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. Daniel Esquivel, PT, DPT
Doctor of Physical Therapy
Dr. Danny Esquivel is a licensed physical therapist passionate about helping patients move better, perform at their best, and return to doing what they love. He earned his Doctorate degree from Florida International University and has primarily worked in orthopedic and sports rehabilitation.With experience working with competitive athletes and highly active individuals, Danny has a strong background in movement and performance-based care. His approach combines hands-on care using advanced manual techniques learned during years of practice, targeted exercise, and progressive strength training to address the source of pain and improve the body’s overall movement system. Through individualized, one-on-one care, he helps patients regain confidence in their movement, build tissue resilience, and return to the activities they love.
Outside of the clinic, Danny is an avid sports fan and enjoys staying active himself. More recently, he has taken up hiking and has enjoyed exploring trails with elevation and discovering new views beyond the familiar landscape of Miami, Florida. While he doesn’t consider himself a professional hiker, he appreciates the challenge, movement, and opportunity to experience something new.Danny’s goal is to help every patient better understand their body, move with confidence, and get back to doing what they enjoy.
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