Pinnacle Rehabilitation Network Announces the Retirement of Founder Karen Natario and Welcomes New President Dan Fleury

December 17th, 2025 News

 

Pinnacle Rehabilitation Network Announces the Retirement of Founder Karen Natario and Welcomes New President Dan Fleury

Pinnacle Rehabilitation Network is proud to announce the retirement of its founder, Karen Natario. Karen was one of the original visionaries behind Pinnacle and has led the organization since its inception. Through her dedication, leadership, and passion for high‑quality patient care, she helped shape Pinnacle into one of the most well‑respected outpatient physical therapy providers in the nation.

Throughout her tenure, Karen was directly involved in every aspect of the business. From operations and partner development to cultivating a strong organizational culture, she played an essential role in building Pinnacle’s high‑performing, self‑directed workforce. Her influence can be seen throughout the network — in the professionalism of its teams, the strength of its partnerships, and the consistently exceptional patient care that has become Pinnacle’s hallmark.

As we celebrate Karen’s remarkable career and wish her a joyful retirement, we are equally pleased to announce that Dan Fleury will assume the role of President of Pinnacle Rehabilitation Network.

Dan brings deep experience in physical therapy leadership, operational excellence, and clinical innovation. He has built a reputation for empowering clinicians, strengthening partner relationships, and driving meaningful improvements in patient outcomes — values that align perfectly with Pinnacle’s mission and the culture Karen has cultivated over the years.

In his new role, Dan will focus on:

  • Supporting and strengthening partner relationships across the network
  • Enhancing operational and clinical performance through innovation and best practices
  • Driving Pinnacle’s strategic growth initiatives to support both clinicians and the communities we serve
  • Preserving and building upon the culture of collaboration and excellence established by Karen

Karen’s legacy provides the strong foundation on which the next chapter of Pinnacle will be built. Dan’s leadership will continue to carry the organization forward with the same commitment to quality care, partnership, and innovation that has defined Pinnacle from the beginning.

Please join us in celebrating the extraordinary career of Karen Natario and in welcoming Dan Fleury as the new President of Pinnacle Rehabilitation Network. The future is bright, and we look forward to this next chapter with gratitude and optimism.

 


Pinnacle Announces New Facilities!

March 17th, 2025 News

Plaistow NH:

Pinnacle Rehabilitation Network is proud to announce the addition of three outpatient physical therapy facilities. Breakthrough Physical Therapy in Saco Maine is spearheaded by Bryan Cloutier PT, DPT, Waypoint Physical Therapy in Freeport Maine with Kim Wallingford PT, DPT, and Somersworth Physical Therapy of Dover NH with Dan Lombardi PT, DPT and Katie Rolfe PT, DPT.

We are beyond proud to promote these outstanding clinicians to partner. Each one of these new clinic owners rose through the ranks at Pinnacle from staff member to partner! They are a testament to our goal of supporting physical therapists in independent private practice.  More facilities coming soon, be on the look out for announcements.


Pinnacle Adopts New EMR: Here is what the therapists are saying!

August 23rd, 2023 News

Plaistow NH:

Pinnacle Rehabilitation Network is pleased to announce the adoption of a new, modern, easy, and fast EMR. Recognizing the increased burden of documentation on its staff,  Pinnacle was looking to adopt a new EMR that leveraged technology and automation. After months of exploration, due diligence and testing, Pinnacle choose Prompt EMR.

A recent survey of staff indicates that that we are headed in the right direction! Although early into adoption, the vast majority of clinicians are already expressing that their documentation time is decreasing, freeing up more time to spend with their patients! The electronic intake, the smart text, the fully integrated HEP, customizable flow sheet, and schedule automation are some of our staff’s favorite time savers! The system is continuously evolving and getting better! We look forward to utilizing the systems full capability and continuing to reign in the documentation burden for our therapists.

 


We are growing again! Multiple New Facilities Announced

May 19th, 2023 News

Plaistow NH: We are proud to announce the addition of three new Pinnacle Rehabilitation Network facilities! Accel Physical Therapy of Topsham , located in beautiful Topsham Maine will be lead by Ethan Burke DPT, and Scott Hannigan DPT. Breakthrough Physical Therapy located in Saco Maine will be lead by Bryan Cloutier DPT. Rye Physical Therapy is lead by Shane Johnston DPT, and Kate Serodio DPT!

Pinnacle Co-President Dan Fleury says “We continue to grow to meet the growing demand of high quality, lower cost physical therapy services. We are one of the last truly independent physical groups. Being independent allows us to focus on patient experience and outcome without the bureaucracy and expense of large hospital, corporate, or private equity boards! Healthcare consumers are increasingly more responsible for their healthcare spending. Increasing physical therapy deductibles and copays has lead to savvy consumer shopping. Patients are realizing that fully independent practices are shockingly less expensive and more accessible than  hospitals and large corporately backed practices. We are happy that consumers are better educated as this the catalyst to our growth. We are successfully responding to market demand”.


Atlantic Physical Therapy’s Jennifer Mitchell, PT, named US Equestrian Team Physical Therapist.

August 25th, 2022 News

Atlantic Physical Therapy’s Jennifer Mitchell, PT, named US Equestrian Team Physical Therapist.

 

Falmouth, ME: Atlantic PTs own Jennifer Mitchell is returning from Herning, Denmark where she was providing physical therapy support, and high performance physical therapy, for the US Equestrian Team at the ECCO FEI World Championships of Dressage and Showjumping.  This International competition from August 6-14, not only crowned the Team and Individual World Champions in Dressage, Showjumping, Vaulting and Para Dressage, but was also the first Qualifying Event for Dressage and Showjumping, for the 2024 Olympic Games to be held in Paris, France.  US Dressage was able to secure their spot at the 2024 Paris Olympics, placing 6th overall in the Team event.

 

While onsite at competitions, Jennifer provides not only injury management and maintenance to these athletes, but more importantly advanced treatment techniques to optimize performance of the riders in the competition arena.  Equestrian sport at the Olympic level is a sport where the difference between Gold and Silver can be 0.01 points in the Dressage arena, or seconds in a showjumping round.  Postural symmetry and control, neuromuscular control, stability, balance, and correct muscle activation is crucial in equestrian high performance.  Jennifer, being an equestrian herself, as well as having trained with the former US and Team GB Physio and High Performance Advisor, is able to utilize manual therapy techniques, muscle facilitation, and corrective exercise in order to achieve optimal rider performance for training and competition in the Elite athletes of the US Equestrian Team.

 

Next up for Jennifer Mitchell, PT and US Equestrian is the FEI World Championships of Eventing, where Jennifer will be providing physical therapy support and high performance physical therapy for the US Eventing Team in Pratoni, Italy, September 15-18, 2022.


Amherst Physical Therapy’s Dave Grams earns Fellowship status!

May 23rd, 2022 News

Plaistow, NH: Pinnacle Rehabilitation Network is proud to announce that another of of its therapists has achieved full Fellow status. Amherst Physical Therapy’s Dave Grams can officially add FAAOMPT after his name! Pinnacle Co-President Dan Fleury adds ” earning the Fellowship status is no easy task! This achievement takes several long years of hard work and dedication. We admire Dave for his commitment to being the absolute best. It was an honor to mentor him through the process!”

Dave Grams joins Pinnacle’s fast growing trend of Board Certified Clinical Specialist and Fellowship trained clinicians. Grams says ” We have a serious commitment to practicing at the highest levels of our license. Our number of OCS and FAAOMPT trained therapists is growing rapidly because of that commitment. One of the hardest aspects of achieving Fellowship status is finding a mentor that is a full Fellow, who is willing to commit to about 500 hours of dedicated mentoring time with a candidate. The more Fellows we have in the network, the easier it is for us to meet this part of the program and assist our team in reaching the next level.  I  am already looking forward to my role as a mentor!”


Blue Hills Braintree and Weymouth Announce Promotions!

April 1st, 2021 News

Braintree/Weymouth MA:

Pinnacle is proud to announce the promotion of two physical therapists to clinic manager! Stephen Sollowin DPT has been promoted to Weymouth office manger, and Andrew DeStefano will head up the Braintree office. Both therapists are an excellent edition to bolster the existing staff. They bringing with them a vast skillset including advanced differential diagnosis, dry needling, spinal manipulation, and vestibular rehabilitation! The advanced skill sets round out the services we can offer patients on the South Shore of Massachusetts.


Introducing TheraOffice Patient Portal!

January 21st, 2021 News

We have upgraded our intake process!

We are excited to announce that we are using a new patient portal! In our efforts to keep you and your health information safe, we have gone paperless. Our new patient portal system allows you to fill out your health information remotely. The portal is not only mobile friendly, but once you are a registered patient with us; our system will securely store your information should you return. This process saves you valuable time and decreases redundant requests for information every time you return to our practice. Stay tuned for more enhancements including mobile check in and mobile co-pay coming early in 2021!

Patients will receive information on the patient portal directly to their  email when scheduling an evaluation. This email will be sent from the Pinnacle Rehabilitation Network and our EMR vendor, [email protected] . The subject is Pinnacle Rehabilitation Network Patient Portal Invitation.

Because we value your feedback, we have also implemented a new way of determining your overall satisfaction. The NPS (Net Promoter Score) is a nationally recognized and widely used method of measuring patient satisfaction. After your initial visit and at some points throughout your care you will receive a short satisfaction survey from us. We strive for 10/10 every time with every patient and use the information gathered from these surveys to improve care and to recognize staff.


Pinnacle Rehabilitation Network opens new facility in Nashua NH!

December 8th, 2020 News

Pinnacle Rehabilitation Network is proud to announce that a brand new facility will be opening in Nashua on December 7st. Nashua Physical Therapy is conveniently located at 57 Northeastern Boulevard, Suite 202, and will be operated by Managing Partner, Conor Lyons, PT, DPT.

“We’re eager to get involved with the Nashua community while providing a fresh patient-centered experience,” commented Conor. “We will be providing care for a wide variety of conditions backed up with evidence-based techniques. I truly believe in the importance in staying on top of the research to provide the best care possible. We’re committed to getting patients seen quickly and will ensure new patients are seen within 24-48 hours. We also noticed a lack of specialization in this community. I am excited to bring a higher level of patient care to this area.”

Conor graduated from Northeastern University, where he received his Doctorate of Physical Therapy while double minoring in Exercise Science and Psychology. Conor’s unique spectrum of clinical specialty includes acute orthopedics from his work with the post-operative joint replacement team at New England Baptist Hospital, vestibular rehabilitation, blood flow restriction therapy, spine rehabilitation, headache treatment, TMJ, strength training, gait and balance optimization. His experience as a D1 athlete at Northeastern in Track & Field / Cross Country, developed a special interest for him in working with athletes recovering from sport-related injuries. Conor holds advanced certifications in dry needling and has extensive experience in spinal manipulation with training in the Maitland Manual Therapy Technique.

For more information on all Nashua Physical Therapy has to offer, visit www.NashuaPT.com or call (603) 854-5885. We are open and accepting new patients in the safest possible way. All CDC guidelines are followed!

 


Portsmouth Physical Therapy Adds Downtown Location

August 19th, 2020 News

Portsmouth, NH- Our Portsmouth Physical Therapy clinic has opened a second location! Portsmouth Physical Therapy has responded to the needs of their patients and medical community with the addition of a facility located at 233 Vaughan St Portsmouth, NH. Partner Cecile Younes PT, DPT had this to say about her decision to open another location. “Major economic development coupled with a competitor moving out of the downtown area left a void that needed to be filled. We were contacted by both patients and providers urging us to open a facility in this area. Our other facility located on Pease International Tradeport  is very convenient for those living and working in Dover, Newington, Greenland, Stratham, Newmarket but we had patients from Downtown Portsmouth, Rye, Kittery and Eliot Maine in need of services more convenient for them. Further, nobody wants to go into a hospital environment for outpatient care anymore. The cost and risk are too high. We help to fill that need as well and we do it in a lower cost, higher quality, and safer environment.”

When asked about the new Portsmouth location, Pinnacle Vice President Dan Fleury said “We are very proud of Portsmouth PT. They have such a tremendous reputation that its opening doors for them. Pinnacle is rebounding steadily after a rapid downturn due to the Covid Crisis of 2020. Pinnacle is seeing tremendous growth opportunity for the second part of 2020 into 2021. We are being approached by medical providers and health systems for collaboration and partnership opportunities.  Our structure and our forward thinking team have put us in position for a very successful future!”

For more information visit www.portsmouthpt.com and www.pinnaclerehab.net 


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