One-on-One Care with the Doctor of Physical Therapy

Focused Treatment Every Session

Symmetry Physical Therapy

Symmetry Physical Therapy is a privately owned one-on-one patient centered physical therapy clinic in Downtown Miami/Brickell. Every treatment is with the same Doctor of Physical Therapy for the entire session.

Symmetry’s specialized, dedicated, and passionate team of professionals are fully committed to every patient’s recovery.

Therapeutic Progression

We evaluate and assess the whole body
to determine the root cause of the injury. We treat the foundational deficit to avoid re-injury.

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One-On-One Patient Care

Each patient receives undivided attention for the entire one-hour session. Individualized care is critically important to achieving optimal results. We are fully present and committed every session.

Education Is Key

Proper form is essential! All sessions are instructed and progressed by the Doctor of Physical Therapy. The purpose of each exercise and manual technique is explained during every session.

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Our highly skilled physical therapists will create a comprehensive recovery plan to ensure the best physical therapy outcomes. We incorporate manual therapy, dry needling, spinal manipulation, hands-on mobilizations, and progressive exercises in each treatment. Upon discharge, our patients feel stronger and healthier for the long run.

Relax and recover! Massage offers the perfect complement to physical therapy intervention.

We offer many types of massage, including sports massage, recovery massage, Swedish massage, cupping with massage, trigger point release, hot stone, deep tissue, and relaxation. All massages are customized to our patients’ needs.

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Increase your joint mobility! Fight the feelings of tension and tightness with a mobility program.

Muscle tightness is due often to the weakness of certain muscles, or joint mobility restrictions. Our therapists will develop a program with strength, mobility, and stretching to address limited joint mechanics.

Your Physical Therapist will get to the root cause of your mobility and flexibility restrictions.

Avoid injury and help your body return to sport! Functional testing measures your body’s conditioning and reveals areas of vulnerability.

We determine vulnerable areas that will benefit from focused training. Your therapist will select performance tests to accurately assess limitations and move you closer to your goals.

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Occupational Therapy (OT) can help you return to your regular activities by improving strength, agility, coordination, endurance, and range of motion. You will also learn specific exercises to strengthen your hands, wrists, and elbows.

Team Symmetry Physical Therapy Voted Best Physical Therapists In Miami 2016-2022

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Dr. Natalia Sikaczowski, PT, DPT, CSCS, Cert. DN, BFR-C

Founder, Doctor of Physical Therapy
Certified Strength and Conditioning Specialist
Certified Dry Needling
Blood Flow Restriction Certified

Dr. Raymond Butts Physical Therapist

Dr. Raymond Butts, PT, DPT, PhD, MS, FAAOMPT, Dip. Osteopractic, Cert. SMT, Cert. DN, MAACP(UK)

Clinical Research Director/Clinical Manager

Fellow of the American Academy of Orthopaedic Manual Physical Therapy
Diploma in Osteopractic
Certified in Spinal Manipulative Therapy
Certified in Dry Needling
Member, Acupuncture Association of Chartered Physiotherapists (UK)


Physical Therapy Miami

Dr. Jose Palomo, PT, DPT

Doctor of Physical Therapy

Dry Needling Certified

Physical Therapist Downtown Miami

Dr. Fabrizio Russo, PT, DPT, Cert. DN

Doctor of Physical Therapy

Certified Dry Needling


Physical Therapy Miami Downtown

Lissette Cruz-Alfonso

Office Manager

Massage Therapy Miami

Latoya Trotter, LMT

Licensed Massage Therapist, Administrative Assistant

Pelvic Floor Physical Therapy Miami

Coming Soon


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What Our Patients Say

Absolutely excellent service.

From the moment you call to make the appointment, the Symmetry team make you feel like a valued client. The customer service is outstanding, and the appointment booking process is a breeze. Dr. Tim is one of the most exceptional PT providers around, and I have every confidence that the rest of the providers are every bit as capable. I am well on the road to recovery, and I have Dr. Tim and the PT Team at Symmetry to thank. Highly recommended A++++

– Blake Ray

Going to Symmetry Physical Therapy has been a life changer for me.

 I had shoulder pain and stiffness and other issues connected with this. Their treatment was outstanding, in addition to the wonderful and friendly atmosphere. You feel as if you are family when you are there! Thank you to the whole team at Symmetry and a special shout out to Dr. Stan who worked with me and listened to me and taught me how to care for myself for life. That is priceless!

– Lisa Arias

I 100% recommend Symmetry Physical Therapy!

 Nicole is absolutely amazing, she healed my leg and I can run again. The entire team is so professional, so nice, and so so helpful. Totally recommend!!!!!!!

– Kayla MacVean


Symmetry Physical Therapy is a privately owned one-on-one, patient-centered physical therapy clinic in Downtown Miami/Brickell. Every treatment is with the same Doctor of Physical Therapy for the entire hour. Symmetry’s specialized, dedicated, and passionate team of physical therapists is fully committed to each patient’s success.

Award-Winning Service