Physical Therapy and Wellness Services in Jacksonville, FL

Alex Hill is a Doctor of Physical Therapy (DPT) and a double-board-certified specialist in women’s/pelvic health and oncology rehabilitation, with over 11 years of experience. She is also a LANA-Certified Lymphedema Therapist and has additional specialized training in lipedema care and gender-affirming rehabilitation. Alex is at the forefront of evidence-based care, staying current with the latest research and treatments, teaching clinicians worldwide, and actively participating in research to advance practice.

Your first session is designed for you to feel heard, supported, and empowered. During this time, we’ll:

• Talk through your story: Review your medical history, goals, and what matters most to you

• Observe your movement: Assess posture and how your body moves

• Check in on key areas: External assessment of your abdomen, back, hips, and pelvis

• Discuss internal exam options: Determine whether an internal pelvic exam might be helpful (more on that below)

You’ll leave with personalized education and a treatment plan you can start right away. You are welcome to bring a support person if that makes you feel more comfortable; just let Alex know ahead of time.

Only if it feels right for you! Internal pelvic exams (vaginal and/or rectal) provide very helpful insight into the function of your pelvic floor muscles and surrounding structures, but they are entirely optional.

During your session, I will:

• Explain what an internal exam involves

• Discuss how it may or may not be helpful for your symptoms

• Honor your preferences, boundaries, and comfort

You always get to choose. You can opt in or out at any time, and we’ll continue with effective care regardless.

Yes! You can absolutely attend pelvic health sessions during your menstrual cycle. Your sessions can be modified if you’re experiencing heavier flow, cramping, or other symptoms, but there’s no medical reason to cancel. Your treatment can be adjusted as needed to ensure your comfort.

Your session begins with a conversation about your cancer journey, treatments, current physical needs, and what matters most to you. During this session, we’ll also:

• Assess posture, strength, mobility, balance, sensation, and more to get a complete picture of your body’s function

• Evaluate scar tissue and/or radiation fibrosis

• Assess any swelling or lymphedema 

• Address pelvic floor function if treatments have affected bladder, bowel, or sexual health

Every session is customized to your energy level, stage of treatment or survivorship, and personal comfort, so you can feel supported, safe, and empowered in your care.

In Florida, you can begin physical therapy without a physician referral thanks to direct access laws. This means you can schedule your evaluation and start treatment right away.

However, Florida law limits physical therapy without a referral to 30 consecutive calendar days. After that, if you need to continue care for a medical condition, we’ll need a signed plan of care or referral from a physician, advanced practice registered nurse (ARNP), chiropractor, podiatrist, or dentist. You must have a medical provider who provides you either with a referral to PT or who is willing to sign the plan of care.

Wellness services are exempt from this requirement, as they are not considered medical care.

Physical therapy sessions treat a specific concern (like incontinence, lymphedema, or pain) and include a clinical assessment and a treatment plan. These may be eligible for out-of-network (OON) reimbursement.

Wellness visits support general health and are not considered medically necessary. These visits are not covered by insurance and don’t include formal medical documentation. Examples include, but are not limited to, coaching, education, and guidance healthy habits and overall well-being.

If you’re unsure which path fits your goals, reach out to  hello@oncopelvicpt.com and I’m happy to guide you.

OncoPelvic PT, LLC is an out-of-network (OON) provider with all health insurance plans including TriCare, is not enrolled as a Medicare provider, and is not enrolled as a Medicaid provider.

OncoPelvic PT, LLC is a fully cash-based concierge practice, allowing me to spend more time with you, focus entirely on your goals, and provide whole-person care with flexible appointments and no restrictions or rushed sessions. You receive individualized attention and care tailored to your unique needs, not what’s “allowed” by insurance. With OncoPelvic PT, LLC being OON, you get the care you need without compromise.

Upon request, a superbill can be provided for you to submit to your insurance for possible out-of-network reimbursement. You are responsible for submitting claims and understanding your out-of-network benefits before starting care.

Click HERE for a worksheet to understand your OON insurance benefits

OncoPelvic PT accepts cash, debit/credit cards, and HSA/FSA cards. Payment is due at the time of service.

If using HSA/FSA, please confirm with your plan that physical therapy is an eligible expense and that you have adequate funds prior to your appointment.

Wear something comfortable that allows you to move freely, like workout clothes or loose-fitting attire. Avoid restrictive clothing and bring any supportive garments (like a brace or compression garment) if you normally use them during activity.

Yes! OncoPelvic PT welcomes all adults, regardless of gender, sexual orientation, race, ethnicity, religion, or ability. Everyone is welcome here, and your identity and needs are respected every step of the way.

Locations:

• In-Clinic: At our centralized Jacksonville location, near the intersection of San Jose Blvd and Baymeadows Rd

• Virtual: Secure online video platform

Appointment lengths:

• Standard – 60 minutes

• Focused – 30 minutes

• Extended – 90 minutes

• Yes! Many patients appreciate the flexibility of virtual care—especially during busy times, post-op recovery, or if they live outside Jacksonville. Virtual visits are available for most diagnoses, except for lymphedema and lipedema, allowing me to assess your movement, guide you through exercises or self-care strategies, and answer any questions you have.

• Before your first telehealth session, you’ll receive a consent form that explains how telehealth visits work, what to expect, and how your privacy is protected. 

• Telehealth is effective for many conditions, but some limitations exist compared to in-person visits. If a telehealth session limits proper evaluation or treatment, I’ll let you know so you can schedule an in-person appointment.

• For telehealth visits, you will not need to undress on screen or during the session. If indicated, I will guide you through external and self-assessment tools in a private and respectful manner.

• All telehealth sessions use secure, HIPAA-compliant platforms, and your records are protected in accordance with federal and state laws.

I am licensed and able to provide physical therapy in Florida, Maryland, North Carolina, and Texas. I only work with patients who are in states where I hold an active license. You can click on each state to verify my active license.

At OncoPelvic PT, we believe in transparency and empowering you to make informed decisions about your health care. If you’re paying out-of-pocket or choosing not to use insurance, you’re entitled to a Good Faith Estimate of the total expected cost of your physical therapy services.

What does this mean for you?

• Right to Receive a Good Faith Estimate: You have the right to receive a Good Faith Estimate for the total expected cost of any healthcare items or services when scheduling such items or services or upon request.

• Timing of the Good Faith Estimate: If you schedule a healthcare item or service at least 3 business days in advance, we will provide you with a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a healthcare item or service at least 10 business days in advance, we will provide you with a Good Faith Estimate in writing within 3 business days after scheduling.

• Requesting a Good Faith Estimate: You can also ask us for a Good Faith Estimate before you schedule an item or service. If you do, we will provide you with a Good Faith Estimate in writing within 3 business days after your request.

• Disputing Unexpected Charges: If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Be sure to save both a copy of your Good Faith Estimate and the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.