Tracy Smedley

Director of Client Experience

Tracy Smedley leads the discovery calls welcoming each new patient to Continuous Motion Physical Therapy. Every life changing journey starts with a conversation — uncovering what is keeping you from living your best life and getting to be part of the solution with you.

Known for creating seamless, positive experiences, Tracy ensures that clients feel supported, informed, and valued at every stage of their journey while collaborating across teams to improve workflows and outcomes.

Tracy has been in the health and fitness industry for over 20 years and brings a well-rounded professional background rooted in client service and wellness support. Her drive for wellness began after her own health experience that interrupted her life while raising her two children — she knows firsthand how important it is to stay strong and healthy through injury, pain, or an unexpected health challenge.

Tracy takes pride in being part of an exceptional team that empowers patients to get back to doing what they love. Her reliability, strong work ethic, and commitment to delivering exceptional service make her a trusted and impactful contributor to the team.

Why Not Using Your Insurance Is Better for Your Physical Therapy Care: Prioritizing Quality and Personalized Treatment

/benefits-of-skipping-insurance-physical-therapy

When it comes to healthcare, many people assume that using their insurance is always the best option. However, when it comes to physical therapy, paying out of pocket and not relying on insurance can actually offer significant benefits. Choosing to go out-of-network or pay directly for your physical therapy care can lead to more personalized, higher-quality treatment that focuses on your unique needs and long-term health goals. In this blog, we’ll explore why not using your insurance might be the better choice for your physical therapy care and how it can enhance your overall treatment experience.

Introduction

In a healthcare system often driven by insurance companies and cost-cutting measures, the quality of care can sometimes be compromised. Physical therapy is no exception, with insurance restrictions and limitations often dictating the type and amount of care you receive. While using insurance may seem like the most convenient and cost-effective option, it’s important to consider the potential trade-offs. Opting for self-pay or out-of-network physical therapy can provide you with a more individualized, flexible, and effective treatment plan that truly addresses your needs and helps you achieve the best possible outcomes.

More Personalized and Comprehensive Care

One of the biggest advantages of not using insurance for physical therapy is the ability to receive more personalized and comprehensive care. Insurance companies often impose restrictions on the number of sessions, types of treatments, and duration of care, which can limit the effectiveness of your therapy. When you pay out of pocket or choose an out-of-network provider, you and your physical therapist have the freedom to design a treatment plan that’s fully tailored to your specific needs, without being constrained by insurance guidelines.

This means that your physical therapist can spend more time with you during each session, focusing on the areas that need the most attention. They can also incorporate a wider range of treatment modalities, such as manual therapy, dry needling, or specialized exercises, that may not be covered by insurance but are crucial for your recovery. By choosing not to use insurance, you’re investing in a level of care that’s truly centered on you and your long-term health goals.

Flexible and Longer Sessions

Insurance companies often dictate the length of physical therapy sessions, which can result in rushed or incomplete treatment. When you’re not tied to insurance guidelines, your physical therapist can offer more flexible and longer sessions that allow for a thorough assessment and treatment. This extra time can make a significant difference in your recovery, as your therapist can address multiple issues in one session, provide detailed instructions on exercises, and ensure that you fully understand and can perform your home exercise program.

Longer sessions also allow for a more holistic approach to your care, where your physical therapist can focus not just on the immediate injury but also on underlying issues, movement patterns, and overall wellness. This comprehensive approach leads to better outcomes and a more sustainable recovery.

Freedom to Choose Your Therapist

When using insurance, you may be limited to a specific network of providers, which can restrict your ability to choose the physical therapist who is the best fit for you. By opting to pay out of pocket or use an out-of-network provider, you have the freedom to choose a therapist who specializes in your specific condition or injury and aligns with your treatment philosophy. This allows you to work with a therapist who understands your goals, listens to your concerns, and has the expertise needed to guide you through your recovery journey.

The ability to choose your therapist can greatly impact your overall experience and satisfaction with your care. A strong therapeutic relationship, built on trust and mutual understanding, is essential for achieving the best possible outcomes.

Focus on Prevention and Long-Term Health

Insurance-based physical therapy is often focused on addressing immediate symptoms and achieving short-term goals, such as pain reduction or functional restoration. However, once these goals are met, insurance coverage may end, even if you still have ongoing needs or concerns. When you’re not relying on insurance, your physical therapist can take a more proactive approach to your care, focusing not only on treating the current issue but also on preventing future injuries and promoting long-term health.

This could include ongoing maintenance sessions, education on injury prevention, and the development of a long-term exercise and wellness plan. By prioritizing prevention and long-term health, you’re more likely to stay injury-free and maintain optimal physical function for years to come.

Transparency and Control Over Your Care

Transparency and Control Over Your Care

When you choose not to use insurance for physical therapy, you gain greater transparency and control over your care. You’re not subject to the approval processes, copayments, deductibles, and billing practices of insurance companies, which can sometimes be confusing and unpredictable. Instead, you have a clear understanding of the costs involved and can make informed decisions about your treatment.

Paying directly for your physical therapy care also allows you to prioritize what’s most important to you. Whether it’s spending more time on manual therapy, focusing on a specific area of concern, or investing in advanced techniques, you have the freedom to tailor your care to your unique needs and preferences.

FAQ Section

Frequently Asked Questions:

Will my health savings account (HSA) or flexible spending account (FSA) cover out-of-pocket physical therapy costs?

A: Yes, in most cases, you can use your HSA or FSA to pay for out-of-pocket physical therapy expenses. These accounts allow you to set aside pre-tax dollars to cover qualified medical expenses, including physical therapy. Be sure to check with your HSA or FSA provider for specific details and guidelines.

How do I find an out-of-network or self-pay physical therapist?

A: You can find out-of-network or self-pay physical therapists by searching online, asking for recommendations from friends or healthcare providers, or contacting local clinics directly. Many physical therapists offer self-pay options and will be happy to discuss their services and pricing with you.

Is paying out of pocket for physical therapy worth the cost?

A: While paying out of pocket for physical therapy may require a financial investment, the benefits of receiving personalized, comprehensive, and high-quality care often outweigh the costs. By prioritizing your health and recovery, you’re more likely to achieve better outcomes and prevent future issues, which can save you time, money, and stress in the long run.

Conclusion and Call-To-Action

In conclusion, while using insurance for physical therapy may seem convenient, opting to pay out of pocket or choose an out-of-network provider can offer significant benefits that enhance your overall treatment experience. By freeing yourself from the limitations of insurance, you can receive more personalized, flexible, and comprehensive care that’s truly focused on your unique needs and long-term health goals. If you’re considering physical therapy and want to explore your options, reach out to our Avondale physical therapy team who offers self-pay services or out-of-network care. Investing in your health today can lead to better outcomes and a healthier, more active future.

A man in a suit and tie smiling.
Author

Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Taylor Calixto, PT, DPT Cert. DN, PCES

Physical therapist headshot at Continuous Motion Physical Therapy in Goodyear AZ

Originally from Seattle, Dr. Taylor Calixto has always had a passion for sports, health, and movement. A lifelong soccer player, she was drawn to physical therapy after recovering from a shoulder injury. She earned her undergraduate degree from Boise State and completed her Doctorate of Physical Therapy at Western University of Health Sciences, where she developed a strong foundation in evidence-based, patient-centered care.
While in school, Taylor discovered a passion for pelvic health, inspired by two mentors who helped shape her path. She earned her dry needling certification in 2023 and completed advanced pelvic floor training in 2024. Dr. Taylor is committed to empowering patients through personalized, compassionate care—whether they’re returning to sport, navigating pregnancy and postpartum, or addressing pelvic health concerns.

Ashley Hardman - Performance Coach

 

Ashley Hardman brings a wealth of experience and passion to her role as a Performance Coach. She graduated from Brigham Young University (BYU) with a Bachelor of Science in Exercise and Wellness and a minor in Psychology, while also competing as a Division I softball player for four years.

During her fifth year at BYU, Ashley interned with the Olympic Strength Coaches, where she oversaw training programs for all campus athletic teams and ran the Gymnastics strength program. She went on to intern at EXOS in Carlsbad, CA, where she assisted in training club swim athletes, military personnel, retired NFL players, and NFL prospects.

Ashley’s diverse background also includes working as a physical therapy aide, a chiropractor scribe, and a personal trainer at a private gym. After relocating to Arizona, she returned to her alma mater, Estrella Foothills High School, as the Strength and Conditioning Coach, where she taught Weight Training and Athletic Performance classes, and led after-school strength programs for all campus sports.

Now at CMPT, Ashley is committed to helping clients achieve their goals by pushing them to become the best version of themselves. She believes in making 1% progress every day—for herself and for those she trains. Her personal approach to coaching builds strong relationships with clients and athletes, creating a motivating and supportive environment for lasting success.

 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified

Dr. Tyler Smith, PT, DPT

Physical Therapist

Dr. Tyler Smith is a Doctor of Physical Therapy with nearly a decade of clinical experience helping patients recover from injury, eliminate pain, and get back to doing what they love. He earned his Bachelor of Science in Exercise Science from the University of Akron before going on to earn his Doctorate of Physical Therapy from the University of South Florida. His background in exercise science laid a strong foundation for his hands-on, movement-focused approach to rehabilitation.

Dr. Smith is currently completing the American Academy of Manipulative Therapy (AAMT) Orthopedic Manual Physical Therapy Fellowship — one of the most prestigious post-graduate programs in the profession, held by only a small percentage of physical therapists. This advanced fellowship training reflects his commitment to delivering the highest standard of manual therapy care to every patient.

A standout specialty of Dr. Smith's is his work with golfers. He holds a Titleist Performance Institute (TPI) Medical Level 2 certification, the gold-standard credential in golf fitness and rehabilitation. Dr. Smith has spent years assessing and treating golfers of all ages and skill levels, understanding the unique demands the golf swing places on the body to design individualized programs that reduce injury risk, improve performance, and keep golfers on the course. He is also certified in Dry Needling and specializes in cervical, thoracic, and lumbar spine manipulation, as well as the evaluation and treatment of overhead athletes.

Outside the clinic, Dr. Smith enjoys being active and spending time on the golf course.

Credentials

Dr. Elana Trejo, PT, DPT

Physical Therapist

Dr. Elana Trejo has been a competitive athlete for most of her life and brings firsthand understanding of what it means to train hard, push through physical demands, and want to get back to full performance — not just feel better. That drive has taken her all the way to the competitive karate world stage, where she will be competing in the Karate World Championships this year.

Dr. Trejo earned her Doctorate in Physical Therapy from Franklin Pierce University and has spent three years treating a wide range of musculoskeletal and orthopedic conditions, including post-operative recovery, chronic pain, and acute injuries. She is trained in manual therapy, therapeutic exercise, and a variety of evidence-based modalities.

Dr. Trejo has specialized training in pelvic health through Herman and Wallace and ICE Pelvic Health, two of the most well-regarded pelvic floor programs in the country. She works with patients navigating leaking, pelvic pain, prolapse, core dysfunction, pregnancy-related discomfort, and postpartum recovery — always with a lens toward keeping them active and performing at their best.

Her dual background in orthopedics and pelvic health means she can dig deeper into what is actually driving your symptoms and build a plan that gets you back to doing what you do.

Credentials