About Your Visit

At Denver Physical Therapy, we are committed to making your experience as comfortable as possible. The following are answers to frequently asked questions about what can be expected during your visit.

Q: Do I need a referral from my doctor?

A: A referral is not always necessary. It is dependent on each specific insurance company/plan. Colorado is a direct access state for physical therapy. This means that you can access physical therapy care without a referral. If you would like your insurance to pay for physical therapy services, it is important to contact your insurance company to determine if a referral is necessary for benefits to be paid out. If insurance is not available, you do not need a referral.

Q: What Is Direct Access?

A: Colorado is a “DIRECT ACCESS” state. This means that legislation in Colorado was passed allowing licensed physical therapists to evaluate and treat patients without first seeing a physician. Likewise as a “Direct Access” patient you do not need a prescription from your physician to receive out-patient physical therapy. However, many insurance plans do require you to have a prescription from your physician in order for outpatient physical therapy services to be covered and paid for by the insurance carrier.
As a “Direct Access” provider, physical therapists can truly provide direct access for diagnosis of, interventions for, and prevention of impairments, functional limitations and disabilities related to movement functionality. Physical therapists are experts in proficiently evaluating a patient’s musculoskeletal condition; and if appropriate, safely and effectively treating the patient. Physical therapists are highly-trained healthcare professionals, educated at the baccalaureate and post-baccalaureate level with extensive clinical training. Physical therapists have a proven track record of effectively treating millions of patients.
Physical therapists are also well-qualified to recognize when patients demonstrate conditions that should be evaluated by other healthcare professionals. We will suggest a referral to other health care professionals if necessary. In addition, with your permission, we will send our results to your physician and will work in conjunction with him/her.

~American Physical Therapy Association www.apta.org

Q: What should I bring to my first visit?

A: You should bring a prescription from your doctor if you have one, X-rays if you have them, the MRI or CAT scan report if you have it, and your insurance card.
Please arrive 10-15 minutes before your appointment time to complete the necessary paperwork, or save time and download the required forms from the patient portal.
Make sure to bring completed forms on your first visit!

Q: What should I expect for my initial visit?

A: On your first PT visit, the physical therapist will do an evaluation. This is a thorough assessment of overall posture, range of motion, strength, flexibility, and mobility. After the evaluation, your therapist will discuss their findings with you and then develop a rehabilitation program to help attain the goals you will set together to get back to optimal function. This program will include how the therapist will facilitate improvement (manual therapy, exercises, and modalities if necessary) as well as what you can do on your own.

Q: What should I wear to my PT visits?

A: You should wear comfortable clothing and shoes. If we are treating an extremity we will need to expose the area. For neck and back injuries, we will also need to expose the area. Gowns are provided and we do have rooms for changing.

Q: What are my payment options?

A: In most cases, we will bill your insurance company for your treatments. If a deductible, co-pay, or co-insurance are part of your plan, payment is expected at the time of service. We also have very affordable cash pay programs. Please call our office for details.

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Monday 8:00 am – 6:00 pm
Tuesday 7:00 am – 6:00 pm
Wednesday-Friday 7:00 am – 5:00 pm


  • One on One Care & Attention with a licensed Physical Therapist
  • Orthopedic Rehabilitation
  • Pre & Post- Surgical Rehabilitation
  • Manual Physical Therapy
  • Complex Spine Rehabilitation
  • Spine Instability – Prior Failed Rehab
  • Sports Rehab & Return to Sports

  • (TDN) Trigger Point Dry Needling Cervicogenic & Tension Headaches
  • Joint injury, trauma and arthritic conditions
  • Physical Therapy for Aging Adults
  • Work Injury Rehabilitation
  • Aquatic Therapy

Brooke Bemis, PT, DPT, OCS, Cert. DN, Clinic Director

Why Am I a PT?
What originally led me to the Physical Therapy profession was my extensive background in athletics. I was fortunate to play soccer at the Division 1 level, and continue past college to play semi-professionally. With this experience came an intimate knowledge of human performance, the body, and of course; injury. This rich history in athletics led me to become a personal trainer and aide at a PT clinic, and so began my love for the profession. I see myself as an educator. One who shares knowledge in such a way to lead people down a path toward physical proficiency, and in turn, freedom from pain. The relationship a physical therapist develops with a patient is the primary reason I love being a PT. It is never a dull day when helping people achieve their goals. I am fascinated by the workings of musculoskeletal system, and fulfilled by imparting this passion for health and the human body on others.
Continuing Education Commitment
I plan to pursue education in the Functional Movement Systems approach, the Postural Restoration Institute, and higher level certifications in Functional Dry Needling. These certifications will further my understanding of postural influences and compensatory strategies.
Professional and Community Activities
I have been a personal trainer since 2008 and stay actively involved in the fitness industry as a result. I am a certified CrossFit Level 1 Trainer and enjoy providing assist in programming workouts and coaching group classes. I also participate regularly in recreational soccer leagues and try to maintain semblance of my younger days as an athlete.

Ned Zerwic, DPT, PT

Why Am I a Physical Therapist?
After going through rehab for my knee as a patient and then running a “Personal Record Best” later that season, I became enamored with the power of physical therapy. I was and still am amazed at the human body, it’s complexity and ability to recover and rehabilitate. I knew early on that I wanted to work with people. What better way to combine my fascination with the human body as well as the human spirit and it’s ability to fight, recover and rehabilitate? It is my mission to partner with patients by educating and putting their body in the optimal position to rehabilitate from injury to return to previous activities, interests and sports in order to live life to the fullest!
Continuing Education Commitment
I plan to pursue certification in Dry Needling and take courses on nerve flossing and myofascial release to further my skill set at relieving pain and restoring function. I plan to study and sit for a board exam to become an Orthopedic Certified Specialist.
Professional and Community Activities
As an Eagle Scout, I got an early introduction into the beauty of wilderness and the outdoors. I am an enthusiastic about backpacking, hiking, camping, kayaking, skiing, rock climbing, etc. I run marathons for charity to benefit some friends of mine that are part of a religious order serving the poor in a rough neighborhood on the west side of my hometown of Chicago. I am an active member of my local church community and recently joined the serving the poor ministry.

Castle Rock

Monday – Thursday: 6:30 am – 7:00 pm
Friday: 7:00 am – 5:00 pm


  • One-on-One Care With a Licensed Physical Therapist
  • Orthopedic Rehabilitation
  • Pre & Post- Surgical Rehabilitation
  • Manual Physical Therapy and Spinal Manipulation
  • Active Release Techniques
  • Prior Failed Rehab
  • Sports Rehabilitation & Return to Sports
  • (TDN) Trigger Point Dry Needlingc
  • Joint over-use, trauma and arthritic conditions
  • Physical Therapy for Aging Adults
  • Work Injury Rehabilitation
  • Tension/ Cervicogenic Headaches
  • Aquatic Therapy
  • Treatment of Neurological Diseases
  • Performing Arts Medicine
  • Vestibular Therapy

Chad Hancock Director, PT, MSPT, CSCS, Cert. DN

Certified Dry Needling
Chad has been practicing physical therapy for over 15 years in an outpatient orthopedic sports medicine setting. He graduated from the University of Evansville, IN with a Master’s degree in physical therapy and has obtained through continuing education certifications in Trigger Point Dry Needling, Certified Strength and Conditioning Specialist and selective functional movement assessment. He recently has been promoted to clinic director at the Castle Rock location and has a long history of working with sports-related injuries of all ages. Playing collegiate basketball, Chad really feels passionate about injury prevention and educating the youth on proper mechanic/movement patterns important to keeping athletes healthy. In his spare time, Chad enjoys hiking, mountain biking and spending time with his wife and two kids.

Clayton Tangen PT, DPT, Cert DN

Clayton has been practicing physical therapy in the outpatient setting for over 11 years. Originally from Virginia, she graduated with her Doctorate in Physical Therapy from Emory University School of Medicine in Atlanta, Ga. Clayton is certified in Trigger Point Dry Needling as well as Kinesiotaping. Having had a career as a professional ballet dancer, instructor, and choreographer prior to attending physical therapy school, she enjoys guiding dancers, gymnasts, and other athletes through the recovery process and helping them return to their full potential. Clayton is also experienced in the rehabilitation of postoperative repairs, as well as neurological impairments. Outside the clinic, Clayton enjoys spending time with her husband and two young girls. Hobbies include field trialing, fishing, and all things Longhorn!

Andrew Trevino PT, DPT

Andrew is originally from El Paso, Texas but moved to Colorado at a young age and has never left! After completing a Bachelor’s degree in Sports Medicine and a Master’s degree in Human Anatomy and Physiology from Colorado State University, Andrew decided to pursue physical therapy. He recently graduated with a Doctorate in Physical Therapy from the University of Colorado Denver. He enjoys treating various orthopedic and sports related injuries, as well as helping people of all ages. Andrew has special interests in treating overhead athletes and golfers. In his free time, Andrew enjoys weight training, playing sports, spending time with his wife and dogs, and exploring the Colorado craft beer scene.


Monday – Friday: 7:00 am – 6:00 pm

  • Orthopedic Rehabilitation
  • Pre & Post- Surgical Rehabilitation
  • Complex Spine Rehabilitation/Spine Instability
  • Prior Failed Rehab
  • Sports Rehabilitation & Return to Sports
  • Joint over-use, trauma and arthritic conditions
  • Balance and Gait Training
  • Work Injury Rehabilitation
  • Tension/ Cervicogenic Headaches
  • Cupping
  • Pilates- based Therapy
  • Trigger Point Dry Needling

Trinette de Freitas
Director, MSPT, MTC, Cert. Pilates Rehab

Trinette is originally from the east coast and earned her Master’s degree in physical therapy from the University of Colorado. She has worked in an outpatient orthopedics setting for her entire career and is certified in manual therapy and rehabilitative Pilates. She believes one of the most important aspects of the rehabilitation process is patient education and thinks this really helps empower patients. In her spare time, Trinette enjoys skiing, playing ice hockey and spending time with her husband, daughter and yellow lab.

Erika Jacob PT, MTC, Cert. DN

Erika has been practicing physical therapy for over 25 years, all in outpatient orthopedics. She graduated from Ithaca College, and went on to obtain certifications in manual therapy and trigger point dry needling. Erika loves to educate her patients about their injuries and their role in the rehabilitation process. Empowering patients to take care of themselves is one of the most rewarding parts of the job for her. She is a true believer in the importance of continuing education in order to have a varied skill set to treat each patient individually, and to stay up on current concepts in the field.

Eric Skarda PT, DPT, OCS, COMT, FAAOMPT, Cert. DN

Eric Skarda has been practicing physical therapy in an orthopedic setting for the last ten years. He has developed a focus on spine rehab as well as chronic overuse injuries, but enjoys treating the entire spectrum of orthopedic conditions. Eric graduated from Regis University in 2008, then complete manual therapy certifications in both 2010 and 2011 with the North American Institute of Orthopedic Manual Therapy (NAIOMT), as well as receiving his Specialist Certification in Orthopedics (OCS) through the APTA in 2011. In 2012 he graduated from the NAIOMT Fellowship Program and at the time was the youngest manual therapy fellow in the country. Currently, he serves as teaching faculty with the Institute of Manual Physiotherapy and Clinical Training (IMPACT), as well as acting as a clinical fellowship instructor and examiner for the IMPACT certification programs.

Sarah Klein, PT, DPT

Sarah is originally from Spiritwood Lake, ND and obtained her Doctorate of Physical Therapy from the University of Mary in 2014. Her treatment skills revolve around Orthopaedic Manual Therapy treating a variety of orthopaedic conditions including sports rehabilitation, headaches, pre/post-surgical rehabilitation, generalized orthopaedic pain, and a special interest in working with runners. Sarah has also received her certification in Trigger Point Dry needling. She is an advocate for patient education, injury prevention, and a firm believer in evidence-based practice to guide her treatment approaches. In her spare time, she enjoys snowboarding, rock climbing, and cycling. Sarah revels in a fun and fit CO lifestyle.