Introducing a New Member of the Cioffredi & Associates Team

Cioffredi & Associates | The Institute for Health & Human Performance is growing to better serve your needs, with the addition of an integrative health coach to our team.

MICHELE BOUTIN, Integrative Health Coach and Client Care RepresentativeMichele Boutin, Integrative Health Coach

Michele has been practicing as an Integrative Health Coach in the Upper Valley for the past 10 years, specializing in immune system and GI wellness and has, recently, added Personal Cheffing to her services. As a Freelance Writer in the field of Integrative Health, Michele’s pieces have been published in: Upper Upper Valley Parents Paper, HEAL, Kids Stuff, Kearsarge, and Upper Valley Life Magazine.

As the Client Care Representative, Michele ensures that all clients of Cioffredi & Associates get what they need and want from their care and that their experience with us is of the highest quality.



Emily Milbank Joins Cioffredi & Associates Clinical Staff

Emily Milbank, PT, DPT Joins Cioffredi & Associates

We are pleased to announce the addition of Emily Milbank, PT, DPT to our clinical staff. Emily began treating and accepting new clients at the beginning of the New Year, allowing us to enhance immediate access to physical therapy care from 6:30 a.m. to 7:00 p.m. Additionally, December saw the addition of Saturday hours for Institute for Health & Human Performance massage and medically based personal training services.



Emily graduated with her Doctorate of Physical Therapy from the University of Vermont in May 2016. Prior to attending graduate school, she obtained a Bachelor of Science in Biological Sciences in 2015 while competing as a four-year member of the UVM Varsity Women’s Soccer team. In addition to her physical therapy training, Emily became a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association in June of 2012.
Emily Milbank Joins Cioffredi Clinical Staff

After recovering from an ACL injury during her collegiate career, Emily experienced firsthand the benefits of physical therapy. Her passion for athletics and personal experience with injury inspired her to pursue her interest in exercise and rehabilitation. She uses an evidence-based, integrated approach to treatment, combining manual therapy techniques, exercise prescription, and functional activities to help her patients achieve their goals.
In addition to treating musculoskeletal injuries, Emily also has an interest in treating concussion, vestibular, and neurologic diagnoses. When not in the clinic, Emily enjoys running, hiking, traveling, and spending time with family and friends.


Welcome, Emily!


Cioffredi & Associates Recognized Nationally with PRACTICE OF THE YEAR 2016 Honorable Mention

Cioffredi Recognized Nationally Top 4 PT Practice


December 2016

Cioffredi & Associates was named recipient of one of three national 2016 Honorable Mentions for ADVANCE magazine’s Practice of the Year award. Read on for an excerpt from the full article in the December 2016 edition of ADVANCE for Physical Therapy & Rehab Medicine.


Second Consecutive Year

For the second consecutive year, Cioffredi & Associates|The Institute for Health and Human Performance, located in Lebanon, NH, has earned a “top 4” designation in the Advance Healthcare Network’s ADVANCE Magazine’s Physical Therapy Practice of the Year award competition.

Now in its 15th year, the ADVANCE Practice of the Year Contest tallies anonymous entries from across the country and scores them on a range of success metrics. The contest is free to enter and is never connected with advertising contracts or incentives.

Other recipients of the top 4 honors included Foothills Sports Medicine Physical Therapy, a practice with 22 clinic location headquartered in Phoenix, Arizona, and Synergy Physical Therapy & Sports Medicine based in Jacksonville, North Carolina.

We continue to be grateful for the opportunity to work with wonderful people here in the Upper Valley!

About Cioffredi & Associates, Lebanon, N.H. 

Cioffredi & Associates is located in Lebanon, N.H., near Dartmouth College, Dartmouth Hitchcock Medical Center, and Alice Peck Day Memorial Hospital. Founder Bill Cioffredi, PT, grew up in Rutland, Vt., graduated from the University of Pennsylvania in 1979, and began his professional career at Dartmouth-Hitchcock Medical Center right out of school. While at DHMC he met Ruth Curtis, an OT specializing in hand rehabilitation.

In 1985 Bill and Ruth married, and established the Cioffredi Orthopaedic & Sports Therapy Center. Originally, the practice was open part-time, with Bill as sole provider. As the caseload grew, he brought on additional staff to meet demand and to maintain his policy of immediate therapist access. The organization moved four times since its inception, each time to a larger and more efficient space. Today the practice has 23 staff members offering a full complement of therapy services.

“In 2014, we moved to new location and developed the Institute for Health and Human Performance,” said CEO Amy Hayward. “The vision of the institute was to provide adjunctive and complementary services, which include medically based personal training, nutrition counseling, massage therapy, and health coaching to our existing rehabilitation services. It also allowed us the ability to provide educational forums and programming on a variety of healthcare topics to the general public. The institute is now viewed as a resource of knowledge for in the community.”Cioffredi Award Winning Practice

Their patient-first customer service philosophy includes immediate therapist access, a warm and welcoming therapy environment, inspiring open floor plan complete with cathedral ceilings, natural light, and views of the surrounding woods, and a client care representative who meets with all new patients.

Pillars of maintaining a committed therapy team include a mentorship program, a continuing education allowance, regular 1:1 meetings with supervisors, opportunity to participate in a speaker series, and a fun working environment that often features free breakfast and lunch, staff contests, and regular outings for pizza and bowling. Cioffredi & Associates regularly hosts DPT students as a clinical affiliation site.

Newer offerings include a corporate wellness program and occupational health services. “We are currently working with two local banks that, combined, employ over 350 people, as well as a large accounting firm,” Hayward said. “In our occupational health services we are currently piloting a program working with 36 glass blowers for a nationally recognized company.”

balance workoutAdditional services include a balance and vestibular program that offers free fall prevention screens to people ages 65 and older, and a pediatric therapy program that fills a void in the community for outpatient pediatric services. A speaker series, single-topic seminars, presentations at schools and senior centers, physician meetings, and regular e-mail and social media communication top the list of community engagement.

“In addition to highly competent clinical care, we believe there are other aspects that make up the total patient experience,” Hayward said. “Not only quality of care and clinical outcomes, but a highly satisfied client that has formed a relationship with our office.”

Thank You From Cioffredi & Associates


* Pain and Resiliency: An Opportunity *


Our Fall Speaker Series took place on Wednesday, November 2, 2016 here at Cioffredi & Associates|The Institute for Health & Human Performance, and if you weren’t able to be here, we have good news! You can watch both presentations on our YouTube Channel. See below for more details.

Featured Presentations


Dr. Adam Schwarz


The Clinical Science of Resiliency

Dr. Adam Schwarz

Primary Care Physician, Hanover Continuity Clinic

Resilience is a quality that allows us to meet challenges, and not only survive, but to thrive. Whether it’s a physical pain, an emotional upset, or one of life’s many other challenges, resilience is an essential element. We are honored that Dr. Adam Schwarz has agreed to speak at our upcoming lecture series on The Clinical Science of Resiliency.



Kate Leiser, PT, DPT, OCS


Walk It Off: The Role of Exercise in Management of Pain

Kate Leiser, PT, DPT, OCS

Physical Therapist, Cioffredi & Associates

Learn how physical therapists effectively treat pain while teaching people how to manage and avoid relapses. Physical therapy is a safer alternative to pain medication; there are no side effects, and even some added benefits. Developing one’s competence and confidence to handle and recover from periods of pain in life is fundamental to building resilience.



Team Cioffredi participated once again this year in the CHaD HERO Half Marathon and Ripcord 5K, to help raise money chad-logo2-copyfor the kids at the Children’s Hospital at Dartmouth, and we had an outstanding day! With support from generous donors, Cioffredi & Associates team members ran the half marathon and the 5K and raised over $4,600 for the cause.


Half Marathon & Ripcord 5k

Sunday, October 16th

Run, Walk, Bike, Volunteer, Donate



100% of the CHaD Hero proceeds fund critical child and family support services at Children’s Hospital at Dartmouth-Hitchcock (CHaD), including the Child Life Program, Molly’s Place, and the Child Advocacy & Protection Program.


sports nutrition

Join Us for this FREE event!

Maximizing Athletic Performance Through Nutrition

Wednesday, August 24th, 2016, 6-7pm

Presented by Amy Tuller, RD, LD, CDE

Registered Dietitian & Certified Diabetes Educator

Join Registered Dietitian Amy Tuller as we discuss the latest in sports nutrition for athletes and active people of all ages. Proper nutrition is fundamental to maximum athletic performance. Learn about good food choices for getting the right amount of energy & maximizing performance, combining optimal ratios of carbohydrate/protein/fat, hydration strategies, ideas for pre & post-workout meals, as well as portable quick meals and snack ideas for busy athletes.

This event is FREE and open to the public. Pre-registration is requested, call 603-643-7788 or email to reserve your spot today.


Amy Tuller WEBAbout Our Presenter: Amy Tuller has over 25 years of experience helping people to maintain optimal health and performance through nutrition. She received her BS in Foods & Nutrition from the State University of New York at Plattsburgh, and completed her dietetic internship at Beth Israel Hospital in Boston. She offers Nutrition Counseling services at Cioffredi & Associates for people of all ages. Read her full bio here.


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ADVANCE Magazine for Physical Therapy and Rehab Medicine has awarded Cioffredi & Associates Honorable Mention as one of the top four practices in the United States. This annual contest recognizes rehab practices that stand out from their peers in customer satisfaction, clinical expertise, staff development, and promotion of the rehab profession.

“We are competing with substantial organizations, some of which have large numbers of multi-site clinics and resources. It’s an honor to be considered at this level, and in this category of practice excellence” says Bill Cioffredi, PT and founder of Cioffredi & Associates.

As one of the top recognized practices, Cioffredi & Associates has received Honorable Mention in the December 2015 issue of ADVANCE Magazine, and a full length article on their website. Here is an excerpt from the article:

“Selecting a winner of ADVANCE’s Practice of the Year Contest is a difficult exercise in objectively evaluating an expansive list of innovative, forward-thinking physical therapy practices that are defining PT private practice in the new millennium. These exceptional physical therapy centers are expanding their offering of services, staying true to the guiding principles of the profession, using new media
to promote themselves and the physical therapy profession, and above all, offering superior consumer service through evidence-based care.”



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Please join us as we say “Thank You” for 30 years!

We would like to invite you to come celebrate with us at our 30th Anniversary Open House! We’ve got an exciting event planned to say “Thank you” to our clients for helping make our last 30 years a success.

Panorama with JOIN US

30th Anniversary Open House

Saturday, October 31st, 2015

9am – 12pm


The Day’s Events Include:

Speaker Series Featuring Area Doctors

See details below. Pre-registration is requested, though not required. Call 603-643-7788 to register.


Explore the Various Services We Offer at Our Health Fair

Physical & Occupational Therapy, Health Coaching, Massage, Medically-Based Personal Training, Nutrition Counseling, Dry Needling


Enter to WIN Our Client Appreciation Giveaways
Win a Massage, Personal Training Package, Ski Tickets, and More!


Enjoy FREE Chair Massages


Great Deals on Personal Training and Massage Packages available for purchase ONLY during the event. Packages available will include:

8-Pack of Personal Training $499 (regularly $560)
6-Pack of 60 Minute Therapeutic Massage $360 (reg. $390)
3-Pack of 30 Minute Therapeutic Massage $90 (reg. $120)
Purchase as many packages as you wish!


Annual Pumpkin Carving Contest

Enjoy the creations made by our staff and vote for your favorite! This much loved annual contest is perfectly timed to coordinate with this year’s Open House!


Refreshments & Cake Cutting Ceremony


Speaker Series Details:


Marcus Coe9 – 9:30am
Treating Hip & Knee Arthritis: From Pills to Prostheses
Presented by Marcus Coe, MD
Orthopaedic Surgeon at Dartmouth-Hitchcock Medical Center


Join Dr. Coe to learn about the variety of treatments available for hip and knee arthritis, from pills to prostheses. Dr. Coe seeks to educate all of his patients about options for both non-operative and operative treatment to help patients determine the best course of care for them to achieve their goals.

Dr. Coe received his medical degree from Yale University School of Medicine in 2006. He completed his residency in Orthopaedic Surgery at DHMC (2006-2012) followed by a fellowship in foot and ankle surgery at the University of British Columbia Affiliated Hospitals, Vancouver, BC, Canada (2012-2013). He joined the team at DHMC in 2013 where he also serves as an Assistant Professor of Orthopaedics at the Geisel School of Medicine, Dartmouth.


Dan O'Rourke10 – 10:30am
The Power of Positive Thinking: Doc by Day, Coach by Night
Presented by Dan O’Rourke, MD
Cardiologist at DHMC & VA Medical Center, Girls Varsity Basketball Coach at Hanover High School


Positive thoughts have the power to impact your work, your health, and your life.  Join Dr. O’Rourke as he shares his unique perspective on the power of positive thinking. A Cardiologist with a basketball coaching career that spans two decades, Dr. O’Rourke bears witness to the power of thoughts each day. Learn how to apply the power of positive thinking to your own life.

Dr. O’Rourke received his medical degree from SUNY at Syracuse Health Science Center in 1990. He completed his residency in Internal Medicine at the University of Pittsburgh (1990-1993) followed by a fellowship in Cardiology at DHMC (1993-1996). He joined the team at DHMC in 1997 where he also serves as an Assistant Professor of Medicine at the Geisel School of Medicine, Dartmouth.

In addition to his medical career, Dr. O’Rourke has been coaching basketball for 21 years. He joined the Hanover High Athletics department as assistant Varsity Coach in 1995, and played an integral role in helping the Marauders claim their first ever state championship in 1997. He has been serving as head varsity coach since 2001, and has racked up an impressive record during that time including 7 state championship titles. Read more about Dr. O’Rourke’s coaching career on the HHS website.


Bill WEB BIGGER11 – 11:30am
Treating Long-Term Back Pain: The Art and The Science
Presented by William Cioffredi, PT
Founder & Physical Therapist, Cioffredi & Associates


It’s well known that about 8 out of 10 people will experience a significant back problem in their lifetime. According to the American Physical Therapy Association approximately 25% of people in the US (at any given time) report having lower back pain in the last three months. The success in treatment often lies in a multi-faceted, customized approach. Come join Bill Cioffredi as we explore the various components that go into treating long term back pain.

Bill graduated from the University of Pennsylvania in 1979 with a degree in Physical Therapy. He has extensive experience in orthopedic and sports rehabilitation, with areas of special interest including the spine, ankle & foot disorders, headaches, TMJ dysfunction, and injuries related to the fine arts.
Bill played football growing up and through college where he played Division 1. It was his interest in biomechanics and physiology that led him into the PT profession. In 2012 Bill received his certification in Trigger Point Dry Needling (TDN), which uses solid filament needles, like those used in acupuncture, to target trigger points deep within the muscle. TDN is an additional tool that Bill uses in his care, when appropriate, to help lengthen and loosen tight muscles.


PLEASE NOTE: Topics/time subject to change. We will keep this information up-to-date with the most current information available.