Meet your Doctors of Physical Therapy
Sports Physical Therapy
Triathlete
Back to race training, pain free.
One-on-One Treatment Every Session
Physical Therapy Miami: One Hour, One Doctor, Every Session
Symmetry is a therapist-owned clinic in Downtown Miami and Brickell. Every session is one full hour with your own Doctor of Physical Therapy (DPT). Never an assistant. Never a student. Never shared.
One session60 min
Trusted by Competitive Athletes, Top Executives, and Referring Physicians
Top 2%Ranked in the top 2% of fellowship-trained physical therapists in the country.
200+Five-star Google reviews.
10+Years as a therapist-owned private practice.
2016–23Voted Best Miami Physical Therapists, 2016 to 2023.
Collegiate Athlete
Return-to-sport rehab, one-on-one.
Pro Beach Volleyball Player
Performance care between tournaments.
See all our trusted partners
The Symmetry difference
What One-on-One Actually Means Here
Your Hour Is Only for You
At most clinics, one hour is split between three and six patients while an assistant runs the exercises. Here your hour is not split at all: one patient, one Doctor, start to finish.
The Same Doctor, Every Session
You will never be handed to an assistant, a technician, or a student, because we do not employ them. The DPT who builds your plan is the DPT who watches how your body responds and adjusts it.
You Will Know Why You Are Doing Every Exercise
We evaluate the whole body to find the root cause, not just the sore spot, then explain every exercise and manual technique while you do it. You leave understanding your own body, which is what makes the results hold.
Session comparisonPer one-hour session
| Compare | Most Miami clinics | Symmetry |
|---|---|---|
| Your hour | 3–6 patients share 1 Doctor per hour | 1 Doctor. 1 patient. Full hour. |
| Your exercises | Assistants manage your exercises | No assistants. No aides. Ever. |
| Each visit | Different provider each visit | Same Doctor. Every session. |
“I like that he explains the science behind every exercise.”
Clinical excellence
Programs, Specialties, and Technology
Every program below is delivered one-on-one by your Doctor, in a full hour that belongs to you.
Treatment Programs
Orthopedic rehabilitation and outpatient care for injury, surgery, and chronic pain, for patients of all ages from 13 up.
Specialties
Care for the conditions general clinics send elsewhere, delivered in a private, compassionate setting by clinicians with specialty certifications in vestibular rehabilitation, concussion, and pelvic health.
Technology
Hands-on work and technology we use because the research supports it, from myofascial release and electrical stimulation to radiofrequency current and occlusion training.
Featured technology
Blood Flow Restriction (BFR)
Blood Flow Restriction (BFR) lets you train at 20 to 30% of your maximum load and build the same strength as lifting at 80%. It activates the mTORC1 protein synthesis pathway, the same mechanism heavy lifting triggers, and cuts post-surgical atrophy by up to 50% in two weeks.
Explore Blood Flow Restriction
Load you lift20–30%
0%of your maximum load100%
Strength you build≈ 80%
The same strength response as lifting at 80% of your max.
Post-surgical atrophy−50%
Up to 50% less in the first two weeks.
Clinical leaders
Meet Your Doctors of Physical Therapy
Every clinician here holds a doctorate, and several are fellowship-trained: an advanced post-doctoral credential, earned through years of extra clinical training, that places a provider in the top 2% nationally.
Meet Our Team
Founder
Dr. Natalia Sikaczowski
PT, DPT, CSCS, Cert. DN, BFR-C, Cert. VCS
Founder. Certified Strength and Conditioning Specialist. Certified in Dry Needling. Blood Flow Restriction Certified. Vestibular Concussion Specialist.
Full profile
Fellowship-trained
Dr. Tessa Tiscareno
PT, DPT, FAAOMPT, AIB-VRC, Dip. Osteopractic, Cert. SMT, Cert. DN
Fellow of the American Academy of Orthopaedic Manual Physical Therapy. Diploma in Osteopractic. Vestibular and Concussion Rehabilitation Specialist. Certified in Spinal Manipulative Therapy and Dry Needling.
Full profile
Vestibular and concussion
Dr. Jose Palomo
PT, DPT, Cert. DN, Cert. VCS
Certified in Dry Needling. Vestibular Concussion Specialist.
Full profilePortrait to come
Pilates
Dr. Erika Ladcani
PT, DPT
Certified Pilates Instructor.
Full profile
Pelvic health
Dr. Vanessa Tarr
PT, DPT
Pelvic Health Specialist.
Full profileInsurance, Pricing, and Your First Visit
What we accept
Symmetry is an out-of-network provider. We accept all major PPO and POS policies, and most patients receive meaningful reimbursement. HSA and FSA accounts are accepted. HMO policyholders are welcome as self-pay patients.
Check Your BenefitsWhat it costs
$175per session,
self-pay
self-pay
Self-pay starts at $175 per session. There are no pre-paid packages, because we individualize every plan session by session and you should never pay ahead for care you may not need.
What happens on day one
Under Florida Direct Access, no physician referral is needed for your first 30 days per body part. Your first visit is a thorough evaluation of the injury and the regions feeding into it. We build your plan of care and start treatment the same day. If you do need a referral later, we will help you find the right specialist and schedule it.
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Testimonials
What Patients and Referring Physicians Say
Referring physician
“Beyond professional. True experts in physical therapy. As a pain management doctor, I have full confidence in sending my patients to Symmetry PT for continued care. Highly recommend.”
Physician and patient
“I am a physician as well as a patient at Symmetry PT. I have recommended many patients of mine throughout the years with great feedback and outcomes. As a patient, I have had several injuries throughout the years of training for triathlons. I have had a very successful outcome every time. I am now running better than ever and pain free.”
Patient
“I was involved in a car accident that resulted in awful neck pain. The treatment I received at Symmetry was outstanding and I haven’t had pain in months! They are professional, knowledgeable, caring, and always keep your best interest in mind. This team is simply the best therapy team out there!”
Location
Visit Us in Downtown Miami and Brickell
Our clinic is at 28 W. Flagler St., Suite 901, one block from Government Center and minutes from Brickell. Patients travel to us from Miami Beach, Edgewater, Key Biscayne, and across South Florida.
Live Google Map embed in the build
Symmetry Physical Therapy28 W. Flagler St. Ste. 901S
Google Map directions
Common questions
Frequently Asked Questions
Have questions? Call us at (305) 331-2277 or book online.
How much does physical therapy cost in Miami?
Self-pay at Symmetry starts at $175 per session. Rates around the city vary widely, mostly on whether a clinic is in-network and how many patients share the hour. We are out-of-network, and most patients with PPO or POS coverage receive meaningful reimbursement.
Does Symmetry accept my insurance?
We accept all major PPO and POS policies as an out-of-network provider, and HSA and FSA accounts are accepted. HMO policyholders are welcome as self-pay patients. Use the Check Benefits page to confirm your coverage in a few minutes.
Do I need a doctor’s referral?
Not for your first 30 days per body part. Florida Direct Access lets you start without a physician referral. After 30 days one may be required, and we will help you find the right specialist and schedule the appointment if you need it.
Will I see the same physical therapist at every session?
Yes, every visit, from evaluation through discharge. The clinician who built your plan is the one who sees how your body responded since Tuesday and changes it accordingly. Nobody hands you off.
What is one-on-one physical therapy, and why does it matter?
One patient and one Doctor for the whole session: no assistants, no aides, no students, no other patients on the schedule. At high-volume clinics your hour is divided between three and six people. Here it is not divided.
What is a Doctor of Physical Therapy, and what does fellowship-trained mean?
A DPT holds a seven-year doctoral clinical degree. Fellowship training is an advanced post-doctoral credential earned on top of that, and it places a clinician in the top 2% nationally. Every provider at Symmetry is a DPT, and several hold fellowship credentials.
What should I expect on my first visit?
A thorough evaluation of the injury and the areas feeding into it, because low back pain often starts at the hips. We identify what is driving the symptom, build your treatment plan, and begin the same day with manual therapy, exercise, and education.
Can physical therapy help with migraines, vertigo, concussion, or jaw pain?
Yes. Cervicogenic headaches, vestibular disorders, concussion, and TMJ all have mechanical drivers that respond to hands-on treatment, joint mobilization, dry needling, and postural correction. See our specialty pages for each.
Recovery starts here
Book Your Session
One hour. One Doctor. Schedule an appointment online, or call and we will find you a time.
- Monday to Friday 7:30 AM to 7:30 PM
- Saturday 8:00 AM to 2:00 PM
- Sunday Closed