Team Symmetry Physical Therapy
Voted Best Physical Therapists in Miami 2016-2024
Symmetry Physical Therapy is a premier physical therapy clinic providing exclusively one-on-one patient care located in the center of Downtown Miami, FL.
We focus on patient care. Each physical therapy session is with the same therapist and is personalized to the patient's progression and current presentation.
DOCTOR OF PHYSICAL THERAPY/FOUNDER OF SYMMETRY PHYSICAL THERAPY
Dr. Natalia Sikaczowski, PT, DPT, CSCS, Cert. DN, BFR-C
Dr. Natalia Sikaczowski founded Symmetry Physical Therapy in 2014 with the fundamental belief that patients should be treated on an individual basis. Dr. Natalia believes patients should be given a diverse array of treatment modalities and techniques, along with progressive and varied exercises and manual intervention to ensure maximum recovery. This all-encompassing approach, along with Dr. Natalia’s strong background in strength and conditioning has led to Symmetry’s successful treatment programs for patients looking to get back into sport, recover from injury, or beat chronic pain.
Tessa Tiscareno, PT, DPT, FAAOMPT, AIB-VRC, Dip. Osteopractic, Cert. SMT, Cert. DN
Doctor of Physical Therapy/Fellow of the American Academy of Orthopedic Manual Physical Therapists
Dr. Tessa Gutierrez graduated with a Doctorate in Physical Therapy from Texas Tech Health Sciences Center in 2008. At Texas Tech she was taught, trained, and guided by other Manual Physical Therapy Fellows who inspired her to someday become one herself.
She began her career working in a brain injury facility where she treated many athletes, and soldiers who were recovering from TBI. She was passionate about their recovery, seeking out additional training in vestibular rehabilitation and concussion so that she could give optimum treatment to her patients. In 2015 Tessa went on to receive her certification in Vestibular Rehab and Concussion from the American Institute of Balance.
Her love for vestibular rehab moved her to an outpatient clinic where she could implement her skills in an outpatient setting and use her passion for manual therapy and exercise to reach a more diverse patient population while still leading the field in concussion and vestibular rehabilitation.
After 10+ years of advanced-level training, Tessa continues to immerse herself in learning the latest techniques to help her patients. She decided to pursue her dream of becoming a Fellow and was accepted to the American Academy of Manipulative Therapy fellowship where she became an Osteopractor in Dec. 2022.
In 2023, she joined the top 2% of Physical Therapists to finish the Fellowship Program, earning her title as a Fellow of the American Academy of Orthopedic Manual Physical Therapists. Tessa is excited to have recently moved to South Florida to become part of the Team at Symmetry PT.
When she is not working, she is hiking, traveling, and is intrigued with learning alternative healing methods as well as meditation practice. She feels that through daily meditation practice and grounding, she will provide her patients with a safe and comfortable environment to thrive and heal.
Dr. Jose Palomo, PT, DPT, Cert. DN, Cert. VCS
Doctor of Physical Therapy
Dr. Jose Palomo brings nearly five years of experience in outpatient orthopedics to Symmetry Physical Therapy. He earned his Bachelor’s degree from the University of Florida and his Doctorate in Physical Therapy from the University of Miami, and has completed advanced certifications in dry needling, vestibular rehabilitation, and has extensive advanced training in spinal manipulation and manual therapy.
He specializes in orthopedic and spine conditions, vestibular and post-concussion care, and performance-driven rehabilitation. Through highly individualized, one-on-one treatment, Dr. Palomo identifies the root cause of pain and develops precise, evidence-based plans to restore movement and deliver lasting results. With a strong background in strength and conditioning, he also works with active individuals and athletes to enhance performance and return to sport stronger and more resilient than before.
Dr. Erika Ladcani, PT, DPT
Doctor of Physical Therapy
Dr. Erika Ladcani is a licensed physical therapist dedicated to helping patients move with confidence and return to the activities they love. She earned her Doctorate in Physical Therapy from High Point University in North Carolina.
Her approach blends clinical expertise with movement-focused rehabilitation and manual therapy. With a strong background in Pilates and strength training, Dr. Ladcani emphasizes posture, core stability, and controlled movement to restore efficient movement patterns, prevent injury, and build long-term resilience. Through highly individualized, one-on-one care, she helps patients develop lasting strength, improve body awareness, and return to daily activities feeling stronger and more confident.
Outside the clinic, Dr. Ladcani teaches Pilates and enjoys aerial training, strength training, traveling, and exploring new coffee spots with friends and family.
Dr. Vanessa Tarr, PT, DPT, Pelvic Health Specialist
Doctor of Physical Therapy
Office Manager
Lissette Cruz-Alfonso
Lissette Cruz Alfonso, our Office Manager at Symmetry Physical Therapy. With a rich history spanning 15 years in medical offices, Lissette's journey from front office to office manager is a testament to her dedication and expertise.
Her true joy lies in the patient experience, ensuring each visit is positive and seamless. Beyond the office, Lissette is a devoted mother of three, the driving force behind her relentless pursuit of excellence.
Since joining the Symmetry family, Lissette has embraced our company culture wholeheartedly. She is a firm believer in the value of one-on-one care with our skilled physical therapists. In a short time, she's witnessed remarkable transformations, witnessing individuals return to their daily activities with newfound confidence.
Lissette's enthusiasm for learning in this field is infectious. Her presence is a valued addition to our team, and we're excited to see the positive impact she continues to make on our patients' lives.
Community Outreach Coordinator
Amy Stratt
As a former patient, my life was truly changed by Natalia. I might be biased but I am their biggest fan because I came in walking with a cane, previously a wheelchair, and in need of major physical therapy after a horrific accident a few years ago. Fast forward and I walked down the aisle at my wedding and never left the dance floor thanks to everything Natalia taught me. I've seen firsthand while being a patient how many lives have been changed by Symmetry. It was a no-brainer for me to join the team because I know what is possible with the right care.
Amy coordinates educational workshops integrating Team Symmetry into Miami gyms and health clubs. She plays a pivotal role in helping to expand local’s knowledge of movement, pain reduction, physical therapy interventions, and injury prevention. She has coordinated repeat events with some well-known establishments such as Orange Theory, CrossFit, CKO Kickboxing, and Team FDC Run Club.
About
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.
10+ Years as a Therapist Owned Physical Therapy Practice