Dr. Cynthia Mendez, PT, DPT, OCS
Owner & Physical TherapistA board-certified orthopedic clinical specialist since 2011 and a certified Pilates instructor since 2008. She joined this clinic in 2006, and bought it in 2021 to keep its doors open.
5-star Google rating
Over 94 five-star reviews
5-star Facebook rating
In-network with six major insurers
No referral needed in Texas
One-on-one with your therapist, every session
In within 48 business hours
5-star Google rating
Over 94 five-star reviews
5-star Facebook rating
In-network with six major insurers
No referral needed in Texas
One-on-one with your therapist, every session
In within 48 business hours
Why Patients Switch to Pyramid Physical Therapy & Pilates
There's a reason your pain keeps coming back.
We hear the same story from patients who tried somewhere else first. One of them put it plainly: her past therapist would only focus on one area, which left her weary and overwhelmed. Here is what we do instead.
What patients tell us they found elsewhere
Their words, not ours
- One body part treated at a time, while everything else waits
Patients tell us a past therapist looked only at the area on the referral. The rest of what hurt never got addressed.
- Handed off to whoever is free that day
You re-explain your history at the start of every session, and nobody holds the whole picture of your case.
- Weeks on a waitlist before anyone looks at you
The pain does not pause while you wait for the first opening on someone else's schedule.
- Exercises to manage it, and no plan for after
You finish the visits, the strength fades, and the same problem finds its way back.
- Hoops to jump through before care can start
Chasing a referral, then chasing an answer on coverage, while the thing that actually hurts goes untreated.
The Pyramid way
What we actually do
- Your whole movement picture assessed, not one joint in isolation
Dr. Cynthia Mendez, PT, DPT, OCS, and our clinical team take a one-on-one approach to uncover the root cause of your pain.
- 1:1 with your therapist, the entire session
One patient, one therapist, start to finish. Your case stays with the person treating it.
- In within 48 business hours or less
No long waits here. Tell us what is going on and we find you a time.
- Pilates-based strength so it holds once you are discharged
We combine expert physical therapy and Pilates to restore movement, reduce pain, and keep the progress after your last visit.
- No referral needed to start in Texas
Texas direct access lets a licensed physical therapist see you without a doctor's referral, and we are in-network with Aetna, Blue Cross Blue Shield, Humana, Medicare Part B, Tricare and United Healthcare.
You do not have to take our word for it. Come in and see how we work.
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Patient Testimonials
Real patients.
Real patients.
Their own words.
These are testimonials our patients gave us and we published, from people managing chronic pain, recovering from surgery, and working to keep moving. Trimmed for length, never reworded.
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Our Approach
Watch. Treat. Build it back.
Step 01 · Watch How You Move
01
Watch first.
Before anything else, we watch how you actually move, walk, reach, load, and shift. The spot that hurts is often not the spot causing it.
02
Treat by hand.
Hands-on manual therapy to release what is restricted and calm what is irritated. One therapist, one patient, the whole session.
03
Build it back.
Pilates principles applied to rehab, so the strength you build holds after the pain is gone. This is the part most clinics skip.
Our Care Framework
A clear path out of pain, and a plan to stay there.
Feeling stuck and in pain? You are not alone. Our four phases take you from your worst day back to the things you stopped doing.
Phase 01
Pain
First we get you out of crisis. One-on-one and hands-on, we calm what is irritated and take the load off, while we work out what is actually causing it.
Phase 02
Prime
With the pain settled, we restore the motion you lost and retrain the movement patterns that let the problem start. This is where Pilates principles come in.
Phase 03
Perform
Now we build strength that transfers to your life: back on the field, chasing your kids, or just moving without hesitation.
Phase 04
Prevent
You leave with a program you understand and can keep doing, so the progress holds after your last visit. The best outcome is the one that lasts.
What We Do
Treatments that get you moving.
01
Physical Therapy
One-on-one rehabilitation built around your body and your goals. It is the foundation of everything we do here, from the first movement assessment to the day you no longer need us.
- 1:1 with your therapist, the entire session
- Root cause first, not just the spot that hurts
- No referral needed in Texas. In-network with six major insurers.
02
Pilates-Based Physical Therapy
Pilates principles inside your rehab plan, scaled to what your body can do today.
03
Manual Therapy
Hands-on mobilization to release what is restricted and ease pain.
04
Orthopedic Therapy
Care for joint, muscle and post-injury problems, guided by board-certified orthopedic expertise.
05
Balance Therapy
Steadier on your feet, so stairs and uneven ground stop feeling like a risk.
06
Sports Rehab
Back to your sport, with the strength to stay in it.
What We Treat
If it's keeping you from moving, we treat it.
From the first twinge to pain you have lived with for years, we look for the cause instead of chasing the symptom.
Spine & Back
Shoulder, Arm & Hand
Hip, Knee & Foot
By the Numbers
What the numbers say.
0Google Rating
0+Five-Star Reviews
0Business Hours to Your First Visit
0Conditions Treated
Meet the Team
The people in your corner.
Bethany Roberts, PTA, NCPT
Physical Therapist AssistantA former professional ballet dancer who trained with Ballet Magnificat!, the Joffrey Ballet and ABT programs. A PTA since 2016, and a Nationally Certified Pilates Teacher since June 2024.
Sara Mejia, PTA
Physical Therapist AssistantA graduate of the St. Philip's PTA program. She calls the abdominal strengthening approach and the 1:1 patient to therapist ratio the best care she has seen in an outpatient clinic.
Live From Google
Straight from our Google reviews.
Common Questions
Everything you want to know before you come in.
01 / Do I need a referral to start physical therapy?
No. In Texas you have direct access to physical therapy, which means a licensed physical therapist can see you without a doctor's referral for up to 10 consecutive business days. If your specific plan does require a referral, we will tell you before your first visit and walk you through the fastest way to get one.
02 / Do you take my insurance?
We are in-network with Aetna, Blue Cross Blue Shield, Humana, Medicare Part B, Tricare and United Healthcare. Andrea, our patient care coordinator, verifies your benefits before your first visit, so you know what your plan covers before you walk in. Call us with your card and we will start the check.
03 / What happens at my first visit?
You meet one-on-one with your therapist. We take your history, watch how you actually move, walk, reach and shift, and look for what is causing the pain rather than only where you feel it. You leave with a plan you understand and a clear next step, and your therapist stays with you for the whole session.
04 / Do I have to do Pilates, and am I fit enough for it?
Pilates here is rehab, not a fitness class. We use Pilates principles inside your physical therapy plan, and the reformer and mat work is scaled to what your body can do that day. You do not need any Pilates experience, and you do not need to be in shape to start.
05 / How soon can I be seen?
No long waits here. We will get you in within 48 business hours or less. Send the form on this page or call (210) 616-0629, and we will confirm a time that works and check your insurance before you arrive.
Still Waiting for It to Pass?
Hoping it goes away is a plan. It is just not a very good one.
Whether you want back on the field or you want to keep living on your own terms, it starts the same way: one-on-one with your therapist, we find what is actually causing the pain, then build the strength that keeps it gone. We will get you in within 48 business hours or less.