Mobile practice · In-home & partner gyms
My care is science-based. You won't see modalities that just kill the hour.
I'm Thomas Cole — a Doctor of Physical Therapy (DPT, 2016) and a lifelong student of how bodies actually adapt. I've trained karate since 2003, jiu-jitsu since 2014, judo since 2022, and on the side: weightlifting, running, cycling, yoga, and just about anything else that moves a load through space.
That obsession bleeds into my practice. I read studies to make sure I'm always being as efficient as possible in my training — staying current on rehab, training, and nutrition research — and I won't run you through anything that doesn't have a real basis behind it. No e-stim-and-watch-the-clock. No twenty-minute heat-pack appointments. Just the work that drives recovery and capacity, hour after hour.
If a treatment doesn't have research behind it driving real recovery, it doesn't go on your schedule. No useless modalities, no clock-killers.
Pain is a signal that load has outpaced capacity. We rebuild capacity — of tendons, joints, the nervous system — so your body more than tolerates what your sport demands.
You see me, every visit, for the full session. No techs running generic circuits while I chart someone else.
Mobile practice. Your home, your gym, or one of my partner gyms around Vancouver — wherever the work makes the most sense for you.
A focused hour beats four rushed ones. Most clients are seen 4–8 times total — not 24+ — because the work is denser and more specific.
The goal isn't to keep you on the schedule — it's to get you back to your sport and your training, better than before.
15 min · phone or video
75 min · in-home or partner gym
60 min · in-home or partner gym
Insurance dictates how long I can see you, what techniques I'm reimbursed for, and how often you can come in. That model produces shorter visits, more visits, and less individualized care.
By going cash-pay I get to spend a full hour with you, choose the right tools without billing constraints, and design a plan that's actually about your goals — not what an adjuster approves.
No. Both Washington and Oregon allow direct access — you can see a physical therapist without a physician's referral. If imaging or a specialist is needed, I'll help coordinate that.
Yes. Physical therapy is a qualifying expense for both HSA and FSA accounts. I accept these as payment directly.
Possibly — many PPO plans offer some out-of-network reimbursement. After each visit I can provide a superbill (an itemized receipt with the codes your insurer needs) which you submit to your plan. Reimbursement varies; we'll talk it through on the discovery call.
Most clients are seen 4 to 8 times total, spaced over a few weeks. The work is denser than a traditional PT visit and the goal is to send you back to training — not keep you on the schedule.
A lot of that density comes from leveraging the physiology of exercise itself: the adaptations that take place as you load tissue — tendon stiffness, motor control, capillary density, neural drive — are the actual mechanism of recovery. We program for those adaptations, then get out of the way.
About 75 minutes total. We'll talk through your history and goals, then I'll assess how you actually move — sport-specific tests if relevant. We do hands-on treatment day one, and you leave with a clear plan and a take-home program.
Wear clothes you can move and warm up in.
I run a mobile practice based in Vancouver, WA. Sessions happen in your home, at your gym, or at one of my partner gyms around the area — wherever has the equipment we need and works for your schedule.
Sport and non-sport injuries alike. Strains, sprains, tendinopathies, post-op rehab, lower back and neck pain, joint issues, nagging stuff that hasn't resolved with a generic plan — anything that comes down to building tissue capacity and restoring how you load and move.
If something falls outside my scope or needs imaging or a specialist, I'll tell you straight and help you find the right person.
Cash-pay, evidence-based physical therapy for athletes who are done being a billing code.
Mobile practice · Vancouver, Washington.
Mon–Fri · 7a–6p
Sat · By appointment
Sun · By appointment