Physical Therapist Assistant Job in San Antonio, TX
A PTA role where you have the patient to yourself for the session, the equipment is real, and what you notice actually gets acted on.
The assistant here carries the session, not a clipboard.
Pyramid Physical Therapy & Pilates is one outpatient orthopedic clinic at 4939 De Zavala Rd, Suite 103 in San Antonio. Our physical therapist assistants are not floating between four patients and a stack of hot packs. They take a patient, work the plan, and stay in the room.
You work under the direction of Dr. Cynthia Mendez, PT, DPT, OCS, our owner and the practice’s physical therapist. She writes the plan of care. You carry it out, you progress it inside the boundaries she sets, and you tell her what you saw so the next session is better than the last.
Six responsibilities, all of them on the floor.
Almost none of this happens at a desk. The job is treating people, watching them closely, and telling the truth about what you saw.
Carry the treatment session
Run the visit start to finish inside the established plan of care: warm-up, hands-on work within your scope, therapeutic exercise, and the wind-down that sends someone home feeling better than they arrived.
Progress the exercise plan
Advance load, range and complexity within the parameters the physical therapist set, and hold the line when the patient is not ready for the next step yet.
Coach on the Pilates equipment
Set springs, position the patient, and cue the movement on reformer, tower and mat. Abdominal and trunk strengthening runs through most of our plans, and the equipment is how it gets loaded safely.
Watch, and report what changed
You are the person who sees the compensation appear at rep eight. Feed that back to the supervising therapist so the plan of care gets revised on real information.
Teach the home program
Send people home knowing exactly what to do and why it matters. An adult who understands their program is far more likely to still be doing it in week four.
Document, and reset the room
Timely notes that reflect what actually happened, and a clinic that is ready for the next patient. Everybody here resets equipment. Nobody is above it.
Six things that actually matter here.
Texas PTA licensure
A current Texas physical therapist assistant license, or eligibility for one, before your first patient. Recent graduates are welcome to apply.
Outpatient orthopedic comfort
Spine, shoulder, hip, knee, foot and ankle, plus rehabilitation before and after surgery. Our team came in through programs like St. Philip’s and Concorde Career College.
Willingness to learn Pilates-based rehab
You do not need to arrive certified. Bethany Roberts, PTA, added her Nationally Certified Pilates Teacher credential after she was already working as an assistant. What we need is somebody who wants to learn the method properly.
Cueing that lands
Clear hands and clear words. A patient who cannot feel the muscle you are asking for needs a better cue, not a louder one.
Working under direction, gladly
The plan of care belongs to the supervising physical therapist. The best assistants push back with observations, not with improvisation.
Steadiness with complex cases
Many of our patients are managing arthritis, chronic pain, balance problems, or recovery from hip and knee replacement. Some are fearful. Steadiness is the skill.
The assistants here are the reason patients stay.
The pandemic put this clinic on the verge of closing in 2020. Dr. Cynthia Mendez, PT, DPT, OCS had been part of it since 2006 and bought the practice in 2021 rather than let it disappear. What she was protecting was never the lease. It was a way of treating people, and the assistants are the ones who deliver most of it.
“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.”
Sara Mejia, PTA, Physical Therapist Assistant
Bethany Roberts, PTA, NCPT puts the other half of it more simply: “Pyramid feels like a big family! We support and uplift each other.” The six values below are the clinic’s own published list, and they are the ones we hire against.
You treat inside your scope, you document what really happened, and you say so when something is not working. That is the whole standard.
A 5.0 Google rating across 94+ reviews, and several of those reviews name the assistants by name. That is not an accident and it is not owed.
Plenty of our patients arrive weary and overwhelmed by care that only ever addressed one body part. The first thing you give them is attention.
Progress in an orthopedic caseload is rarely linear. The assistant who keeps showing up with the same energy in week six is the one who changes outcomes.
Reset the reformer, wipe the table, greet somebody at the door when the desk is busy. Everyone here does all of it, owner included.
The staff decide whether “big family” stays true. Protecting that is a real part of this job description.
Send us your resume.
There is no portal and no automated screener. Email your resume with a short note about the kind of caseload you want to be working, 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, office manager, patient care coordinator and rehab aide.