Business Details
7 Years
experience
Expert Physical Therapy Services in San Francisco
Scarpelli & Kakehashi Physical Therapy has been a trusted leader in orthopedic manual physical therapy for over 30 years, dedicated to helping patients recover from injuries and manage chronic pain through personalized care. Our practice emphasizes one-on-one evaluations and treatments in private rooms, avoiding group sessions or aides, ensuring tailored rehabilitation plans for each individual. We collaborate closely with healthcare providers to offer a comprehensive team approach to musculoskeletal health. Recognized as one of San Francisco's Top 3 Physical Therapists by Three Best Rated, we combine decades of expertise with innovative techniques to address joint pain, sports injuries, and pre/post-surgical needs.Our team includes certified specialists in spine, shoulder, foot and ankle conditions, and pelvic floor therapy, with a legacy of mentoring future physical therapists. We prioritize patient safety and comfort, maintaining a fully vaccinated staff and flexible mask policies. Our services extend to balance and movement classes, core strengthening programs, and specialized pre-sport training for adolescents. With a commitment to community wellness, we empower patients to achieve long-lasting health and active lifestyles.
Services
Musculoskeletal Dysfunction
Sports Injuries
Pre-Sport Training
Pre and Post-Surgical Care
Balance and Movement
Core & Flexible Spine
Details
- Year established: 2019
Highlights and features
- We offer 30 years of expertise in orthopedic manual physical therapy.
- Our team includes certified specialists in spine, shoulder, and pelvic floor therapy.
- We provide one-on-one treatments in private rooms with no group sessions.
- We collaborate with healthcare providers for comprehensive, team-based care.
- We have earned recognition as Top 3 Physical Therapists in San Francisco.
What people say
Expert, personalized therapy
Compassionate care
Effective treatment
Top 3 Physical Therapists
5-star Yelp reviews
Services
Musculoskeletal Dysfunction
We treat joint pain from arthritis, posture issues, scoliosis, and injuries through manual therapy and personalized exercise plans. Our approach focuses on restoring mobility and reducing chronic pain. Patients receive one-on-one care in private rooms for optimal recovery.
Sports Injuries
Our specialists address sprains, strains, fractures, and muscle tears with targeted rehabilitation programs. We combine manual therapy and functional training to restore strength and prevent reinjury. Athletes benefit from pre-sport assessments to improve performance and reduce injury risks.
Pre and Post-Surgical Care
We collaborate with surgeons to optimize recovery before and after procedures. Pre-surgical evaluations identify risks, while post-surgical programs focus on safe healing and regaining mobility. Our team ensures continuity of care with healthcare providers for best outcomes.
Balance and Movement
This program strengthens balance, proprioception, and gait stability to prevent falls. Weekly Zoom classes teach techniques for improved coordination and confidence in daily activities. Ideal for individuals experiencing mobility changes due to age or injury.
Core & Flexible Spine
Led by physical therapists, this class focuses on deep core activation and spinal flexibility exercises. Participants learn strategies to improve posture, reduce back pain, and enhance overall strength through guided movement sessions.
People
Elizabeth Scarpelli
Founder
Elizabeth Scarpelli founded the practice 30 years ago and mentored over 30 PTs. She retired in 2025 after teaching at Kaiser Hayward's PT Residency program for 20 years. She continues consulting and teaching workshops.
Dr. Cynthia Rose Koch
Senior PT, Owner
Dr. Cynthia Koch, owner and principal PT, specializes in orthopedic spine and pelvic floor therapy. She teaches yoga and performs with Luvbomb, a 10-piece Soul Band. She took over the practice in 2025 after Liz's retirement.
Niki Naumchik
Office Manager
Niki Naumchik manages client services and ensures smooth office operations. She assists with scheduling, insurance navigation, and patient logistics. Her passion for travel complements her dedication to client care.
Questions
What services does Scarpelli & Associates offer?
We treat musculoskeletal dysfunction, sports injuries, pre/post-surgical conditions, balance issues, and spinal mobility. Our programs include one-on-one therapy, classes, and specialized assessments for athletes and surgical patients.
Do you accept insurance?
We are in-network with Blue Shield of California and Medicare starting November 1st. For other plans, we provide superbills for reimbursement. Self-pay rates apply for out-of-network patients.
How can I schedule an appointment?
Use our Patient Scheduling form online or contact our Client Services team directly via phone or email to book an evaluation or follow-up visit.
Are your therapists certified specialists?
Yes, our team includes certified specialists in orthopedic manual therapy, spine conditions, and pelvic floor therapy, with decades of combined experience in musculoskeletal rehabilitation.
Do you offer virtual classes?
Yes, we host weekly Balance and Movement classes via Zoom and offer a free trial session. Core & Flexible Spine classes are available in-person or through scheduled sessions.
