Durability | Before Ability.

Advanced Therapy and Performance is a Hybrid Provider

What does that mean? It simply means we offer “Insurance” and “fee-for-service(s)” treatment options to all our patients.
We aim to provide the best quality care without the restrictions or limitations that are often seen within the complicated and at times difficult to navigate healthcare system. 

We gladly accept insurance plans. Please call us at 260-255-6494 as we are always adding new insurance plans.

As a “fee-for-service” there are no hidden fees, no loopholes, no fine print. 

If requested, we are able to provide you with a Superbill that will give you the option to submit for reimbursement per your insurance’s out-of-network policy and benefits.

Have an HSA or FSA through your insurance provide?

  • We DO accept Health Savings Account (HSA) and Flexible Spending Account (FSA).

Don’t have an HSA or FSA?

  • We understand that at times finances are tight and we never want to have that be a barrier.
  • We offer a number of payment plans for those looking to pay-as-you-go to help the cost of care.

Fee-for-service options:

Physical Therapy

All physical therapy plans of care will begin with a comprehensive evaluation and assessment which may include manual/hands-on work, corrective exercises and an initial home exercise program to help provide you with the tools and techniques to begin your journey back to full, pain-free fitness and function. Follow up treatments will also be tailored to your specific condition on an as needed basis. 

Physical therapy is a branch of the allied healthcare profession in which the skilled physical therapist utilizes multiple treatment approaches geared towards maintaining functional mobility in daily life.  These treatment approaches may include manual therapy techniques, therapeutic exercise, gait training, activities of daily living training and even home safety.  Physical therapy can reduce healthcare costs on a yearly basis, as physical therapists are able to evaluate, diagnose and treat multiple musculoskeletal, orthopedic and neurological conditions.

The American Physical Therapy Association (APTA) describes physical therapists abilities to:

  • “Diagnose and manage movement dysfunction and enhance physical and functional abilities”
  • “Restore, maintain and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health”
  • “Prevent the onset, symptoms and progression of impairments, functional limitations and disabilities that may result from diseases, disorders, conditions or injuries”

Training in safe and effective joint and spinal mobilizations. These techniques can be beneficial for stiff or painful joints.

Spinal manipulative therapy, or SMT, is the application of a quick “thrust” to a joint or multiple joints to the target segment(s).  SMT is a “momentum-induced” technique that aims to target multiple joints within the spinal column or a single joint within the arms or legs.  These “manufactured-barrier” techniques are utilized by highly-trained physical therapists and/or physicians and are much different from the chiropractic approach, which is commonly referred to “locking-down/combined-leverage” techniques.  SMT can help improve joint range-of-motion, increase blood flow, decrease tissue restrictions and even improve soft-tissue mobility.

Dry Needling is a skilled clinical intervention using thin, filiform needles to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of musculoskeletal and neuromuscular pain and movement impairments.  It is a technique used to treat dysfunctions in skeletal muscle, fascia, and connective tissue and to reduce or restore impairments in body structure and function, leaving to improved activity and participation. 

Cupping has been used for centuries in the practice of Oriental Medicine (or Traditional Chinese Medicine) in order to treat all types of diseases. In the medical community, cupping is widely accepted as a therapy tool in order to treat neuro-musculoskeletal impairments causing pain. These impairments include muscle soreness, spasms, decreased flexibility, and reduced blood flow. The negative pressure inside the cups leads to an increase in blood flow, responsible for healing and repair. The cups also create a ‘stretching’ or ‘tension’ moment through the fascia underneath which leads to increased fibroblast activity. Fibroblasts are responsible for connective tissue healing, remodeling, and repair, and thus, reduces pain.

Instrument-assisted soft tissue mobilization, or IASTM, is the use of tools (rather than the therapists hands) for manual therapy interventions, specifically geared towards breaking down chronic scar adhesions and fascial plane restrictions.  Some IASTM tools may include Gua-Sha, cupping, FRAMS, kinesiology taping or use of a mobilization wedge.  These other manual therapy tools can help further improve tissue mobility, blood flow, reduce swelling and improve joint movement. The use of IASTM is another tool in the physical therapist’s toolkit to help jumpstart the functional restoration processes.

Body Tempering is a myofascial release (massage) methodology.

lood flow restriction training involves wrapping a pneumatic cuff around ones extremity and systematically compressing a working limb with the intent to restrict the clearance of blood flow away from a working muscle during rest periods. The restriction of the venous system while still allowing arterial flow will cause a buildup of metabolic muscle byproducts and lead to the enhanced activation of specific muscle growth pathways. Prior to blood flow restriction training, the only previous way to achieve muscle adaptation was with repeated bouts of High Intensity training (HIT). 

Have exercises provided which are tailored specifically for YOUR diagnosis to meet YOUR goals.

  • Initial Evaluation & Assessment
    During this initial session, we take our time with you to determine any deficits or dysfunctions that may have contributed to injury or may even increase your risk of re-injury. This allows us to help you minimize or eliminate the cause of pain you may currently be dealing with and develop the best plan of care.
  • 60 min Follow-up Treatment
    Consist of re-assessing pain and function to determine how to best progress with plan of care. These follow-up sessions will be used to provide appropriate manual therapies - as needed - and progress your personal treatment plan in order to continue to improve symptoms and work on corrective programming to ensure that you continue progress toward your goals.
  • 30 min Follow-up Treatment

Interested in packaged discounts? Please see below for offers.

One-on-One Treatment
With a Doctor of Physical Therapy
Manual Therapy
Spinal Manipulation
Dry Needling
Instrument Assisted
Soft Tissue Work
Tailored Exercise Prescription
1 Session
4 Sessions (10% off)
6 Sessions (15% off)
8 Session (20% off)
60 Minutes
$360 (save $40)
$510 (save $90)
$640 (save $160)
30 Minutes
$216 (save $24)
$306 (save $54)
$384 (save $96)

Dry Needling

Dry needling, or DN, is a Western Medicine approach in which treatments serve to aid in the healing process of neuromuscular pain syndromes.  The use of sterile, monofilament acupuncture needles (without injectate or anesthetics) are inserted into or near the target tissue including muscles, tendons, ligaments, fascia or nerves.  Once the needle(s) is/are in place, it can be utilized to decrease activation of trigger points, decrease soft tissue restrictions, improve blood flow and ultimately break the chronic pain cycle.  Sometimes, the needle(s) is/are utilized with an electrical current, termed electro-dry needling (EDN), which has shown to produce profound effects of pain control in the short- and long-term timelines.

20 minute Sessions:
$35/per session


Recovery Session​

This is for the active individuals who need a little extra care following a heavy training day, race, competition, etc. We use our modalities (such soft tissue work, instrument assisted soft tissue mobilization, tempering, sports cupping) for a 20min visit to decrease muscle soreness. De-stressing from overtraining, and performance optimization. This option is meant for body recovery or body preparation for upcoming events.

20 minute Sessions:
$35/per session


Performance Programming

We have been approached by numerous athletes inquiring about full body assessments and ways to address areas of weakness, mobility deficits or train seriously and are ready to invest more time and effort into competing at a higher level. You will train 5 days a week with active recovery work on “off” days. These visits are designed to do just that. The initial visit is a thorough assessment identifying movement compensations, areas of weakness, mobility deficits, etc. Your PT will then provide you with an initial program to address specific areas found during your initial assessment that will benefit from mobility/stability exercises. For 2-4 weeks you communicate remotely, then return back into the office for a 30min visit to assess progress and make changes to your program and achieve your goals faster with a competitor plan to help improve your strength, gymnastics and engine. These visits have a strong proactive approach to physical therapy care.

**Coming Soon**

Performance Programming

Praus Protection

If you are a current member at CrossFit Praus your current membership is treated as a copay towards the overall cost of the service for a discounted price. Below you will find the above services at a reduced price.

Physical Therapy

Initial Evaluation & Assessment: $60
Follow Up Treatments:
60 minutes $60
30 minutes $35

Dry Needling Session

Treatments: 20 minutes $25

Recovery Session

Treatments: 20 minutes $25

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