Rehabilitation and Movement Sciences
Continuing Education Courses
Rutgers University is committed to providing high-quality evidence-based continuing education programs for healthcare professionals. All programs are offered on a non-discriminatory basis.
Courses
The Twisted Pelvis:
Navigating the Intersection of Scoliosis and Pelvic Floor Dysfunction
Presented By:
Marissa Muccio, PT, PSSE-Schroth Instructor
Christina Klausner, PT, DPT, Registered Yoga Teacher 200
Sunday, March 22, 2026
8:15 am – 12:00 pm EST
Via Zoom
Course Description
This 3-hour continuing education course is designed for physical therapists interested in idiopathic scoliosis, pelvic floor health, and professional development in the integrated treatment of patients with both conditions. Participants will explore the interconnectedness of scoliosis and pelvic floor dysfunction, discussing the impact of spinal curvature on pelvic floor anatomy, mechanics, posture, and function. The course will review current physical therapy evidence addressing both conditions, fostering a holistic treatment approach that enhances patient outcomes.
Through case studies and clinical strategies, participants will gain practical tools to apply clinical rationale in real-world scenarios. Additionally, attendees will come away with a clear understanding of how the pelvic floor contributes to multi-system harmony and ease of movement while adapting to an asymmetric spinal curve. The course will also provide guidance on identifying and prioritizing treatment parameters, ensuring a comprehensive and individualized approach to care. Upon completion, participants will have a deeper understanding of how to tailor treatment plans for patients with concurrent diagnoses.
Course Objectives
At the conclusion of this course, participants will be able to:
- Describe the foundational summary and 3-dimensions of idiopathic scoliosis.
- Describe foundational anatomy and physiology of the lumbar spine and pelvic floor.
- Analyze the biomechanical relationship between scoliosis and pelvic floor dysfunction, identifying how spinal alignment impacts pelvic floor muscle function, postural control, and core stability. (Bloom’s Level: Analyze)
- Evaluate current evidence-based interventions for the treatment of scoliosis and pelvic floor dysfunction, considering the unique challenges presented by patients with both conditions. (Bloom’s Level: Evaluate)
- Create 2-3 modifications to the plan of care for patients with both conditions
- Identify patients who require referral to respective physical therapy specialties.
| 8:15 – 8:30 | Course Announcements and Introductions |
| 8:30 – 9:00 | Introduction to scoliosis types, categories, and 3-dimensional anatomy, viscious cycle theory |
| 9:00 – 9:30 | Scoliosis Specific Physical Therapy summary, research, simple treatment strategies (some PSSE/Schroth trained and some for non-PSSE/Schroth-certified therapists.) |
| 9:30 – 9:45 | Break |
| 9:45 – 10:15 | Pelvic floor introduction, anatomy, physiology summary, functional 3-dimensional integration. |
| 10:15 – 10:45 | Pelvic floor physical therapy treatment and research summary |
| 10:45 – 11:00 | Break |
| 11:00 – 12:00 | Tests/Measures for screening, how to prioritize each sub-specialty and its care within patient shared decision making, what can each do with the combined strategy, and identify key takeaways strategies: 3 Breath Strategies (combined); 3 Yoga poses (pelvic floor); 3 Schroth-based poses (Scoliosis) |
How To Register
Registration can only be accepted through our secure online website. Payment may be made with MasterCard, Discover, or Visa credit cards. American Express is not accepted. Payment can also be made using an electronic check
To register, visit:
https://apps.shp.rutgers.edu/projects/onlinepayment/PT/PT_form.cfm
Registration Fees
- UMDNJ / Rutgers PT Alumni: $50.00
- Rutgers DPT Clinical Educators: $50.00
- APTA Member: $50.00
- All others: $90.00
Confirmation: Once registered, you will receive a receipt of payment, confirmation letter, handouts, and additional information to assist you with your plans to attend this course. Please save the receipt and the rest of the information.
Cancellation / Refund: A full refund, less a $15.00 cancellation fee, will be granted if notice is received at least 48 hours in advance of the program. Refunds cannot be given for “no shows” or cancellations received after that time. Cancellations should be made directly through Nancy Mingelgreen at nancy.mingelgreen@rutgers.edu.
Please attach your receipt to your cancellation email.
Continuing Education Credits
This program has been approved by the New Jersey State Board of Physical Therapy Examiners for 3.25 continuing education credits, Board Course Number 2512-180.
Rutgers University’s Doctoral Program in Physical Therapy is recognized by the NY State Education Department’s State Board of Physical Therapy, and by the Pennsylvania State Board of Physical Therapy, as an Approved Provider of Physical Therapy and Physical Therapist Assistant Continuing Education.
Course Handouts
The course handout will be provided to you electronically just prior to the course.
For additional Information, please email Nancy Mingelgreen: mingelna@shp.rutgers.edu.
Marissa Muccio, PT, PSSE-Schroth Instructor is the Co-Owner of the Scoliosis Specialty Center and a National & International Educator | Clinical Researcher specializing in scoliosis rehabilitation. A 1998 graduate of Rutgers University, she has dedicated her career to advancing clinical practice and education in physical therapy. Since 2000, Muccio has owned and operated a private pediatric practice encompasses a wide range of settings, including NICU, neuromuscular, craniofacial, pediatric oncology, inpatient, outpatient, aquatics, early intervention programs, and NDT-certified pediatric care.
In 2009, Marissa Muccio became one of the first U.S.-based clinicians to achieve certification in the Schroth Method, a specialized approach to scoliosis-specific exercises (PSSE). She now co-owns one of the leading Scoliosis Specialty Centers in the United States, with locations in New Jersey, North Carolina, and South Carolina. Her center is recognized for its comprehensive, non-operative scoliosis rehabilitation programs.
Muccio is a sought-after national and international lecturer and educator in the field of PSSE. She serves as a certified instructor for the international PSSE-Schroth Method, educating physical therapists worldwide in evidence-based scoliosis rehabilitation techniques. Her commitment to advancing the field is further demonstrated through her collaborative research efforts, including co-authoring the 2023 perspective article “Bridging Motor Learning Principles with Physiotherapy Specific Scoliosis Exercises,” published in Physical & Occupational Therapy in Pediatrics.
Muccio’s professional affiliations include the American Physical Therapy Association (APTA), the Scoliosis Research Society (SRS), and the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT). She has served on several committees within the SRS, including the Patient Education Committee (2019–2022), Professional Education Committee (2022–2024), and Comprehensive Care Committee (2024–present). Additionally, she is a member of the National Institutes of Health (NIH) Grant Advisory Board for Scoliosis Specific Exercise Rehabilitation. Recognized for her excellence in clinical practice and teaching, Muccio received the 2016 Rutgers SHRP DPT Alumni of the Year award and the 2018 James Tucker Excellence in Clinical Practice and Teaching Award. She is also a medical advisor and expert for several non-profit organizations focused on patients with scoliosis.
Christina Klausner, PT, DPT founded Mobile Physical Therapy in August of 2020 when she realized she needed to do more for tired moms, who always put themselves last. As a mom of three children all under the age of 4, she quickly realized she wasn’t fulfilling her own needs and started her healing journey. She envisioned a practice that would meet all of her needs, which often revolved around a busy schedule, a messy home, loads of laundry and those pushed down feelings of discomfort. She did just that. Word spread and business boomed to the point where Christina had to remind herself why she started this business in the first place: to treat moms with quality care and to have time to be with her own family. She had to pivot, keep her goal clear, work to live, not live to work.
Change; as scary as that word can be, it can also be the lifeboat. She made a change to continue to prioritize her family and transitioned to an office setting in Mendham, her hometown. The name stayed the same and it is confusing at times, but this name is ever so special to her, it was the start of something great.
Christina specializes in pelvic health for women and children. She has an integrative approach to her treatment. Each person takes a journey with Christina. A deep dive into their past medical history reveals so much information which is the key to success in the long-term effects of Christina’s practice.
Dr. Christina Klausner graduated from the University of Medicine and Dentistry of New Jersey in 2012 and earned the Outstanding Clinical Performance Certificate. Upon graduation, her career was mainly focused on hospital-based practices where she worked at Hackensack Hospital. After she married her husband, David, she transferred to Morristown Medical Center.
She now resides in Mendham with her husband and three children, Jamie, Jackie, Bryce, and her firstborn, Otto, her shar pei.
The 18th Annual
Ellen C. Ross Memorial Lecture
Presented By:
Judith Deutsch, PT, Ph.D., FAPTA
Jackie L. Whittaker, PT, Ph.D.
Holly Gorin, PT, DPT, Ph.D.
Wednesday, May 14, 2025
5:15 – 8:30 pm
Via Zoom
| 5:10 – 5:15 | Announcements |
| 5:15 – 5:30 | Introduction/Welcome/Remembrance of Dr. Ellen Ross, PT, PhD Introduction of Keynote Speaker |
| 5:30 – 7:00 | Keynote Presentation: Female, woman, and/or girl Athlete Injury pRevention (FAIR): Highlights and practical recommendations from the International Olympic Committee FAIR consensus |
| 7:00 – 7:20 | Break |
| 7:20 – 7:30 | Awarding of the Ellen Ross Scholarship |
| 7:30- 8:15 | The use of autonomic and ocular metrics to measure psychological engagement in healthy adults and adults post-stroke during gamified neurorehabilitation |
Registration is Required
There is a nominal charge of $20 for this event.
Once registered, cancellations and “no shows” will forfeit their registration fees. All proceeds from this program support the Ellen C. Ross Memorial Scholarship Fund.
How To Register Part 1:
Registration can only be accepted through our secure online website. Payment may be made with MasterCard, Discover,
or Visa credit cards. American Express is not accepted. Payment can also be made using an electronic check.
To register, visit: https://apps.shp.rutgers.edu/projects/onlinepayment/PT/PT_form.cfm
How to Register Part 2 & Confirmation:
Once you have completed Part 1 of registration, you will receive a receipt of payment, and a confirmation letter. The confirmation letter will contain a link so that you can register on Zoom for this event. Registration on Zoom is necessary in order to obtain the Zoom link for the course session, and to document your attendance at the course.
Continuing Education Credits
The Ellen Ross Memorial Lecture has been approved by the NJSBPTE for 2.5 CEs.
Board Course Number 2601-164
Rutgers University’s Doctoral Program in Physical Therapy is recognized by the NY State Education Department’s State Board of Physical Therapy, and by the Pennsylvania State Board of Physical Therapy, as an Approved Provider of Physical Therapy and Physical Therapist Assistant Continuing Education.
For additional Information, please email Nancy Mingelgreen: mingelna@shp.rutgers.edu.
We welcome contributions to the Ellen C. Ross Memorial Scholarship Fund.
If you would like to contribute, please mail your contribution to:
The Ellen C. Ross Memorial Scholarship Fund
c/o Nancy Mingelgreen
Rutgers DPT Program
65 Bergen Street – SSB -720
Newark, NJ 07101
Heather Salon, PT, DPT, NCS is a clinical specialist on the outpatient physical therapy service at Massachusetts General Hospital.
She is a mentor and faculty member of the MGH Neurologic Physical Therapy Residency
program and provides clinical care to patients
with neurological and vestibular disorders including close collaboration with the FND Clinic at MGH. She also provides coverage of specialty multi-disciplinary care clinics for Huntington’s Disease.
Currently she is pursuing a Doctor of Education degree at Northeastern University with proposed research in the development of mentors in physical therapy residency programs. She is an adjunct faculty member at Northeastern University and the MGH Institute for Health Professions. She lectures in her faculty role, as well as being an invited speaker on various topics, including Functional Neurological Disorders. She is recognized as a Neurologic Clinical Specialist by the American Board of Physical Therapy Specialties.
Julie Hershberg, PT, DPT, NCS is board certified as a clinical specialist in neurologic rehabilitation practicing in outpatient private practice.
She is the founder and owner of re+Active PT & Wellness in Los Angeles, CA where she has led post-stroke and movement disorders clinical research, started the Schmidt Movement Disorders Fellowship and continues to lead an integrated team of PT, OT, psychology and wellness professionals at two locations. She is an associate professor at the University of Southern California Division of Biokinesiology and Physical Therapy and regularly teaches and mentors online on topics such as functional neurologic disorders, movement disorders, stroke, clinical decision making and preventing burnout.
She was named the 2019 Neurologic Clinician of the Year from the Academy of Neurologic Physical Therapy. And in 2021 received the APTA Florence P. and Henry O. Kendall Practice Award.
Julie Maggio, PT, DPT, NCS is a clinical specialist for the outpatient physical therapy service at Massachusetts General Hospital as well as an affiliated researcher with the MGH Functional Neurology Research Group.
She works exclusively with patients who have neurologic dysfunction and has extensive experience treating patients with Functional Neurological Disorders.
Her research is focused on outpatient care of patients with FND and she actively lectures on physical therapy treatment for FND. Julie is a founding member of the FND society and is recognized as a Certified Neurologic Clinical Specialist by the American Board of Physical Therapy Specialties.
APTA Credentialed Clinical Instructor Program – Level 2
Presented By:
Dennise Krencicki, PT, DPT, MA
Elaine Becker, PT, DPT, MA
Friday & Saturday, April 24 & 25, 2026
8:00 am – 5:00 pm each day
Presented Live and On-Campus
Newark, NJ
COURSE REGISTRATION CLOSES APRIL 20, 2026
Course Description
This course is for those credentialed clinical instructors who have successfully completed the CCIP Level 1 course and wish to further develop their clinical teaching skills and learn how to construct a clinical curriculum Successfully complete the Level 1 CCIP credential (for other healthcare professionals, have earned Level 1 CEUs).
Requirements for Taking the Level 2 Course *:
- Mentor, supervise, and instruct at least one student since completing the Level 1 CCIP credential.
- Complete an online registration for the course.
- Upload a copy of or provide a link to current license.
- Approval of registration, after review, by the course trainer.
- Complete course prerequisites, including a series of three online professional development modules and a review of four journal articles from APTA’s PTJ
*Other health care providers who offer clinical education in a supervisory role to students, including physical therapists and physical therapist assistants, and health care providers from other professions can use this program to enhance their clinical instruction education. Only Physical Therapists and Assistants who have successfully completed all program sessions are permitted to sit for the Assessment Center and become credentialed by APTA .
Course Objectives
By the end of this course, participants will be able to:
- Discuss the benefits and key components of a clinical curriculum
- Advance clinical teaching concepts learned in CCIP Level 1, as applied to the novice-mastery clinical practice continuum.
- Integrate professionalism in a clinical curriculum that promotes the guiding principles to achieve the Vision for the Physical Therapy Profession and the core values.
- Diagnose and foster a student’s clinical reasoning.
- Outline a clinical curriculum to provide key learning experiences critical to patient and client management in the student’s practice upon graduation and licensure.
The assessment component of this program enables physical therapists and physical therapist assistants to apply program information in case-based patient and student applications. Participants will become Level 2 Credentialed Clinical Instructors upon successful completion of the program’s assessment component. As a reminder, it is essential that physical therapists and physical therapist assistants participating in the program attend all sessions and assessment components to be eligible for level 2 credentialing. The Assessment Center is integrated into the program schedule.
Day 1 – Friday April 24, 2026
| 7:30 – 8:00 AM | Sign In |
| 8:00– 9:00 AM | Welcome and Program Introduction |
| 9:00-9:10 AM | Break |
| 9:10 – 10:20 AM | Section I: Creating a Clinical Curriculum |
| 10:20-10:30 AM | Break |
| 10:30 AM – 12:30 PM | Section 2:Advanced Teaching Strategies |
| 12:30 – 1:30 PM | Lunch on your own |
| 1:30– 3:00 PM | Section 3:Professionalism in Practice |
| 3:00 – 3:15 PM | Break |
| 3:10 – 5:15 PM | Section 4:Patient Client Management |
| 5:15 – 6:30 PM | Assessment Center Parts 1-2 |
Day 2 – Saturday April 25, 2026
| 7:30 – 8:00 AM | Sign In |
| 8:00– 10:00 AM | Welcome back Section 5: Clinical Reasoning |
| 10:00– 10:15 AM | Break |
| 10:15 AM – 12:00PM | Section 6: Interprofessional Education and Collaborative Practice |
| 12:00 – 1:00PM | Lunch on your own |
| 1:00 – 3:00 PM | Section 7: Advocacy |
| 3:00 – 3:15 PM | Break |
| 3:15 – 4:15 PM | Assessment Center Parts 3-4 |
| 4:15 – 5:15 PM | Assessment Center Part 5: Review Clinical Curriculum with Peer Evaluation |
| 5:15 – 5:45 PM | Scoring Assessment Centers |
| 5:45 PM | Adjourn |
How To Register
Registration can only be done through the APTA website. Please follow these instructions to do so:
- Go to the CCIP Registration page on the APTA website: CCIP Level 2 Registration
- Click on the orange box that says, “Register for a CCIP Course”
- Scroll down to where it says, “Level 2 Credentialed Clinical Instructor Course Application” and click “continue”
- Follow the onscreen instructions. You will need to select or course by selecting “NJ” as the state.
- The application will require that you respond to several questions. You will also need to upload your PT/PTA license.
- Please give yourself about 15 minutes to complete this registration process.
If you have difficulty registering for this course, please contact the APTA directly at ccip@apta.org or (703)706-8531
Registration Fees
- APTA Member: $110.00
- All others: $225.00
Fee includes course materials, continental breakfast, and snacks daily. Please bring your own bagged lunch with you each day.
Continuing Education Credits
This program is pre- approved for 17 CEs by the New Jersey State Board of Physical Therapy Examiners. Please check with your own state’s board to find out if the APTA’s CCIP Level 2 course, is pre-approved in your state as well.
For More Information about the course: Please contact Nancy Mingelgreen at mingelna@shp.rutgers.edu. However, If you have difficulty registering for this course, please contact the APTA directly at ccip@apta.org or (703)706-8531.
This program is being co-sponsored by The Doctoral Program in Physical Therapy at Rutgers University and the New York New Jersey Physical Therapy Clinical Education Consortium.
Dr. Dennise Krencicki, PT, DPT, MA is an Assistant Professor and Co- Director of Clinical Education in the DPT Program at Rutgers, The State University of New Jersey. She teaches in the area of professional issues, ethics, and foundational courses.
Dr. Krencicki became a credentialed clinical instructor in 1998, was certified as a trainer in 2002, and was recertified in 2005. She was in the first group to be certified as a credentialed CI and trainer for the advanced course in 2008 and was recertified in 2011. She has her BS in PT from Boston University, MA in applied physiology from Columbia University, and her post-professional DPT from UMDNJ.
She has been active in APTA, including serving terms as NJ Chapter President, Chief Delegate, Chair of the Chapter Ethics Committee and Active Delegate for approximately 20 years. She also served as a Physical Therapist Member of the New Jersey State Board of Physical Therapy Examiners, holding positions of Secretary and Vice Chairperson.
Elaine Becker , PT, DPT, MA, is a Full Clinical Professor and Director of Clinical Education in the Physical Therapy Program at New York University.
She is an ABPTS Pediatric Clinical Specialist and an APTA National Credentialed Trainer for both the CCIP Level 1 and CCIP Level 2 courses. She was on the ACAPT Integrated Clinical Experience (ICE) Task Force. She has lectured extensively in pediatrics and clinical education both nationally and internationally.
Healthspan Applications for Rehabilitation Providers:
The Facts on Sleep, Physical Activity, Nutrition, Social Connection, and More!
Presented By:
Mike Studer, PT, DPT, NCS, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA
Saturday, May 2, 2026
8:00 am – 3:45
Presented Live, In-Person, and Interactive
Course Description
Why do some individuals appear to age more slowly, live longer, or remain active well into later life, while others do not? Is this simply a matter of chance, or the result of “good genes”? Research on aging continues to explore the balance between nature (genetics) and nurture (lifestyle). Increasingly, this inquiry has expanded to include healthspan – the length of time an individual can live free from illness or disability.
Health care typically “turns on” when people endure an injury or illness. In contrast, rehabilitation professionals are uniquely positioned to promote wellness, prevent disease and injury, and enhance healthspan through conservative, proactive interventions across the lifespan.
This course equips rehabilitation professionals with a deeper understanding of the physiology of aging, challenging common assumptions about what is often attributed to the “normal aging process.” Participants will gain practical, evidence-informed strategies that can be applied to both clients and themselves to positively influence healthspan across five key categories: physical activity, sleep, nutrition, social connection, and the health benefits of extreme experience.
Learning Objectives
Following this presentation, participants will be able to:
- Identify physical activities that optimize safety and wellness
- Identify nutritional strategies designed for longevity and function
- Identify the science of social support and purposefulness
- Identify wellness opportunities through a balance of rest and challenge
- Identify controlled extreme conditions in the form of temperature, exertion, pressure and novelty in an effort to remain capable, adaptable, and healthy
Target Audience: This intermediate to advanced level course is primarily geared towards rehabilitation professionals such as physical and occupational therapists; however, it contains valuable information for other healthcare providers as well, and all are welcome to attend.
Morning
| 7:30 – 8:00 AM | Registration & Continental Breakfast (provided) |
| 8:00 – 8:15 AM | Course introduction, objectives, timeline, disclosures and scope of practice considerations |
| 8:15 – 9:00 AM | The Power of Choice in Healthcare and Wellness – practical applications and physiology |
| 9:00 – 9:30 AM | What is aging? Facts and myths for patient education and intervention |
| 9:30 – 9:45 AM | Break |
| 9:45 – 10:45 AM | Physical Activity (not exercise) as a Primary Intervention in Healthspan |
| 10:45 – 11:45 AM | The Science of Nutrition in Healthspan and Rehabilitation: Beyond one size fits all |
| 11:45 – 12:30 PM | The Science of Social Connectivity in Health, Rehabilitation and Wellness |
Afternoon
| 12:30 – 1:15 PM | Lunch (Bring your own, please!) |
| 1:15 – 2:00 PM | Optimizing Wellness Through a Personalized Balance of Sleep, Rest and Play |
| 2:00 – 2:45 PM | The Science and Applications of Novel Experiences for Health and Rehabilitation |
| 2:45 – 3:00 PM | Break (snacks provided) |
| 3:00 – 3:30 PM | Improving success by understanding tendencies of the human brain: behavioral economics, motivation and biopsychosocial considerations |
| 3:30 – 3:45 PM | Course Summary, Future Introspections and (more) Applications |
Course Location: This course is taking place as a live, in-person, and interactive program. The location is at Rutgers University Doctoral Program in Physical Therapy, Stanley Bergen Building, 65 Bergen Street, Newark, NJ 07101. Parking will be available on-site at no cost (additional information will be sent to registrants.)
How To Register
Registration can only be accepted through our secure online website. Payment may be made with MasterCard, Discover, or Visa credit cards. American Express is not accepted. Payment can also be made using an electronic check.
Once registered and your tuition has cleared, you will receive a receipt of payment, and a confirmation letter.
Handouts, and additional information to assist you with your plans to attend this course will be sent shortly before the day of the event. Please save the receipt and the rest of the information.
Registration Fees
- UMDNJ / Rutgers PT Alumni $130.00
- Rutgers PT Clinical Educator $130.00
- APTA Member: $130.00
- All others: $180.00
Marissa Muccio, PT, PSSE-Schroth Instructor is the Co-Owner of the Scoliosis Specialty Center and a National & International Educator | Clinical Researcher specializing in scoliosis rehabilitation. A 1998 graduate of Rutgers University, she has dedicated her career to advancing clinical practice and education in physical therapy. Since 2000, Muccio has owned and operated a private pediatric practice encompasses a wide range of settings, including NICU, neuromuscular, craniofacial, pediatric oncology, inpatient, outpatient, aquatics, early intervention programs, and NDT-certified pediatric care.
Christina Klausner, PT, DPT founded Mobile Physical Therapy in August of 2020 when she realized she needed to do more for tired moms, who always put themselves last. As a mom of three children all under the age of 4, she quickly realized she wasn’t fulfilling her own needs and started her healing journey. She envisioned a practice that would meet all of her needs, which often revolved around a busy schedule, a messy home, loads of laundry and those pushed down feelings of discomfort. She did just that. Word spread and business boomed to the point where Christina had to remind herself why she started this business in the first place: to treat moms with quality care and to have time to be with her own family. She had to pivot, keep her goal clear, work to live, not live to work.
Julie Hershberg, PT, DPT, NCS is board certified as a clinical specialist in neurologic rehabilitation practicing in outpatient private practice.
Dr. Dennise Krencicki, PT, DPT, MA is an Assistant Professor and Co- Director of Clinical Education in the DPT Program at Rutgers, The State University of New Jersey. She teaches in the area of professional issues, ethics, and foundational courses.
Mike Studer, PT, DPT, MHS,NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA has been a PT since 1991, a board certified in neurologic PT in 1995, and a private practice owner since 2005.