Meet Dr. Q.

I grew up in Montana as a pastor’s kid. My parents are from NYC and didn’t want to raise their kids there so my dad had an internship at a church in Montana and fell in love with it. I was a very active kid and enjoyed playing sports and being outside. When I was in high school my mom and I were in a pretty bad car accident which required me to undergo Physical Therapy, this was really my first encounter with the profession. My therapist owned his own one-on-one private practice which enabled me to recover quickly and return to my normal activities. That experience really made me fall in love with the profession.

Knowing that I wanted to go to medical school, and that there are none in Montana, I decided to move to Florida for college. I have a lot of family here, spent the summers in Florida, and I loved it so it was the obvious choice for me. I went to UCF for undergrad and then got my Masters in Physical Therapy from USF’s College of Medicine. I have a passion for learning and being the best I can be. Once I graduated I was offered a position with Cleveland Clinic working under the PT for the Indians. Knowing that Cleveland Clinic is one of the top hospital systems in the country and DJ living in Cleveland, I could not pass up that opportunity.

Cleveland Clinic offered me not only hands on experience, but fostered my passion for gaining knowledge by assisting me in the pursuit of my doctorate as well as other specialty certifications. I had a great experience working in Cleveland and expanded my knowledge significantly working with seasoned clinicians. DJ and I did a lot of soul searching and realized that we both wanted to live in Florida. I was offered a position with Florida Hospital Sports Medicine & Rehabilitation which allowed us to move here pretty seamlessly. Living in Florida has also allowed my husband more baseball opportunities.

I quickly realized that working in a corporate PT setting did not allow me to treat patients to the best of my ability. I wanted to have that passion and interaction a one-on-one setting allows you to have which is why I decided to start Dr. Q’s PT. Along with the corporate restrictions, I noticed that young athletes with orthopedic issues are a large yet underserved population. Many people do not realize that pediatric PTs treat developmental delays while orthopedic PTs are not always well versed in the appropriate care of a developing body. I have had significant sports medicine and orthopedic training and experience across the entire age spectrum with a specific interest in youth athletes. With my love of sports and kids, I felt called to serve the young athlete. I am able to spend an entire hour with each patient and treat them the best way that I see fit, not what an insurance company dictates to me. After making the change, I wonder why I didn’t do so a long time ago. I have seen faster, better outcomes much more quickly than I did in a corporate setting. I love that I am able to form a relationship with every person that walks through my door and I can go to bed at night knowing that I am able to do what I love every day and make a difference in peoples’ lives.

Video Center.

Watch our videos below to learn more about Dr. Q and her practice.

FAQs.

Who are you as therapist and what makes you special?

Dr. Q is a doctor of physical therapy who specializes in orthopedics, sports medicine, and manual therapy. Although she works with patients and clients of all ages, her area of concentration is the young athlete. Most orthopedic clinics are geared towards the adult population, and thus tend to treat the pediatric patient as an adult. The pediatric body is still developing and cannot handle the stress that an adult patient could, so it is not safe to be treated as such. Pediatric clinics primarily treat developmental delays/disabilities and are not skilled in the area of orthopedics and sports medicine. For this reason Dr. Q wanted to create an alternative for young athletes to get the age appropriate skilled care necessary to return to his or her sport as swiftly and effectively as possible. She is well-versed in both the pediatric and adult orthopedic treatment parameters and can implement a safe and effective treatment plan for the underserved young athlete.

Dr. Q believes that the therapist/patient relationship is essential to propel the rehabilitation process. Over the course of her career she has discovered that the best way to establish this relationship and achieve the best outcomes is to provide one-on-one treatment services to ensure personal attention, excellence of skilled wellness/rehabilitative care, and progressive recovery. The average orthopedic physical therapy clinic treats anywhere from 2-4 patients any hour with unlicensed techs performing much of the exercises with the patients. With Dr. Q at NO time will the patient/client be seen by anyone other than a doctor of Physical Therapy, nor share his/her treatment time with any other individual. She develops and provides an individualized course of care with the patient’s and family’s goals in mind. Not only are patients treated in therapy, but they are given the tools necessary to gain and maintain overall physical health to prevent future injury and/or issues.

In addition to physical therapy, Dr. Q provides wellness services including pre-injury screening, injury prevention sessions, and team/coach consultation services. Her focus is on the restoration of proper body function and independence, correction of mechanical deficiencies, and prevention of future injury. Dr. Q believes in a multi-faceted team and patient-first approach to therapy. She will work together with the patient, family and coaches (as requested and permitted by parents) to ensure not only injury recovery, but safe return to sport.

Dr. Q’s practice is cash-based meaning she does not accept insurance. This eliminates the treatment constraints and restrictions imposed by insurance companies and allows Dr. Q to provide the care she determines to be the most effective for each individual.

Can you explain to me how an evaluation works?

A physical therapy evaluation consists of four major parts – subjective, objective, assessment, and plan.

Subjective – Dr. Q will begin by asking about the current injury, how it occurred, symptomology, and limitations. She will review the patient’s medical history including any current medications, inquire about the patient’s sport, and ask about his/her goals for physical therapy.
Objective – The majority of the evaluation time is the objective portion. This is actual physical assessment. Dr. Q will look at a number of variables including but not limited to posture, range of motion, strength, joint mobility, and special tests to rule in or out certain pathologies. The tests performed during the objective portion of the evaluation are driven by the information obtained in the subjective portion.
Assessment – After all of the objective data is collected, Dr. Q analyzes her findings and determines a Physical Therapy diagnosis. She will discuss her findings with the patient and his/her parent(s).
Plan – Dr. Q will develop an individualized plan of care to address the physical and functional deficits found. She will create goals that align with that of the patient’s and will estimate a timeline in which those goals will be meet.

Upon completion of the evaluation, Dr. Q will instruct the patient in and issue a home exercise program. She will discuss symptom management as needed and allow time for both the patient and parents to ask questions.

Why should PT injury prevention be important if my player is not injured?

Injury prevention is extremely important ESPECIALLY for the young athlete as children are significantly more susceptible to injury than fully developed adults. There has been a strong shift in youth athletics over the last few decades. As a society we have gone from children playing multiple sports to them specializing in one specific sport at a much younger age. And not only are they specializing in one sport, but many are specializing in one position. If a child is always performing the same movement in one particular sport his/her body cannot adapt to change as well. The repetitive motions on a young developing body lead to higher risk of overuse injuries. Overuse injuries have significantly increased in young athletes, and many of them are undergoing surgeries that were rarely seen in this age group yet now have become common practice. A majority of these injuries can be averted by determining the athlete’s deficits, developing a plan to address physical limitations, implementing that plan, and providing the athlete with the tools necessary to continue injury prevention techniques independently to ensure a long and injury-free athletic career.

Can I get this service covered or paid by my insurance?

Physical Therapy services may be covered by your insurance company, however this is not guaranteed. Dr. Q’s services are cashed based, a flat rate is charged for the initial evaluation and a flat rate is charged for each successive session regardless of what treatment is provided and payment is due upon receipt of service.

Dr. Q would provide you with an invoice after your service that you can submit to your insurance company for reimbursement. The invoice will contain all pertinent business information as well as the ICD-10 codes and CPT billing codes for that session – this is what insurance companies look at when a claim is submitted by healthcare providers. The invoice will also state that the patient has paid in full for the visit and that any/all reimbursements should be paid directly to that patient. Since cash-based practices do not contract with insurance companies any reimbursements paid to the patient would be according to their out- of-network benefits.

What does this mean?
You would submit the form provided by Dr. Q to your insurance company. If they approve, you will be reimbursed your out-of-pocket expense LESS whatever your out-of-network Physical Therapy co-pay is.
EX: If you paid Dr. Q $100 and your out-of-network co-pay is $50, then your insurance company would send you a check for $50.

Please keep in mind that not all insurance companies reimburse patients. It is the responsibility of the patient to contact his/her insurance company to determine benefits – if they can get reimbursed and/or if they require preauthorization. Dr. Q does NOT guarantee insurance reimbursement and any/all insurance communication is the sole responsibility of the patient.

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