Jack Bluebird II, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1406950 Issued in TX

Practice address

18626 Hardy Oak Blvd Ste 200
San Antonio, TX 78258-4219

Phone

(210) 614-6432

Fax

(210) 293-1183

NPI assigned

Jun 26, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jack.bluebird.1@935.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/935/brand/1/csg/1/fhir/r4

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.

• South Texas Spinal Clinic, P.a.

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1518397322
  NPD
• South Texas Spinal Clinic, P.a.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1679506653

  Physical Therapist

  NPD

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1639067853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 290",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401598",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584219",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-1183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6704 Guada Coma Dr",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781543247",
            "country_code": "US",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-1183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9150 Huebner Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401598",
            "country_code": "US",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-1183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUEBIRD",
        "first_name": "JACK",
        "name_suffix": "II",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1406950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639067853",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Sage Pediatric Speech and Language Therapy LLC
• Blue Skies of Texas Dental, PLLC (1. Blue Skies West Dental and 2. Blues Skies East Dental)
• Blue Skyes Health & Care PLLC
• Blue Star Future Holdings Inc
• Victoria Anjernette Blue
• Bluebonnet Accessibility LLC (Next Day Access)
• Bluebonnet Counseling Services of South Texas
• Bluebonnet Eye Care
• Bluebonnet Optometry, PLLC (Bluebonnet Optometry)
• Bluebonnet Oral Surgery and Implants PLLC

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.