Individual provider Active NPI

Jordan Mazick, PT, DPT

  • Physical Therapist
  • Boerne, TX
National Provider Identifier
1063860088
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1280752 Issued in TX
Practice address
28721 Interstate 10 W
Boerne, TX 78006-9112
Phone
(210) 380-2026
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 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 1280752 TX Primary

Addresses

Primary practice location

28721 Interstate 10 W
Boerne, TX 78006-9112

Mailing address

28721 Interstate 10 W
Boerne, TX 78006-9112
Phone (830) 301-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514002686 TX Practitioner - Physical Therapist in Private Practice 0941543938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

1324 E Common St
Suite 307
New Braunfels, TX 78130-3566
Phone (830) 625-7310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3119093TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Sep 1, 2020 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Apr 17, 2019 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Apr 17, 2019 Accepting new patients
Physio 1 Current Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

112 Herff Rd
Ste 310
Boerne, TX 78006
Phone (830) 431-9660

28721 Interstate 10 W
Boerne, TX 78006
Phone (210) 340-1055

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

12413 Judson Rd
Ste 100
Live Oak, TX 78233
Phone (210) 654-0030

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1063860088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28721 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069112",
            "telephone_number": "830-301-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28721 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069112",
            "telephone_number": "210-380-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZICK",
        "first_name": "JORDAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1280752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.