SPECIALTY CARE • PHYSICAL THERAPY • MASSAGE
Excel Physical Therapy
Superior Care, Delivered by Expert Clinicians…
From the Excel PT Blog
Head Above Water -Preventing Fishing Injuries
From the Outside Bozeman Summer Issue 2024 by Kylie Metzger, DPT from Team Excel As the summer sun beats down, the bugs are popping, and you hit the water in earnest, […]
EXCEL Physical Therapy
Serving the Bozeman and Manhattan community
We are a specialized physical therapy practice that collaboratively provides the most effective manual, orthopedic and sports therapy treatments, allowing us to efficiently return patients to their highest level of comfort and functionality. With two offices – one in Bozeman and the other in Manhattan, Montana – we are conveniently located to serve patients in the Gallatin Valley.
Our Areas of Expertise
While we are capable of treating a wide variety of issues, our specialties include the treatment of:
- Neck and back pain
- Whiplash
- Headaches
- Sports-related injuries and performance issues
- Pre/Post-surgical orthopedic patients
- Jaw and TMJ pain
- Shoulder pain
- Postural dysfunction
EXCEL Physical Therapy Services
Our Clinical Specialists
David Coletta, MPT, COMT, FAAOMPT
Certified Orthopedic Manual Physical Therapist / Fellow American Academy of Orthopedic Manual Physical Therapists / Owner / Clinical BikeFit Pro Fitter
of the American Academy of Orthopedic Manual Physical Therapists (FAAOMPT). David is currently a registered fellowship mentor with NAIOMT. He is a Certified BikeFit Pro Fitter and supports the US Paralympic Nordic Ski Team on the snow in their pursuit of winning gold at world cup events and the winter Paralympics. David enjoys finding long-term solutions for his patients - solutions that involve a fine-tuned combination of manual manipulative therapy, re-education in posture and breathing, and a targeted exercise program that addresses even the most difficult patient presentations.
David enjoys spending time with wife, traveling, cooking, fly fishing, biking, all things endurance training, and he is a competitive cross-country skier.
Jason Lunden, DPT, SCS
Board Cert. Specialist in Sports Physical Therapy / Doctor of Physical Therapy / Owner / Clinical BikeFit Pro Fitter
Jason Lunden, DPT, SCS specializes in the rehabilitation and prevention of sports-related injuries, with a particular interest in the biomechanics of sporting activities – running, cycling, skiing, snowboarding and overhead athletics. A member of our running specialist PT Team, Jason has published on the topic of shoulder biomechanics and the rehabilitation of knee injuries and has a strong commitment to educating others. Jason serves as a physical therapist for the US Snowboarding and US Freeskiing teams and is a frequent, well-received local and national presenter on the topics of sports rehabilitation and injury prevention. Jason supports the US Paralympic Nordic Ski Team by working with the athletes on preventing and rehabilitating injuries to keep them on the snow in their pursuit of winning gold at World Cup events and the Winter Paralympics. He is a recent recipient of the New Horizon Award from the American Physical Therapy Association and he has received advanced training in dry-needling techniques for the extremities.
Jason received his Doctor of Physical Therapy degree from the University of Minnesota, where he was the recipient of the Gary L. Soderberg DPT Visionary Award, the Mary A. McEvoy Award for Public Engagement and Leadership, the MN APTA Outstanding Physical Therapy Student Award, and the President’s Student Leadership and Service Award. He received a Master of Arts in Cell and Molecular Biology from St. Cloud State University and a Bachelor of Arts from St. Olaf College. Jason also received specialized training through the Minnesota Sports Medicine Sports Physical Therapy Residency and received his board certification as a Sports Physical Therapy Clinical Specialist through the American Physical Therapy Association. He has served as a faculty member for the Fairview Sports Physical Therapy Residency Program. Jason is a Certified Clinical BikeFit Pro Fitter.
Jason is an avid snowboarder, cyclist, runner, and Nordic skier, and he enjoys spending his time outdoors with his family.
Jackie Oliver, DPT, OCS
Doctor of Physical Therapy / Orthopedic Clinical Specialist
Jackie Oliver, DPT, OCS completed her Doctorate in Physical Therapy at the University of Utah in Salt Lake City, Utah, one of the top Physical Therapy schools in the nation. She was fortunate enough to complete her clinical rotations and begin her physical therapy career within the University of Utah system, which is consistently ranked near the top in healthcare. Exposed to a wide variety of orthopedic conditions, Jackie is confident when assessing and treating a broad range of orthopedic impairments. Jackie is a certified dry needling provider with advanced training from Evidence in Motion and KinetaCore. Jackie achieved the Orthopedic Clinical Specialist advanced certification after extensive advanced training coursework and a stringent examination process from the American Physical Therapy Association.
While in Utah, Jackie invested her free time in volunteering at the Physical Therapy Pro Bono Clinic in Salt Lake City and has published a paper on low back pain. Jackie has an intense passion for helping and educating others as well as preventative
medicine. Because of her college sports background, Jackie loves working with athletes and has experience with biomechanical training and injury prevention in sports. She is also trained as a Diabetes Lifestyle Coach and
has worked for the University of Utah and CDC helping individuals decrease their risk of developing diabetes.
Prior to completing her Doctorate in Physical Therapy, Jackie played basketball for Carroll College in Helena, Montana, while also obtaining a Bachelor of Arts
degree in Health Science. Jackie was Academic All-American her last two years at Carroll.
Jackie enjoys outdoor activities such as downhill skiing, trail running, disc golf and especially enjoys hiking with her husband and two dogs.
Nikki Kimball, MSPT
Master of Physical Therapy / RRCA Certified Running Coach / Professional Runner
Nikki Kimball, MSPT specializes in the treatment of running injuries and has been treating runners since 1999. She graduated with her MS degree in physical therapy from Arcadia University in 1998 and won the school’s Health Sciences’ Alumni Achievement Award in 2017 for her work integrating professional running, physical therapy, and advocacy for people with mental illness. She is certified in ASTYM soft tissue mobilization and in dry needling. She has been an expedition physical therapist for running events in Africa, China, and India.
Prior to her professional running career, Nikki was a cross-country skier and biathlete. She raced NCAA Division I for Williams College where she won the Alumnae Ski Award two times. In 2018 she won the Distinguished Alumni Award at Holderness School for her using her athletic achievements as a platform to provide service “for the betterment of humankind” in areas of advocacy for health care and gender equity. She is a three-time North American Ultrarunner of the Year and a three-time United States Track and Field Association Ultrarunner of the Year. She has won 11 National Championship titles and has been named to 14 US National Teams across three athletic disciplines.
Nikki presents on exercise prescription and physical therapy at psychiatric and adventure sports medicine conferences on the West Coast and Rocky Mountain states. She has spoken professionally about running and injury prevention on three continents and at the US Embassy in Beijing, China. She has published articles in major print sports magazines in Asia, Europe, and the US, including 13 pieces on injury prevention for
Runner’s World. She has appeared in various films including a starring role in the regional Emmy-winning feature, Finding Traction.
Her treatment philosophy is to combine her physical therapy training and continuing education with decades of practical experience as a high-level competitor and coach to achieve the best possible results, particularly in the realm of complex running injury. When not working or adventuring, Nikki enjoys archery, wire sculpting, and cooking at home with her friends and pets.
AJ Sobrilsky, DPT, OCS
Doctor of Physical Therapy / Orthopedic Clinical Specialist / Climbing Lab
AJ Sobrilsky, DPT, OCS specializes in the rehabilitation and prevention of orthopedic sports-related injuries with a specific interest in the management of tendinopathies and overuse complaints in the upper and lower extremities. AJ received his Doctor of Physical Therapy Degree from Carroll University (Waukesha, WI). Following the completion of his DPT degree he participated in an Orthopedic Residency through Evidence in Motion at Bellin Health in Green Bay, WI providing him with advanced training in orthopedic manual therapy, clinical decision-making, and patient-centered treatment. Following completion of his residency, AJ became an Orthopedic Clinical Specialist (OCS) through the American Physical Therapy Board Association.
AJ has been a lifelong athlete, competing in cross-country and track through college and then racing competitively collegiately. As a result of his personal experiences and passions, AJ has focused a great deal of his continued education and clinical development around the athletic individual with an emphasis on running, skiing, and climbing-related injuries. AJ has had the opportunity to provide care for an array of athletic populations including youth sports teams, high school and collegiate athletes, and those competing at professional and Olympic levels.
AJ’s treatment philosophy emphasizes a collaborative patient-centered approach. As an active outdoor athlete himself, he feels that he is able to understand,
empathize, and know exactly what his patients are experiencing because he has likely experienced similar complaints himself. This allows him to structure a unique program around the patient’s goals, supported by current best evidence, and coupled with specialized exercise/techniques. AJ hopes to educate his patients on their current issues and provide them with the best course of treatment to return to their previous/desired level of activity. AJ feels strongly about the benefits of lifelong exercise and activity and thus emphasizes a model of care to harness a lasting relationship with his patients so that they can rely on him in the pursuit of their current activity goals and those they may have in the future.
When AJ isn’t working, he is usually pursuing his next adventure: rock climbing, skiing, mountain biking, or trail running with his dog Jackson.
Lisa Palomaki, DPT
Doctor of Physical Therapy
Lisa Palomaki, DPT completed her Doctorate of Physical Therapy degree at the University of Utah in Salt Lake City, UT. While at school, Lisa served on the board for the Student Run Pro Bono Physical Therapy Clinic, where she helped underserved populations in the Salt Lake valley find access to high quality physical therapy treatment. She also worked as a research assistant and exercise coach during her undergraduate and doctorate programs implementing exercise plans for patients with diabetic peripheral neuropathy.
During her education, Lisa completed four clinical rotations where she was exposed to a variety of orthopedic and neurological conditions. This has led her to an interest in vestibular rehabilitation in addition to treating both surgical and non-surgical orthopedic conditions. Lisa’s treatment philosophy is to help her patients improve their overall quality of life and increase their self-efficacy through exercise and evidence-based treatment.
Lisa brings a natural curiosity and tendency to go the extra mile for her patients and customizes treatment needs for her patient’s individual needs. She brings positive energy to the Excel PT team as a key team player. Her familiarity with current research and treatment techniques as a recent graduate of the University of Utah helps her to make well-informed choices when treating her clients. Lisa is committed to developing her clinical knowledge through advanced continuing education courses with the Excel PT team. Lisa loves any activity that will get her out in the mountains including mountain biking, climbing, Nordic/backcountry skiing, and trail running.
Taylor Reicks, DPT, COMT, OCS
Doctor of Physical Therapy / Certified Orthopedic Manual Physical Therapist / Orthopedic Clinical Specialist
Taylor Reicks , DPT, COMT, OCS completed his Doctorate of Physical Therapy in 2017 at Des Moines University in Iowa where he has lived most of his life. After graduation, Taylor moved to Tacoma, Washington for a few years where he successfully passed the Orthopedic Clinical Specialist examination after several long months of intensive studying and coursework. He then joined a local Orthopedic and Sports Residency Program as a faculty member with a focus on teaching manual therapy and strength training in the lower extremities. Throughout his time in Washington state, Taylor treated a wide variety of orthopedic conditions and spent his time building up his therapy “tool-box” to provide individualized treatment options for his patients including Dry Needling Certification, Washington State Spinal Manipulation Endorsement, and Blood Flow Restriction Training Certification. Taylor earned his certification in orthopedic manual therapy, (COMT) from NAIOMT (North American Institue of Orthopedic Manual Therapy) in 2023. After a few years in Washington, Taylor and his family wanted to move closer to home and stumbled upon Bozeman when looking for a mix of the mountain sports they love and the mid-west feel they grew up with, where they settled down to start their family in August of 2020.
Taylor prides himself in his ability to treat a wide variety of orthopedic conditions and body areas throughout the spine and
extremities while also having an interest in treating sports and fitness athletes such as cross-fitters. He believes that an active lifestyle is important throughout the lifespan whether it’s a young high school football player or an 85-year-old grandparent who needs the strength to carry their groceries or grandchild up and down the stairs. He is a firm believer that Physical Therapists can play a major role in helping reduce emergency room visits along with unnecessary imaging costs for patients by supporting a physical therapy visit first after an orthopedic injury for an evaluation and treatment plan. Not only does this save the patient time and money, but it can also offload the ever-growing demand on other healthcare providers.
Outside of the clinic, Taylor enjoys spending time outdoors with his wife, daughter, and two dogs hunting, rock climbing, trail running, and hiking throughout the Gallatin Valley and Southwest Montana.
Tiffany Sherman, DPT
Doctor of Physical Therapy
Tiffany Sherman, DPT received her Doctorate in Physical Therapy for A.T. Still University School of Health Sciences. She has furthered her education to treat a variety of injuries including pelvic floor dysfunctions through Herman and Wallace, running related injuries, older adults, vestibular/concussion, female athletes and dry needling certification. She enjoys treating a variety of injuries and specifically pregnancy/postpartum, female athletes, ankle/foot injuries, and older adults. Her pelvic floor training included urinary incontinence, pelvic pain, and pressure management.
Tiffany is a Bozeman native and attended Montana State University where she received her bachelor’s in health and human performance. While at MSU Tiffany competed on the track and field team as a javelin thrower. During her time as a Bobcat, she earned second place at the Big Sky Conference championship and earning her place among MSU top performers of all time. During her time as a student-athlete she gained perspective as a patient and the benefits of physical therapy.
She believes having an active lifestyle can have positive outcomes in all aspects of life. Outside the clinic she enjoys playing volleyball, skiing at Bridger, supporting the Bobcats and spending time with her husband, children and dog.
Emily Rothing, DPT
Doctor of Physical Therapy
Emily Rothing, PT, DPT grew up in Portland, Oregon, and took yearly trips to the Gallatin Valley to visit her grandparents. She later attended Montana State University as a student in the Honors College and received her Bachelor of Science in Health & Human Performance with a minor in Hispanic Studies. She then completed her Doctorate of Physical Therapy at Eastern Washington University in Spokane, WA. Emily first joined the Excel team at the front desk in 2015 and she’s thrilled to return to Team Excel as a physical therapist in the Manhattan clinic location.
Emily has completed a broad spectrum of continuing education courses and prides herself in her ability to treat a wide variety of orthopedic conditions. Emily believes in staying current with the latest evidence-based research to provide the best physical therapy possible. She comes alongside her patients wherever they find themselves in their rehabilitation journey.
Working collaboratively with her patients to provide specialized rehabilitation programs to meet their
goals, Emily creates impactful treatment plans to help patients minimize downtime and return to their life activities. Emily helps coach her patients to be proactive about their pain, building resiliency to reduce the risk of recurring episodes.
Outside of the clinic, Emily enjoys spending time outdoors with her family. You can find her camping, running, Nordic/downhill skiing, mountain biking, gardening, and helping on the Manhattan family ranch.
Kylie Metzger, DPT
Doctor of Physical Therapy
Kylie Metzger, PT, DPT completed her Doctor of Physical Therapy degree at the University of Utah. Prior to PT school, Kylie attended Cal Poly San Luis Obispo in Central California, where she studied exercise science and was a member of the club triathlon team. Kylie has completed an Orthopedic Residency with Excel Physical Therapy and The Jackson Clinics to become an Orthopedic Clinical Specialist (OCS). She has also done advanced training with Herman & Wallace to treat women with pelvic floor dysfunction. Kylie believes in the important relationship of orthopedic and pelvic PT to improve conditions such as urinary incontinence, pelvic prolapse, pelvic pain, diastasis recti and other pregnancy and post-partum related conditions.
Kylie enjoys treating patients of all ages, fitness and experience levels. Kylie's treatment approach emphasizes a holistic mind and body approach to rehabilitation, with an emphasis on a collaborative PT-patient relationship, exercise-based treatment and long-term lifestyle adaptations to keep her patients feeling their best. Kylie's eagerness to continually improve as a clinician matched with her personable and energetic attitude will make you excited for PT.
When not in the clinic, you can find Kylie mountain biking, skiing, trail-running, or hiking with her golden retriever, Olive. She enjoys trail races, sprint triathlons, and backpacking to remote alpine lakes to fly fish.
Britnee Harper, LMT
Licensed Massage Therapist
Britnee Harper, LMT focuses on treatment-based Massage Therapy and Structural Integration to relieve pain and bring alignment into the body. My passion for Massage Therapy began about 10 years ago when I experienced the connection between yoga and bodywork as an alternative to pain relief. Throughout my career, I have been able to travel, learn from incredible people and follow my other passions.
I lived in Big Sky, where I worked as a Massage Therapist at a Spa and was able to snowboard almost every day. Then, I lived in Jackson, WY., where I worked with a Rolfer that taught me the techniques and benefits of fascial manipulation and structural integration. After that, I moved to Byron Bay, Australia, where I learned to surf and worked in an energy healing kinesiology clinic providing a more treatment-oriented massage.
After a year in Australia, the mountains called to me and I moved to Wanaka, New Zealand snowboarding and working in a sports clinic specializing in treating competitive road bikers and swimmers. This is where I learned specialized techniques for treating injuries in the shoulder girdle and I was able to take my skills to the next level. The last stop was Japan, where I snowboarded the most snow I’ve ever seen and worked in a Physio clinic treating skiers. Now, my partner and I have since started a family, and have moved back to Bozeman. I love sharing my love and commitment to helping people relieve pain in a more natural way with massage.Forms
Expedite your Evaluation Visit
Please arrive 15 minutes before your evaluation appointment to complete your Patient Registration forms or update your medical information on file. You may also download our Patient Registration forms and fill them out before your visit which will further expedite your visit.
New Patient Forms
For your convenience, you may print and complete these forms prior to your first visit.
Functional Outcome Questionnaires
Please fill out the appropriate survey prior to your first visit.
Please note that our office collects commercial insurance patient responsibility balances at the time of service to help our patients manage the financial aspect of their physical therapy treatments. Patient responsibility portions include deductible, co-payments, co-insurance and supply items.
We offer Prompt Pay discounts (paid at the time of service) for patients who do not have insurance and our offices are CareCredit Providers. CareCredit is a healthcare credit card that allows you to split your patient responsibility balance over a 6 month term with no interest for balances of $200 or more. If you have any questions regarding payment, please contact our office before your scheduled appointment.
FAQ
For Additional Questions Please Contact Us
Yes. The choice of where you receive therapy is always yours. While the majority of our patients come to us by physician referral/recommendation, many clients request to see us due to our strong clinical reputation in the community.
Because of our proven rehabilitation track record, local physicians have come to depend on Excel PT’s outstanding outcomes when they send their patients to our clinics. While many patients come to Excel PT through the physician channel, most of our patient’s health insurance companies provide for direct access to physical therapy (no referral required). We are happy to bill your private insurance company, including Auto, Medicare and Workman’s Compensation insurance.
Since 1987, Montana state law provides for direct access to physical therapy where Physical Therapy evaluation and treatment procedures may be performed by a licensed Physical Therapist without a doctor’s referral. However, there are still a few insurance companies that may require a Physical Therapy referral prior to your appointment with our office in order to process claims. Please check with your insurance company to see if they have this policy requirement. Or call us, and our friendly front office team can help you determine your physical therapy policy benefits.
We accept all types of private insurance. We are preferred providers for Allegiance, Assurant, BCBS (Blue Cross/Blue Shield), Cigna, EBMS, InterWest Health, First Choice/Health InfoNet, Medicare, MHS, MultiPlan, MUS, MUST, PacificSource, New West Medicare, United Healthcare and certified Tricare providers. If you don’t see your insurance payer listed above, please call us so our friendly front office team can help verify our participation as we are able to access multiple networks like MultiPlan, InterWest, First Choice/Health InfoNet among others. We are also pleased to accept Workman’s Compensation and Motor Vehicle insurance as well.
At Excel PT, you are a highly-valued client. We appreciate your business, and we are committed to providing you with the highest level of patient care and customer service. Part of our customer service involves helping patients navigate the complicated world of health insurance. Our friendly front office team will contact your insurance company and help you understand what your deductible may be (if applicable), and if you have co-payments and/or co-insurance. Our office collects commercial insurance patient responsibility balances at the time of service so that our patients can more easily financially plan for their physical therapy treatments. Patient responsibility portions (if applicable) include deductible, co-payments, co-insurance and supply items. We gladly bill insurance companies as a courtesy to our patients, and we routinely work with Medicare, Workman’s Compensation, Auto Insurance companies with med-pay.
We offer Prompt Pay discounts (paid at the time of service) for patients who do not have insurance and our offices are CareCredit Providers. CareCredit is a healthcare credit card that allows you to split your patient responsibility balance over a 6-month term with no interest for balances of $200 or more. If you have questions regarding payment, please contact our office before your scheduled appointment.
After discharge from treatment, patients are always welcome to contact their physical therapist with any follow-up treatment questions or concerns. Tune-up and annual check-up appointments are available to help clients stay on track with their goals.
Your therapist will conduct an evaluation of your condition lasting between 45-90 minutes. The evaluation is necessary to create a program designed specifically to address your needs for maximum recovery.
– Referral slip from your medical doctor
– Your medical insurance card
– Your ID
– If you are getting therapy as a result of a worker’s compensation claim or an automobile accident, you will also need to bring your claim information, including claim number.
Please arrive 15 minutes early on your first visit to fill out any necessary paperwork.
Please wear athletic clothing and shoes that allow you to move easily. For our female patients with a neck, shoulder or spine diagnosis, please wear or bring a sports bra or bathing suit top to your appointments. Otherwise, a treatment gown will be available for your use. We also have exercise shorts available for both male and female patients.
We have private treatment rooms and restrooms that you can use to change into your athletic clothes so that you don’t have to travel in clothes that may be chilly when it’s cold outside.
Each visit will last 45– 90 minutes on average. Times vary due to the treatment and exercises being performed.
You and your physical therapist (in conjunction with your physician) will determine a treatment plan for your particular goals. Most patients are typically seen two to three times per week for a treatment plan. The best way to ensure that you reach your health and fitness goals is for you to remain committed to your treatment appointment schedule and home exercise program.
Annual Wellness, Injury or Performance Check-up: It is a great idea to see your physical therapist annually for a physical therapy exam to identify any potential injury prevention opportunities and to maintain the functionality of musculoskeletal systems. Physical therapists have the education, experience, and expertise necessary to provide a wellness, injury or performance screen to allow tracking of the patient’s needs for a healthy, pain-free, fully-functioning life.
Our goal is to make sure to we are available for our patients and anyone else who needs us at this time while options remain limited. We are offering virtual physical therapy appointments for those who are unable to come into the Bozeman or Manhattan clinics.
Virtual Physical Therapy Appointments Our physical therapy providers are offering secure and HIPAA-compliant virtual physical appointments for anyone not able to attend in-clinic appointments. It’s as simple as clicking on an email link from us.
Call our Bozeman office at 406-556-0562 or by email at info@excelptmt.com to schedule a virtual PT visit. We are presently offering discounted self-pay pricing of $70 per virtual visit pricing for anyone without payer coverage during the COVID-19 period. Typical virtual visits are about 30-45 minutes depending on your specific need and treatment plan. We have a secure payment link easily accessible from our website to take care of payment arrangements for these visits.
Medicare calls these “e-visits” and is covering them for established patients only during the COVID-19 period. BCBS is offering coverage for virtual PT appointments for new and established patients and is waiving co-pays and deductible cost-sharing requirements as well during this time. We are closely monitoring all payer activity and responses for telehealth visit coverage on a daily basis. Please call your insurance company if you have questions for virtual (telehealth) physical therapy visit coverage or feel free to call our office at 406-556-0562.
How Does a Virtual PT Visit Work? A virtual pt visit is a secure HIPAA compliant video conference appointment where our front office or pt provider will email you a waiting room link to click on and join the appointment at your scheduled time from your favorite device, computer, phone or tablet. You are already dressed in easy to move or exercise clothing and your office or household does not have Netflix or similar live streaming apps open or in use. Our front office team will email you the easy instructions and link to join your appointment with your PT provider.
We also use SwitchBack Health to deliver and manage your home physical therapy exercise program during our virtual pt visit just like we do for in-clinic appointments. Switchback Health is a web-based application designed to help ensure you are doing your prescribed exercises correctly and with the correct frequency and technique designed by your physical therapist. See our Switchback FAQ to learn more about this secure, cloud-based tool our pt provider use for our in-clinic and virtual pt visits. Our team will set you up with your free Switchback account set up and email you a link as well if you and your provider choose to use this tool.
Why are physical therapy appointments, in-clinic or virtual, are valuable now and beyond this pandemic situation?:
- Physical therapy is more effective, less invasive and less expensive than traditional health care treatment options.
- Patients who get physical therapy right away are less likely to need specialist appointments, surgery, MRIs, and other expensive diagnostic procedures. And they spend less, an average of $4,500 less over the course of care.
- Physical therapy patients are less likely to need prescription pain killers.
- The Journal of the American Board of Family Medicine found that PT patients are 35% less likely to be prescribed opioids, even if they only come for one visit. Since opioids are highly addictive and don’t treat pain – they only mask it.
- Physical therapy care can reduce the number of patients that are going to doctor’s offices and to the hospital for ER visits for musculoskeletal ailments. Crucial at this time to help reduce exposure to the coronavirus and so that our community healthcare providers are free to help those in the most need of COVID-19 treatment.
We are here for you! As always, your physical therapist is available through email or phone and we encourage you to communicate with them regarding your care. Our PT team is able to schedule a virtual visit for you directly as well. Reach out to our front office team with any questions at info@excelptmt.com too or to schedule a virtual pt visit too.
Our leadership team continues to monitor the COVID-19 situation on a daily and sometimes hourly basis. Our promise to you is to keep a safe and clean environment for those who are in need of our services the most. We understand this is a very difficult time for everyone.
Our Bozeman clinic is OPEN in agreement with theMarch 24th guidanceof the MT Office of the Governor. Physical Therapy is considered an essential critical infrastructure. As a healthcare facility, we are currently one of the few options for those who are suffering due to cancelled surgeries, chronic pain, and other issues during this unprecedented time where healthcare has suddenly become a precious commodity.
In the state of Montana, we have direct access, which means a patient can be treated without needing a doctor’s prescription. For insurance reimbursement, there are several payers who have not yet acknowledged this state law: EBMS, several Allegiance employer-based plans, some out of state BCBS plans. Call our front office team and we can check your plan for you.
Our goal is to make sure to we are available for our patients and anyone else who needs us at this time while options remain limited. We are offering virtual physical therapy appointments for those who are unable to come into the Bozeman or Manhattan clinics.
We have implemented COVID-19 policies to further increase precautions and prevention All policies apply to both staff, patients and anyone entering our facility. Thank you to all for your patience and accommodation with these polices.
We are screening every patient who enters our Bozeman clinic with the following 5 questions:
- Are you currently sick for any reason, esp. cold, cough, fever and taking fever-reducing medications?
- Did you bring a visitor with you?
- Have you been in contact with anyone with who has tested positive for COVID-19?
- Have you traveled recently to a CDC-designated US community spread state?(click the + sign to expand the States’s community spread status)
- Have you recently traveled to a CDC-designated Warning Level 3 country?
If anyone answers, Yes to any of the above 5 questions at check-in, we reschedule their clinic appointment with a virtual PT visit option, or reschedule their in-clinic appointment as needed, or after a 14-day period, or once any illness symptoms are full resolved.
Here are our other COVID-19 policies in place for our staff and patients:
- If you are sick for any reason right now, with a fever, cough or are sneezing, then we ask you to not return for in-clinic appointments until your symptoms fully resolve and you are not taking any fever-reducing medications. Virtual physical therapy appointments are available to you.
- If you travel to high-risk regions per the CDC, inside the US with any specified community transmission or outside of the US that have a Level 3 Travel Health Notice (widespread, ongoing transmission), please postpone attending in-clinic appointments until 14 days after your return date to the Gallatin Valley. This requested 14-day waiting period exists for symptom-free patients. Virtual physical therapy appointments are available to you.
- Visitors are not allowed to attend in-clinic appointments with any patient (unless the patient is a minor). Please leave friends and/or family members at home! No one is allowed in the waiting room other than our scheduled patient. Your visit will be rescheduled if you have brought someone to your appointment or the visitor will be asked to wait in a vehicle in the parking lot or to make other arrangements to be picked up or return to another location. If a patient is a minor, the only allowed visitor is a guardian and the 5 question policy is in place for both the minor and the guardian.
- We already have an existing best practice of frequent hand and wrist hygiene before and after each patient encounter, sanitizing and disinfection of equipment, all common areas, and hard surfaces several times per day throughout both our Bozeman and Manhattan clinic locations. We have increased our vigilance in these efforts for all staff members and following CDC guidelines and are using CDC- specified cleaning products.
- We have reduced our patient and staff levels in our Bozeman clinic on both our main and loft levels to practice social distancing guidelines. Our providers who are in the clinic are working a staggered work schedule to provide for social distancing guidelines.
- We have chosen to temporarily close our Manhattan clinic from 3/24 to 4/3 to provide for additional social distancing measures. We will make the decision to re-open our Manhattan clinic on a week by week basis as the COVID-19 situation resolves. Re-opening updates will be posted to our Manhattan office Facebook page.
Virtual Physical Therapy Appointments Our physical therapy providers are offering secure and HIPAA-compliant virtual physical appointments for anyone not able to attend in-clinic appointments. It’s as simple as clicking on an email link from us.
Call our Bozeman office at 406-556-0562 or by email at info@excelptmt.com to schedule a virtual PT visit. We are offering discounted self-pay pricing of $70 per virtual visit pricing for anyone without payer coverage. Typical virtual visits are about 30-45 minutes depending on your specific need and treatment plan. We have a secure payment link easily accessible from our website to take care of payment arrangements for these visits.
Medicare calls these “e-visits” and is covering them for established patients only at this time. BCBS is offering coverage for virtual PT appointments for new and established patients and is waiving co-pays and deductible cost-sharing requirements. We are closely monitoring all payer activity and responses for telehealth visit coverage on a daily basis. Please call your insurance company if you have questions for virtual (telehealth) physical therapy visit coverage or feel free to call our office at 406-556-0562.
How Does a Virtual PT Visit Work? A virtual pt visit is a secure HIPAA compliant video conference appointment where our front office or pt provider will email you a waiting room link to click on and join the appointment at your scheduled time from your favorite device, computer, phone or tablet. You are already dressed in easy to move or exercise clothing and your office or household does not have Netflix or similar live streaming apps open or in use. Our front office team will email you the easy instructions and link for you to join your appointment with your PT provider.
We also use SwitchBack Health to deliver and manage your home physical therapy exercise program during our virtual pt visit just like we do for in-clinic appointments. Switchback Health is a web-based application designed to help ensure you are doing your prescribed exercises correctly and with the correct frequency and technique designed by your physical therapist. See our Switchback FAQ to learn more about this secure, cloud-based tool our pt provider use for our in-clinic and virtual pt visits. Our team will set you up with your free Switchback account set up and email you a link as well if you and your provider choose to use this tool.
Why are physical therapy appointments, in-clinic or virtual, are valuable now and beyond this pandemic situation?:
- Physical therapy is more effective, less invasive and less expensive than traditional health care treatment options.
- Patients who get physical therapy right away are less likely to need specialist appointments, surgery, MRIs, and other expensive diagnostic procedures. And they spend less, an average of $4,500 less over the course of care.
- Physical therapy patients are less likely to need prescription pain killers.
- The Journal of the American Board of Family Medicine found that PT patients are 35% less likely to be prescribed opioids, even if they only come for one visit. Since opioids are highly addictive and don’t treat pain – they only mask it.
- Physical therapy care can reduce the number of patients that are going to doctor’s offices and to the hospital for ER visits for musculoskeletal ailments. This is crucial at this time to help reduce exposure to the coronavirus and so that our community healthcare providers are free to help those in the most need of COVID-19 treatment.
We are here for you! As always, your physical therapist is available through email or phone and we encourage you to communicate with them regarding your care. Our PT team is able to schedule a virtual visit for you directly as well. Reach out to our front office team with any questions at info@excelptmt.com too or to schedule a virtual pt visit too.
David Coletta david@excelptmt.com
Jason Lunden jason@excelptmt.com
Megan Peach megan@excelptmt.com
Matt Heyliger matt@excelptmt.com
Jackie Oliver jackie@excelptmt.com
Bobby Bemis bobby@excelptmt.com
Matt Schumacher matts@excelptmt.com
Megan Kemp megank@excelptmt.com
Nikki Kimball nikki@excelptmt.com
Aj Sobrilsy aj@excelptmt.com
Please be safe, stay active and healthy. We are here for you as we navigate this situation. Let us know if you have any questions.
Bozeman team: 406-556-0562
info@excelptmt.com
Excel Physical Therapy providers use Switchback Health to deliver and manage your home physical therapy exercise program. Switchback Health is a web-based application designed to help ensure you are doing your prescribed exercises correctly and with the correct frequency designed by your physical therapist.
3 Easy Steps:
- You will receive a welcome email from Switchback Health after we register you in our front office.
- In your welcome email, Click on the CLICK Here link and then create a password.
- Follow-on screen prompts to create a password and you are all set!
Your email address and password are all you need to log into the Switchback Health app or from the switchbackhealth.com web page. You can access your exercise plan from anywhere, anytime and on your preffered device -laptop, phone, iPad, etc.
Switchback Benefits:
- It’s HIPAA secure and free for our clients!
- You will have access to your exercise plan even when you are discharged from care.
- Automatic reminders to your device (you can control notifications) to help you remember when to do your exercises
- It’s cloud-based so it won’t take up too much space on your smartphone or Ipad.
Troubleshooting Tips:
- Please only download the App via the email welcome link only and not from the App Store.
- No welcome email from Switchback Health? Check your Spam or Junk email folder or try searching for ‘Switchback Health’ in your email inbox.
Still need more help? Our front office team is happy to help. Stop by the front desk or call us anytime.
- Bozeman office 406.556.0562
- Manhattan office 406.284.4262
- info@excelptmt.com
We offer Prompt Pay discounts for patients who do not have insurance or for visits not covered by your insurance carrier. To take advantage of a prompt pay discount, appointments are paid at the time of service in full and claims cannot be billed to your insurance carrier at a later date. Prompt pay appointments are also available to clients who are seeking a wellness/preventative physical therapy check-up where no medical diagnosis is present. Supply items issued during an appointment are not included in prompt pay discounts.
Excel Physical Therapy is a CareCredit Provider practice. We offer a 6-month term with no interest for patient responsibility balances of $200 or more with the CareCredit program. You can apply at CareCredit.com for an instant credit decision to see if this option can be helpful for you. Once your balance reaches $200 with our office, we transfer the balance to your CareCredit account. If you have questions regarding payment, please contact our office before your scheduled appointment.
At Excel Physical Therapy, your Bike Fitting is performed by a medical professional. Our specialty trained physical therapists go beyond the typical bike fit that you receive at most bike shops. In addition, we address the root cause of pain and dysfunction that you may be experiencing as the result of your current cycling position, previous muscle and joint injuries, or other movement abnormalities. Often, your medical insurance will cover bike fitting as related to physical therapy services. Our physical therapists have the necessary certifications and training to get you moving towards pain-free cycling.
The Excel Physical Therapy Professional Bike Fitting will help you eliminate pain and improve cycling performance. Our bike fitting is beneficial to cyclists of all levels. Whether you are a cat 2 racer or a novice rider, a bike fitting will improve your overall experience cycling. For example, small misalignments in seat height and pedal or cleat position can cause knee pain. Moving the seat up or down and the foot forward or backward (through the cleat on the bottom of the shoe) optimizes the power transfer from the leg into the crank arm and decreases painful stress in the knee, resulting in a more enjoyable and efficient ride.
In the case that you don’t have medical insurance to cover some or all of the cost of a Bike Fitting, we offer cash pay rates. The fee is $250 for the first 90 minute visit and $105.00 for the second 45 minute visit. Your typical Bike Fitting is complete in 2 visits for a total of $355 dollars. However, some Bike Fittings will take less or more visits, based on specific client needs.
Your medical insurance will typically cover physical therapy pertaining to a medical diagnosis such as neck pain, low back pain, knee tendonitis, etc. If you are in pain while cycling, then we are usually able to successfully bill your medical insurance for physical therapy services related to altering the fit of your bike and teaching you exercises. We also offer bike fitting services on a prompt pay/cash pay basis when no medical diagnosis is present or if you have no medical insurance.
Join Our Team
At Excel Physical Therapy, we’re looking for talented clinicians to join our team. Click the link below to apply or view open positions.
Links
PT&Me is an educational site for patients interested in or considering physical, occupational, and/or hand therapy.
