Your Life Belongs to You. I'm Here to Help You
Take It Back.
Who Are We?
Warrenton Area Premier Mobile Physical Therapy Practice Helping People Heal, Stay Active, and Live Healthier Lives.
My name is Nicole A. Smith, PT, DPT, GTS. I'm a Doctor of Physical Therapy who is passionate about helping you live your best life! I have over 18 years of outpatient orthopedic experience and after years in traditional clinic settings I found myself frustrated as the demand to see more patients in shorter periods of time increased and insurance company control of patient care also increased. As a result, Gnarly Oak Physical Therapy and Wellness was created. I work for you, not insurance companies, to provide exceptional, personalized, hands-on care to get you out of pain and moving again so you can get back to the activities you enjoy most!
What Makes Us Unique. A mobile/concierge physical therapy and wellness practice providing care in the comfort of your own home or office. No crowded waiting rooms or gyms! No sitting on hot packs while your physical therapist is treating multiple patients. No being passed off to techs to perform exercises you already know how to do.
What To Expect. The initial consultation is 60- 75minutes. After discussing your medical history, lifestyle and therapy goals a comprehensive evaluation will be performed not just on the area of pain or injury but a full body assessment. This holistic approach will include measuring your strength, range of motion, joint mobility, soft tissue mobility such as fascia and muscle, and posture. In addition, a Selective Functional Movement Assessment may also be performed (SFMA) to gain a clear clinical picture of your overall mobility and how compensatory movement patterns may be contributing to injury and pain. Each 60 minute follow-up treatment session will utilize manual therapy techniques, therapeutic exercises and patient education to address your injury or areas of concern.
What We Treat
Neck and Back Pain
Thoracic Outlet Syndrome
Shoulder Pain
Frozen Shoulder
Rotator Cuff Injuries Myofascial Pain
TMJ Overuse Injuries
Headaches Sacro-Illiac Pain
Hip and Knee Pain Sciatica
Tendonitis Tennis Elbow
Bursitis
Strains and Sprains
Arthritis
Fibromyalgia
Carpal Tunnel Syndrome
Disc Problems
Plantar Fasciitis
This list is not exhaustive, so if you don't see your problem on the list call today to find out if we can help.
Why Choose Us ?
With Gnarly Oak Physical Therapy and Wellness you receive 60 minutes of undivided attention. No need to find child care. No waiting in traffic trying to get to your appointment on time. With us you are in the care of a Doctor of Physical Therapy for the entirety of your personalized treatment plan. This often results in fewer visits with better outcomes.
Testimonials
"After undergoing shoulder surgery I developed constant tinnitus. I saw an ENT but they told me it probably wouldn't go away. I complained to the PT I had after surgery but he didn't say much either. However, after my first session with Nicole my tinnitus was 75% better. After telling her my history she immediately knew that my neck and surrounding muscles may be the culprit. I cried after the first session. She gave me hope, my sleep and my sanity back!"
--Danielle W
"After being diagnosed with significant degenerative changes in my neck I feared surgery was the only answer. After seeing Nicole just a few times the pain down my arm was noticeably better and I could turn my head with much less pain. She taught me a home program and more importantly taught me ways I can treat myself, manage my symptoms and exercise "smarter, not harder." I highly recommend Nicole for anyone needing physical therapy and being able to maximize my time getting treated in my own home, on my own schedule was great." - John H
"I have seen many PT’s over the years, as a lifelong athlete and very active person. Hands down, Nicole is one of the best physical therapists I have had treat me. She takes the utmost pride in her work and really focuses on understanding her patient’s musculoskeletal issues. Her initial assessments are thorough, her care, treatment and attention to detail, no matter what injury or aliment you are struggling with, are professional with a personal touch! Her hands on approach, her certified ability to use Graston and her willingness to dig deep into her patients problems are what makes the difference. I would highly recommend Nicole Smith to anyone I know. I always feel like a new person after I have been treated by her."
- Nicole M
Treatment Approach
Manual Therapy Techniques
soft tissue mobilization, joint mobilization, muscle energy, trigger point release, myofascial release, passive stretching, kinesiotaping
Graston Technique
Graston Technique is a unique, evidence based form of instrument-assisted soft tissue mobilization that enables clinicians to effectively and efficiently address soft tissue lesions and fascial restrictions resulting in improved patient outcomes. For more info visit grastontechnique.com
Therapeutic and Corrective Exercise
personalized exercise and home programs to specifically address strength, range of motion, flexibility and functional movement deficits
Patient Education
We want to empower you with the knowledge, confidence and
guidance to help you heal yourself. An important part of your treatment plan will be teaching you self-treatment techniques you can do at home. In addition, we will regularly review, modify and progress your home exercise program. Lifestyle modifications may also be discussed to help you feel your best.
Wellness Services
If you are looking....
-to maintain your physical therapy gains after discharge
-want to safely begin an exercise program and don't know where to start
DO I NEED A PHYSICIAN REFERRAL?
Virginia is a Direct Access state allowing a patient to receive physical therapy services within a 60 day period starting the day of the Initial Evaluation before a script from a physician is required to continue treatment.
RATES
Gnarly Oak Physical Therapy and Wellness is a Fee for Service practice providing care in the Warrenton, Gainesville and Nokesville areas. The initial evaluation is $175 and 60 minute follow-up treatment sessions are $150.
Many insurance policies have "out-of-network" benefits. A detailed invoice will be provided for you to send to your insurance company for possible reimbursement. At this time we are only accepting Medicare patients for Wellness Services not covered by Medicare.