outpatient clinic.” The six values below are the clinic’s own published list, and they are the ones we hire against.
Benefits are verified before the first visit and patients are told plainly what is going on. Plans of care are built around what the person needs.
A 5.0 Google rating across 94+ reviews came from patients who felt looked after. Nobody here treats that as owed.
Dr. Mendez describes her role as being her patients’ biggest cheerleader, celebrating a functional goal, a drop in pain, or a fear finally beaten. That is the tone on the floor.
This practice exists because someone refused to let it close in 2020. The same stubbornness shows up with the patients who have already failed everywhere else.
Nobody here is above resetting a reformer, wiping down a table, or walking a patient out to the parking lot. The owner does all three.
The staff are the reason this feels like a family rather than a schedule. Whoever we hire next either protects that or does not last.
Send us your resume.
There is no portal and no automated screener. Email your resume with a short note about why a one-on-one practice appeals to you, and a person here reads it.
Questions about the role before you apply, including pay, schedule and benefits, are answered directly. Call the clinic and ask.
Email Your ResumeNot the right fit? We also list openings for a physical therapist assistant, office manager, patient care coordinator and rehab aide.