JORDAN MAZICK – Physical Therapist, NPI 1063860088

JORDAN MAZICK is a healthcare provider. based in San antonio, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 3119093 (TX). The NPI Number for JORDAN MAZICK is 1063860088

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN MAZICK
NPI
1063860088
Phone
(210) 239-0495
Address
8230 N LOOP 1604 W
Enumeration Date
31 May 2016
Last Update Date
31 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8306257310
Graduation Year
2016 (10 years ago)
PAC ID
0941543938
Group Practice PAC ID
2567422538
Professional Enrollment ID
I20190514002686
Address ID
TX781303566NE1324XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for JORDAN MAZICK

  • Baptist Emergency Hospital, 8230, North Loop 1604 West, San Antonio, Bexar County, Texas, 78249, United States

    SAN ANTONIO, TX 782492990

    Phone: (210) 239-0495

    Type: Location

  • 11611 BRIDGE HAMPTON

    SAN ANTONIO, TX 782513202

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190514002686IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities83757$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes24346$0
97140Therapy procedure using manual technique, each 15 minutes15130$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11227$0
97162Evaluation for physical therapy, typically 30 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 78249)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567422538View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
-TX
Physical Therapist In Private PracticeKY
-TX
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
-TX
-TX

Reviews

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Frequently asked questions

How do payers reference JORDAN MAZICK?
For JORDAN MAZICK, use NPI 1063860088 as the unique 10-digit identifier.
Would JORDAN MAZICK appear as active to a payer?
You can treat JORDAN MAZICK as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JORDAN MAZICK?
JORDAN MAZICK's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JORDAN MAZICK?
Travel planning: use San Antonio, Texas as the reference point for JORDAN MAZICK, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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