Celebrating Movement

ˈmo͞ovmənt/ : Motion, your position in space and time, a group of people with a shared vision, a new way to think.

Stack-of-books

Your physical being is an important element of how you experience life through body, mind and spirit. How you move through the world, figuratively and literally, is important to us. Human movement is so amazing and complex, that we believe it deserves a depth of study equally impressive, and a variety of methods to solve problems.

Our clinicians all have a deep and personal understanding of how important it is to be able to be active, and how difficult it is when something impedes that ability. We have chosen our professional pathway not just to make a living, but instead to make a difference, in the lives of our clients as well as in contributing to our profession and our communities.

Our Team

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K. Bruk Ballenger

Doctor of Physical Therapy, Founder of Prevail Practices, Biomechanics and Sports Medicine specialist, custom orthotics

Bruk Became a U.S. Army Physical Therapy Specialist in 1989, earned a B.S. in Physical Therapy in 1997, and a Doctorate in Physical Therapy in 2015. He has an eclectic PT experience, but specializes in working with athletes and active people. He has extensive manual therapy experience, but takes a legitimate biomechanical approach in diagnostic evaluation and treatment strategies. Bruk’s philosophy is to empower clients to engage in their therapeutic process through knowledge and hands-on assistance.

Bruk’s driving passion is to help people enhance their lives and overcome barriers by affecting the experience one has with their body in the physical-spiritual-emotional connection. He gains inspiration from witnessing countless people, from children to Olympians, prevail over their challenges.

Bruk’s physical therapy career started in 1989 after graduating from the U.S. Military Academy of Health Sciences as a Physical Therapy Specialist. In 1997 he graduated from the University of Washington with a B.S. in Physical Therapy, and in 2015 earned a Doctorate in Physical Therapy.

Bruk had a diverse PT work history before settling into sports medicine and orthopedics, including a tour in Saudi Arabia for the first Gulf War with 50th General Hospital, school district pediatrics, and inpatient neuro rehabilitation. Early in his career, Bruk felt that the value of physical therapists was not adequately delivered in a normal clinic, so in 2003 he co-founded Real Rehab Sports + Physical Therapy with Izette Swan. Their patient-centered service model and culture created rapid growth over the years, and was a testament to Bruk’s philosophy of “personal & professional mastery with social contribution.” In 2016 Bruk left Real Rehab to create a new organization that is built to emphasize and grow this philosophy, and better serve active people and athletes, which is how Prevail Physical Therapy was born.

As a lifetime “athlete,” Bruk has played soccer, basketball, baseball, soccer, wrestling, ultimate, rowing, softball, and running track and distance events. He has competed in triathlons from sprint to Ironman distances, Cyclocross, and done many endurance biking events. He enjoys skiing, snowboarding, alpine climbing, running, cycling and swimming. As a Dad he has enjoyed coaching his kids’ teams in basketball, soccer, flag football and wrestling.

For several years, Bruk professionally coached triathletes, runners and cyclists. Other notable accomplishments include;

Certified Strength & Conditioning Specialist with the National Strength and Conditioning Association (expired)

USA Triathlon Level I coach (expired)

Certificate in Sports Medicine and Human Performance from University of Washington

Certified in Advanced Biomechanics of the Lower Extremity from Movement Performance Institute

Certified in Instrument Assisted Soft Tissue Mobilization

Certified Mobility WOD practitioner

Certified in Guru and F.I.S.T. bike fit systems

See Bruk’s entire Curriculum Vitae here



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Cari Matthews

Physical Therapy Assistant, Metabolic Efficiency Specialist, Endurance Multisport

Cari Matthews brings to Prevail Physical Therapy extensive personal and professional experience and passion for endurance sports. Cari enjoys blending her skills as a Physical Therapy Assistant and endurance multisport coach to bring unique insight and value to her patients and clients. She is certified in Advanced Biomechanics of the Lower Extremity and is trained in multiple bike fitting methodologies. Cari is also one of just a handful of Metabolic Efficiency Training Specialists (METS level II).

She is deeply interested in a multi-factorial approach to help athletes and active people to optimize movement mechanics, improving functional strength, balancing physical and life stresses, and addressing mental and emotional energy contributions for overall health and quality of life experience.

Cari Matthews brings to Prevail Physical Therapy extensive personal and professional experience and passion for endurance sports. Cari enjoys blending her skills as a Physical Therapy Assistant and endurance multisport coach to bring unique insight and value to her patients and clients. She is certified in Advanced Biomechanics of the Lower Extremity and is trained in multiple bike fitting methodologies. Cari is also one of just a handful of Metabolic Efficiency Training Specialists (METS level II).

She is deeply interested in a multi-factorial approach to help athletes and active people to optimize movement mechanics, improving functional strength, balancing physical and life stresses, and addressing mental and emotional energy contributions for overall health and quality of life experience.

Cari utilizes her knowledge and experience of endurance sports to better understand and treat the patients she sees. She also uses her knowledge as a therapist to assist her athletes in creating a stable platform to safely reach their goals, with a priority in injury prevention so that they can minimize unplanned breaks in training and ultimately improve their experience and performance.  After all, the training journey should be an ongoing process to be thoroughly enjoyed!

As a PTA, Cari has had the unique opportunity to work with, and be mentored by many of the highly respected physical therapists, offering a diversity of hands-on training and education opportunities. Through this experience she has developed a specific interest in biomechanics, and has completed extensive training at Movement Performance Institute to earn a certificate in Advanced Biomechanics of the Lower Extremity. She enjoys retraining movement mechanics, from simple daily movements, to high level athletics.

Cari is one of just a handful of Metabolic Efficiency Training Specialists (METS level II). Metabolic Efficiency focuses on the utilization of energy in all types of sports, and can be used as a manipulator of overall health, wellness, and metabolic disorder potential. Individual strategies for exercise, nutrition, and recovery are all utilized to improve Metabolic Efficiency.

Cari is a strong proponent of a multi-factorial approach to life, and strongly encourages clients to consider stress/recovery balance, be it physical, mental, spiritual, social, or other.  She recognizes that there is never a “one size fits all” approach to any endeavor, and seeks to help clients discover and eliminate the personal roadblocks to recovery.

Outside of work, Cari likes to explore the beauty of the great Pacific Northwest, usually with her energetic teenage son. She is happiest while on her bike, but also enjoys hiking, bike camping, open water swimming, and snowshoeing. She is eager and willing to try any activity, and recently has taken up and interest in not falling of a pair of skis! She has been a competitive triathlete for over 15 years, and has completed four Ironman triathlons along with countless shorter distance races and ultra-marathons.  While no longer as competitive and she used to be, she can be found participating in multiple distance triathlons, X-TERRA racing, cyclocross, and other varied challenges.

Trainings and Certifications

Movement Performance Institute

Training peaks university

USA Triathlon

USA Cycling

Bikefit.com (Cycle Point)

Bike PT, bike fitting and mechanics

Guru and F.I.S.T Bike Fitting

Slowtwitch power

Metabolic Efficiency Training Specialist

Kinesio taping



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Services

Our clinicians all have a deep and personal understanding of how important it is to be able to be active, and how difficult it is when something impedes that ability. We have chosen our professional pathway not just to make a living, but instead to make a difference, in the lives of our clients as well as in contributing to our profession and our communities.

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Physical Therapy

There is no standardization in the types or quality of physical therapy services available to the public, so we encourage you to be a discerning consumer. Although we are unique in our specialty areas, our essential service is physical therapy. We believe that you deserve to get the most out of your investment of time and money when you come to PT, so we use a service model designed to give that to you.



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Bike

Serving the unique needs of cyclists of all abilities has been a specialty of our clinicians for many years. Most of these services can be covered by insurance if they are included in a course of physical dealing with pain, injury, or injury prevention. We created a sister business in 2012, R2 Bicycles, to make cycling solutions more comprehensive, faster, and more efficient for our cycling clients. It is true; we have a bike-fitting boutique in our clinic! R2 Bicycles works in tandem with Prevail PT on fittings, equipment, bike sales and mechanical services. Our clinician have extensive training in bike fitting, cycling biomechanics, and of course personal riding experience. We have a rich history of supporting cycling organizations and events; contact us if your organization is interested in sponsorship.



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Run

Running is by far the most complex movement that is intrinsic to humans. A thorough video analysis and clinical exam are the bare minimum needed to start addressing running challenges. Our clinicians are experienced runners who have undergone advanced training in the biomechanical assessment of running. We have done thousands of running assessments, yet continue to immerse ourselves in the science of running, and develop new methods of assessment and highly targeted solution strategies. You will not find a team that is better suited to solving your running issues than right here at Prevail PT! We serve beginning runners, professionals, and all abilities in between.

We have a rich history of supporting running organizations and events; contact us if your organization is interested in sponsorship.



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P.E.A.R.L. Performance Lab

P.E.A.R.L. (Performance Enhancement And Rehab Lab) is a collection of specialized tools and methods to perform legitimate biomechanical analysis of your unique movement. Our clinicians have extensive training and experience unlike any others to conduct tests, evaluate data, identify and prioritize problems, and provide corrective strategies. All ages and abilities are appropriate for these methods, which can be creatively adapted for a wide variety of movement study. It is especially helpful in cases regarding; walking/running, athletic movement, cycling, and prescription rational for custom orthotics, identifying loading patterns for joint health, repetitive stress injuries, and more.



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Orthotics

Custom Foot Orthotics are one way of treating lower extremity issues by altering how ground reaction forces are transferred through the foot, the posture of the foot, and how the foot moves, and how these things affect the rest of the limb and body.

Quite often problems can be adequately addressed with over-the-counter insoles that can be modified with custom corrections, so we offer Superfeet insoles available for retail purchase and correction.



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AlterG Antigravity Treadmill

What it’s good for –

Allowing you to walk or run with no pain while maintaining a normal gait

Train without pain and reduce the stress to joints and muscles, and injured areas of your lower body

Lose weight and exercise more intensively while unweighted



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FAQ

How do I schedule an appointment or find out more information?
What is the cost, and how are payments made?
What to expect on my first appointment?
Are specialty services covered by insurance?
How much does it cost to use the AlterG Antigravity Treadmill?
Do you accept insurance?
How do I schedule an appointment or find out more information?

Call (206) 788-8807, or email Support@PrevailPT.com

What is the cost, and how are payments made?

If we are using your health insurance benefits, then your insurance company will dictate reimbursement based on the evaluation and treatment procedures performed each visit. As a rough estimate, use $125 per visit, so if you have a 10% co-insurance, then your cost will be $12.50. Every insurance plan is different, so please understand your particular benefits. Co-insurance costs will be billed to you after insurance reimbursement. Copays are collected at time of service. Deductibles may increase your up-front cost.

Many of our clients opt to pay out-of-pocket for their services. We can supply the necessary documentation for you to provide your insurance company for possible reimbursement if we are not contracted with your insurance company. Our cash payment rate is $130 per hour. Sponsored groups may receive a 25% discount on cash services. Payment plans are available if agreed upon before starting a course of therapy, otherwise payment is collected at the time of service. Cash, check and credit cards are accepted as forms of cash payment. A Ten-visit package can be pre-purchased for $1,000.

Health Savings Accounts (HAS) and Flexible Savings Accounts (FSA) may be utilized for physical therapy services, co-pays, co-insurances, deductibles, etc.

What to expect on my first appointment?

Before your appointment we will communicate via email or telephone, to discuss;

  • Scheduling
  • Payment/insurance information
  • Demographic intake information
  • Facility access
  • The issues that you need help with and your goals

Please arrive ten minutes early to your first appointment to finish up any remaining paperwork not completed beforehand. Your therapy time will be more efficiently utilized during the first visit if all of your initial paperwork is complete before your appointment time. We can also optimize time if you procure any relevant imaging reports or medical notes and send them to us before your first visit, as well write via email, a narrative regarding your current issues, ideally with a history of other injuries and issues, before your first visit.

Bring appropriate dress: shorts for lower extremity issues (and appropriate footwear), and tank top/T-shirt for upper extremity issues. Plan on at least 60 minutes for each visit.

Are specialty services covered by insurance?

Specialty services are typically covered by normal health insurance physical therapy benefits, if they are an indicated part of a logical treatment plan and meet the definitions of medical necessity.

How much does it cost to use the AlterG Antigravity Treadmill?

For clients who are participating in an active course of therapy with us, the AlterG use is free. We have time rental options available for non-clients, click here for more information.

Do you accept insurance?

We are in-network providers with some insurances, and currently working on gaining access to others. Contact us for the most up-to-date status.

Resources

 

Prevail Patient Information

 

HIPAA notice

 

Prevail AlterG Liability Waiver

Partners

Guru

Guru

Superfeet

Superfeet

Rocktape

Rocktape

Noraxon

Noraxon

RBicycle

RBicycle

Getstrongfirst

Getstrongfirst

Dartfish

Dartfish

AlterG-logo

AlterG-logo

Seattle

Seattle

Blog

2018 Kickstart; Reservations about Resolutions

2018 Kickstart: Reservations about resolutions, and “The One Thing” I have mixed feelings about New Year’s resolutions. On one hand they are cliché, and we shouldn’t need an arbitrary calendar date to make positive changes. On the other hand, making change is hard! It takes courage and consistent effort to escape the rut of old […]
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A funny thing happened on the way to the Olympics…

A funny thing happened on the way to the Olympics…  enjoylivinglavida.wordpress.com The path of progress can take a hard-left turn when you least expect it. At the turn of the century I was working as a physical therapist in a small clinic in Seattle. I had already had one therapy job that ended in the […]
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Do you take my insurance

“Do you take my insurance….?” What I would love to say is “YES, we happily take all insurances!” But that’s not true. In fact, until 2018 we didn’t take any insurances, but now we are in network with a few. Here at the start of 2018, the health insurance industry is more volatile than ever, […]
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Important facility notes

Prevail PT is located inside a fitness facility called Get Strong First, which is located in the same building as the Rat City Rollergirls. Our entrance is on the North side of the building just around the corner from the garage door. You will know you are in the right place if you open the door and immediately see indoor field turf. Walk across the turf to the far end to the clinic entrance on the left.  See below for parking instructions.

Disabled entry: Disabled parking is available on the West side of the building in front of the Rat City Roller Girls entry. The doors at this entry may be locked. Please call (206) 788-8807 upon arrival if the door is locked, or if it is your first visit, so that we may personally guide your access.

office-location

Address: 19022 Aurora Ave N. Suite B Shoreline, WA 98133

Here’s a link: http://getstrongfirst.com/facility

Parking:

There is abundant parking in the lot on the South side of the building,  but the closest parking to our entrance is an unpaved area by the large, white garage door on the North side, which is accessed by heading Eastbound on 192nd immediately off of Aurora Ave N. (Hwy 99).

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