Frequently Asked Questions

General

  • At Samson, you work one-on-one with a Doctor of Physical Therapy for your entire plan of care. You will not see multiple doctors, have visits that you share with other patients, and you will not be passed off to assistants or techs. You have the undivided attention of your doctor for your entire one-hour session. We combine high-level clinical care with strength and performance training so you can not only get out of pain for good, but return to your active lifestyle and sports without medications, injections, or surgery.

  • No, we are an out-of-network, cash-based clinic. This allows us to spend the full session with you and treat you based on YOUR needs not what insurance dictates. Many of our patients use HSA/FSA funds. You can also submit a superbill to your insurance company for reimbursement if you have out of network benefits.

  • Cash-based physical therapy means that we are out of network with all insurance companies and do not directly bill through insurance. You pay at the time of service, and you receive the type of care that gets you better faster: full-length, high-quality treatment sessions focused on long-term results, not short-term symptom management. Cashed-based physical therapy allows us to focus all of our attention on you as the patient and perform treatments to focus on YOUR goals without being dictated by insurance rules and regulations.

  • Our patients are able to pay with cash if they so choose but we also accept major credit and debit cards as well as HSA/FSA and Care Credit.

  • Insurance companies in the United States are continually cutting reimbursement rates for rehabilitation services and dictating how clinicians treat patients. With this decline in reimbursement, many clinics are forced to treat multiple patients in the hour and lower patient care standards in order to make ends meet. These clinics rotate patients in and use assistants and techs to complete treatments. Patients do not receive the individualized care they need and are encouraged to go through exercises with little to no supervision. With a cash based practice, we are able to decide how we want to treat patients as we are not regulated by the insurance companies.  This allows us to provide 1-on-1 care for our patients over the course of the one hour treatment session with the same physical therapist every time.

  • Since Medicare guidelines dictate that those covered under Medicare Part B must see a Medicare provider for physical therapy services, we are unable to treat individuals with Medicare insurance for physical therapy services; however, we ARE able to see patients for services that are not provided by Medicare such as health, fitness and wellness. This means we can see patients for personal training and wellness activities.

  • Standard Pricing:

    Evaluation: $279

    *Package pricing available for bundles of 8-30 visits.

    Ask about our discount for Active Duty Military and First Responders.

  • You can schedule a complimentary discovery call directly through our website. This lets us learn about your injury, concerns, and goals. We will answer questions you have, and determine if we are a good fit for each other.

  • You’ll get a detailed evaluation, movement assessment, dry needling and/or manual therapy (if appropriate), and a personalized plan for your rehab or strength journey. You'll leave with clarity and actionable steps.

  • Your sessions are 60 minutes, one-on-one with your Doctor of Physical Therapy.

  • Absolutely. Injury prevention and long-term resiliency are major pillars of our approach. We will keep you moving and feeling good into your 80s and 90s.

  • We ask for 24 hours’ notice for cancellations or rescheduling. Cancellations and reschedules within 24 hours of an appointment are charged a fee of $100. Since we are one on one, cancellations or reschedules within 24 hours of an appointment prohibit another client form attending a session.

  • We are located in the Publix Shopping Center in Jacksonville Beach at 408 Beach Boulevard, Suite 104, Jacksonville Beach, Florida 32250.

  • Hours vary by day and provider, but we offer morning, midday, and afternoon options Monday through Friday. Typically, our earliest appointment starts at 7:15am and our latest appointment starts at 4:15pm.

  • We offer ongoing performance training, strength coaching, and wellness check-ins to keep you progressing long after pain is gone.

Frequently Asked Questions

Orthopedic and Musculoskeletal

  • Everything from acute injuries to chronic pain: low back, shoulder, knee, hips, foot/ankle, tendonitis, lifting injuries, running injuries, and post-surgical cases.

  • Yes — this is our specialty. Whether you’re a barbell athlete, runner, weekend surfer, or recreational mover, we help you train pain-free and perform at your best.

  • Absolutely. We can analyze your squat, deadlift, press, Olympic lifts, and more, then coach technique to make you stronger and safer under load.

  • Yes. We will schedule an initial evaluation and assess shoulder and scapular mechanics, mobility, and strength demands to determine the root cause of your pain and get you lifting confidently again.

  • Yes. We use manual therapy along with exercise, strategically when it makes sense — joint mobilizations, soft-tissue work, and trigger point dry needling.

  • Yes — including ACL, rotator cuff repairs, knee surgeries, hip surgeries, and more. We will bridge the gap from surgery to everyday life then from everyday life back to your active lifestyle or demands of your sport. We work one on one to get you better, faster after surgery.

  • Yes. You’ll get a customized plan based on what you need and your specific goals, not generic exercises.

  • We focus heavily on strength, progressive loading, and movement literacy so you return to activity more capable and more confident than before your injury.

Frequently Asked Questions

Pelvic Floor and Pelvic Health

  • We can help you with urinary leakage, prolapse, pelvic pain, diastasis recti, birth prep, postpartum recovery, constipation, painful intercourse, and return-to-exercise issues. Symptoms of these common conditions can include leaking urine when coughing, sneezing, laughing, jumping, or running (even if it’s just a little), failing to reach the toilet in time, pelvic pain, leakage, abdominal discomfort, having heaviness or dragging in the pelvis or abdomen, and experiencing recurrent urinary tract infections, or recurrent urgency.

  • Yes, we treat pelvic floor concerns for all genders.

  • Yes. Leakage is common, but not normal — and it is highly treatable.

  • Yes. We address the musculoskeletal, nervous system, and strength components that contribute to pelvic pain.

  • We help you stay active during pregnancy, manage symptoms, prepare for labor, and safely return to exercise postpartum — including lifting and running.

  • Yes. We offer strength-based, evidence-informed approaches to both.

  • Our clinic is located at 408 Beach Blvd, Suite 104, Jacksonville Beach, FL 32250. When you arrive, you will be in the Publix Shopping Center.

    Once you arrive, you will be greeted by the Pelvic Health Physical Therapist who will be with you, one on one, for the entire duration of your appointment.

    We start our first visit with getting to know you, what problems you are experiencing and how it is impacting you, any pertinent past medical history/injuries, and the goals you would like our help with.

    From there, we’ll dive into your evaluation in which your pelvic PT will gently move through diagnostics while simultaneously keeping open dialogue the entire time so you understand what’s happening and why. 

    Pelvic Floor Examination: During the internal examination, the therapist will assess your pelvic floor muscles, focusing on their strength, endurance, and coordination with the other surrounding musculature.

    Please wear clothes that you can move around freely in as well as take on and off easily.

    If there are any techniques we can perform the day of to relieve your symptoms, we will do so during that first visit.


  • Yes, when appropriate and only with informed consent. We also offer effective non-internal options.

  • The pelvic floor internal examination is an assessment of the layers of the pelvic floor and surrounding tissues. Dr. Isabella will have you contract your muscles to feel the coordination and strength of various pelvic floor muscles. The exam is NOT like the one done at the OB/GYN. There will be no stirrups or speculum used and she will walk you through everything she does before she does it.

  • You can wear what you normally would wear for a workout. Something easy to move in. You will be asked to disrobe from the waist down for the internal exam, Dr. Isabella will give you sheets to drape over yourself, and she will step out of the exam room. She will then knock to ask you to come back in. Just like when you get a massage.

  • There is no gown you have to wear. You will be given sheets to drape over yourself and Dr. Isabella will step out of the exam room. You will disrobe from the waist down and cover yourself with the sheets. She will then knock to ask you to come back in. Just like when you get a massage.

  • No. Many clients need coordination, relaxation, breathing work, or strength training — not simply “tightening.”

  • Yes — you’ll receive a personalized plan for your specific goal, not just generic exercises or Kegels.

  • No. Everything is done at your pace with full consent.

  • Many clients notice changes within a few sessions, but timing depends on symptoms and goals.