Frequently Asked questions

Effective January 9, 2023: We are now located at 500 North Bullard Avenue, Suite 28, Goodyear, AZ 85338.

Directions:

  1. Exit onto Bullard Avenue from the I-10 freeway and head NORTH.

  2. Continue straight on Bullard Avenue for approximately 0.5 miles.

  3. Look for the office complex at 500 North Bullard Avenue on your right.

  4. Turn into the driveway and proceed to the parking area.

  5. Park in any available spot near Suite 28.

  6. Walk towards the entrance closest to Suite 28.

I do accept some insurance plans. Please call me to determine if your insurer contracts with me.

 

For those who fall outside of my network, many of my clients do seek reimbursement from their own insurance companies after treatment sessions. For this situation, I provide a ‘Superbill’ which you can provide to your insurance company. I’d recommend you reach out to your insurance company about the process. For those with plans outside of my networks, I am most likely going fall under the category of ‘out-of-network provider’.

 

Here’s what I recommend you learn when you speak with your insurance company:

  1. Ask them about their physical therapy benefits for out-of-network providers,
  2. How much is your out-of-network deductible and how much of it is left for the year,
  3. If you’ve met your deductible for the year, ask what your co-insurance percentage is now that you’re over your deductible
  4. Ask if there are any annual session amount limits and if your insurance requires another practitioner’s referral

You don’t need a referral to see a physical therapist. Typically, you can just call me directly to schedule a session.

 

Note: If you plan on seeking reimbursement with your insurance, some plans require a referral. Please call your insurance plan’s member services line for additional context and information.

Every patient is different, and the amount of time to heal really varies on a variety of factors. A good example is if you’ve had pain for a long time, with a complex root cause. This situation may be a more involved process than someone with a recent issue. For this question, your best answer would be to call me to clarify your individual situation. At our first session together, I’ll be able to more clearly evaluate you, and give you a recommended individualized treatment course.

My sessions typically last 60 minutes.

A typical session starts by reviewing your current concern, and your complete medical history. We can also review any medical images (MRIs/CTs/etc.) you may have, as well as any past treatments you’ve tried before seeing me. I’ll ask you about context: when and how you experience your issue, and then perform a physical examination. Depending on your situation, this may include external testing for strength and flexibility, or, in some cases that involve the pelvic floor, may include an internal pelvic examination. From there, we will initiate a specific and individualized treatment, which may include a home exercise program.

Please bring the intake forms that I will email you after you schedule your first session. Also, feel free to bring any medical records and images related to your situation, including MRIs/CTs/etc. that could be helpful.

Babies attend my sessions quite frequently and are encouraged! We typically include your child in your individualized home treatment plan, and can pause during sessions for diaper changes and feedings.

Please wear something light and comfortable. In some cases, I may provide manual work, so keep that in mind, as thick clothes may be problematic.

 

If you have a hip, knee, leg, or ankle situation, I’d go for shorts or a skirt.

Marci Silverberg, MPT: California Physical Therapy License # 29318

For more information on Marci’s education and training, please click here

Natalie (Nazanin) Shobeiri, DPT: California Physical Therapy License # 300164

For more information on Natalie’s education and training, please click here

Yes.

 

Notice of the right to receive a “Good Faith Estimate” explains how much your medical care will cost you. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance, an estimate of the bill for medical items and services.

 

You have the right to receive a Good Faith Estimate for the total expected costs of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your scheduled service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure you save a copy of your Good Faith Estimate.

 

For questions or more information about your right to a Good Faith Estimate, visit

www.cms.gov/nosurprises or call 1-877-696-6775

Pelvic Floor FAQ’s

Pelvic floor PT is a specialized form of physical therapy that treats dysfunctions of the pelvic floor muscles. The pelvic floor is a bowl-shaped group of muscles that sits at the base of the pelvis. The pelvic floor makes up the base of your core and plays a critical role in bowel/bladder control and sexual function. While pelvic floor dysfunction is often discovered during pregnancy or postpartum periods, it can be present at any age and for a variety of reasons. Our pelvic floor physical therapists are Doctors of Physical Therapy with specialized, post-doctoral training in pelvic floor dysfunction.

During your first session, your therapist will first review relevant medical history as well as gather detailed information regarding your symptoms. Questions may be related to pain, bladder habits, bowel habits, water intake, intercourse, activity levels, and goals. While it can be uncomfortable for some to discuss certain topics, please be aware that your therapist treats these conditions every day and it provides valuable information to accurately diagnose and treat your symptoms.

The physical exam will begin with a global overview of how your body moves and will often include range of motion, strength, stability/balance, and functional movements such as squatting. This provides important information regarding any movement dysfunctions or muscle imbalances that can contribute to pelvic floor dysfunction.

Internal exam
The gold standard for assessing pelvic floor muscles is an internal pelvic floor muscle assessment. Unlike the muscles of your arm or leg that you can clearly see move during contraction and relaxation, range of motion of the deep pelvic floor muscles cannot be seen or felt without a pelvic floor muscle assessment. An internal exam consists of the therapist placing one gloved finger vaginally (or rectally, depending on symptoms) in order to thoroughly assess muscle tension, strength, ability to lengthen, and endurance of the pelvic floor muscles. There are no tools such as a speculum used during a pelvic PT exam.

While the internal muscle exam gives the most specific and useful information in creating your treatment plan, it is only performed if you are completely comfortable with it. You can still participate in PT if you do not wish to or are not medically cleared for a pelvic floor muscle assessment. Please communicate with your therapist if you have any questions, concerns, or would like to omit the internal exam and they will be happy to accommodate.

Treatment for pelvic floor dysfunction will depend on your symptoms, objective findings from the physical exam, and your goals. Pelvic floor treatment may include patient education such as bladder retraining, direct/internal pelvic floor myofascial release, external manual therapy to pelvic floor, re-education on how and when to properly contract and relax pelvic floor muscles, exercises focused on full pelvic floor range of motion, strengthening, and addressing any associated deficits at the hips, low back, etc.

Tools are also sometimes included in treatment depending on your needs. Pelvic floor specific tools may include vaginal dilators, pelvic wands, and/or pelvic floor weights. These tools are often reviewed in therapy for patients to use at home. Our therapists are also trained in dry needling, cupping, and instrument-assisted soft tissue mobilization for other areas of the body such as back, hips, neck, etc.

No! While many people think that pelvic floor issues are normal, and were maybe even told so by their physician, this is simply not true. While pelvic floor dysfunction is common, it is not considered normal and should be addressed by a professional. You do not have to live with urinary leakage, abdominal separation, or pain with intercourse!

Yes, you may always have your partner or loved one accompany you to your appointment. Depending on your symptoms and goal, it may even be recommended to have your partner attend a session in order to learn how to help you achieve your goals. For example, many partners are involved when the goals are to reduce pain with intercourse or learn labor techniques to improve pain and assist with labor positioning.

Menses will not affect a pelvic floor exam or treatment. However, it is completely dependent on your comfort level. If you are having increased pain/cramping and wish to avoid internal pelvic floor work, please let your therapist know and that can be omitted during your session. It is still beneficial to come to your appointment as there are more components to treatment than internal work. If you have specific questions, please reach out to your therapist and they will be happy to assist you.

In the state of Arizona, you do not have to see a physician first in order to see a physical therapist. PT’s are trained to recognize issues that go beyond the scope of therapy and require further assessment from a physician. During pregnancy, it is common for your PT to be in communication with your OB or midwife as part of your perinatal team.

Pregnancy is a wonderful time to seek pelvic PT. Physical therapy can help address common aches and pains experienced during pregnancy such as pain in the pelvis, pubic symphysis, groin, round ligaments, hips, low back, and upper back. In addition, this is a time we frequently see new onset of worsening of urinary or fecal incontinence, prolapse, and painful intercourse.

It is important that your OB or midwife is aware of all treatments received during pregnancy, including pelvic floor PT. It is common for your pelvic PT to be in communication with your provider for progress updates and to discuss any health concerns that may affect treatment. For example, some patient’s may be placed on ‘pelvic rest’ for medical reasons and internal pelvic floor muscle assessment will be omitted. If you have no restrictions on intercourse during your pregnancy, your provider will likely not have any concerns with pelvic floor treatment as intercourse is much more invasive than any treatment you will receive!

The number of visits and frequency will be determined at your evaluation and will be based on your individual needs.

Clients with male specific pelvic floor diagnosis will be assessed on a case by case basis, based on our clinicians training.

Unsure if we are a fit for what you have going on? Set up a Free Discovery Call to see if we can best help you reach your goals.

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Dr. Khristian McGinley, PT, DPT Cert. DN

therapy in pregnancy

Dr. Khristian McGinley, physical therapist, grew up here in Phoenix, as a competitive softball player with a longtime passion for health and wellness. After sustaining an elbow injury in high school and attending PT herself, she knew that she wanted to pursue a career helping people recover from injuries and getting back to doing what they love. She eventually received her B.S in Nutritional Sciences from the University of Arizona in 2013, then earned her Doctorate in Physical Therapy from Franklin Pierce University in 2017.

Dr. McGinley began her career with a passion in pediatrics and orthopedics, undergoing coursework to treat diagnoses such as torticollis, developmental delay, and toe walking. She also became certified in Dry Needling in 2017, and since then has been additionally trained in Dry Needling for Pelvic Rehabilitation. After the challenging birth of her first child, she developed a passion for treating the pregnant and postpartum population. She became specialty training in Pelvic Floor Rehabilitation in 2021 and since then has focused her practice on helping moms achieve pain free pregnancy, peaceful childbirth, and complete postpartum recovery. She specializes in diagnoses such as urinary incontinence, diastases recti, pelvic organ prolapse, and pelvic pain.

Outside of the clinic, Dr. McGinley enjoys hiking, running, camping, weight lifting, and playing slow pitch softball. She loves spending as much time as she can outside with her husband and two children.

Dr. Khristian McGinley’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)
  • Specialty-trained in Pelvic Floor Therapy

Renée Ruchala - CSCS

Renée Ruchala, Strength and Conditioning Specialist grew up in Chicago, IL. Growing up as a dancer, she developed a deep passion for fitness, sports, and health. After hitting a plateau in her ballet, she realized the benefits of strength training for dancers and all athletes. She knew she wanted to pursue a career in coaching athletes. 


She earned her Bachelor’s degree in Exercise Science from Grand Canyon University in 2023. Renée was a sports performance intern at the University of Utah, Arizona State University, and Grand Canyon University. She worked alongside collegiate strength and conditioning coaches with both men’s and women’s Olympic sports teams in the weight room. 


In addition to sports performance, Renée is also a professional dancer with the Arizona Rattlers Indoor Football Team and a Coach at F45 Training GSQ.


Renée’s Certifications:

  • Certified Strengthen and Condition Specialist (CSCS) 

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