
Leonor Miranda
Owner and Physical Therapist
- Physical Therapist · VT Lic. 000000
Opened Switchback and sees riders, runners and skiers. She asks about your season first, then tests how you move.
Physical therapy in Winooski, Vermont
Switchback is a clinic of three physical therapists on Weaver Street. We start by watching how you move, then plan care around your sport and your season.

Two ways to start
Not every visit starts with pain. Pick the one that matches why you are calling, and we will tell you if the other one makes more sense.
| Movement screen | Full evaluation | |
|---|---|---|
| Who it is for | Movement screenRiders and runners who feel fine and want to see how they move before a season | Full evaluationAnyone with pain, an injury or a change in how they move |
| What happens | Movement screenA therapist watches you squat, step, hop, reach and pedal, and tells you what stood out | Full evaluationA full history, a hands-on exam and tests, and an explanation of what the therapist finds |
| Where it leads | Movement screenA short written list to work on, and advice on whether an evaluation makes sense | Full evaluationA plan of care you agree on, with exercises, hands-on care and what decides how many visits |
| What it is not | Movement screenNot treatment, and not a physical therapy evaluation | Full evaluationNot a bike fit, unless you ask for one as well |
| How it is paid for | Movement screenYou pay for it yourself, and we give you an estimate in writing first | Full evaluationBilled to your plan when it covers physical therapy; an estimate in writing if you pay yourself |
Its own service
A physical therapist looks at you first, on the floor, and then on your bike on a trainer. Saddle, cleats, bars and the way your hips, knees and back move all get looked at together, and you leave with a written list.
Bring your bike, shoes and the shorts you ride in
A stand-alone visit, with no plan of care attached
Road, gravel and mountain bikes

What we see
Most people arrive with a sport and a date in mind. We plan backward from it.
Your therapists
Every visit is with a physical therapist. Each of us holds a Vermont license; the lines are in the footer.

Owner and Physical Therapist
Opened Switchback and sees riders, runners and skiers. She asks about your season first, then tests how you move.

Physical Therapist
Leads the movement screen and the bike fit, and rides to the clinic himself.

Physical Therapist
Works with trail runners and winter athletes on strength, landing and how training load builds.
A first visit
Where you ride, run or ski, how often, and the event or the first snow you are aiming at.
Strength, balance, landing and control, tested the way your sport asks for them.
A few exercises, a schedule and what we will look at next time. The front desk tells you how it is paid for before you come in.
Patients say
“They watched me pedal on a trainer before they said a word about my knee. Then they gave me a short list I could actually do.”
“I expected a lecture about my running. It was a treadmill, a phone camera and a plan built around my training week.”
“Laila planned backward from the day I wanted to be on snow, and explained why each exercise was there.”
Sample reviews.
In Vermont you can start without a referral. Your plan may still ask for one. Call us with your plan card and we will check before you book.
No. A screen is a shorter look at how you move, with a written list at the end. An evaluation is a physical therapist's full exam and the start of a plan of care. We help you pick.
We bill many kinds of plans for evaluations and treatment visits, including most commercial plans, Medicare, Medicaid, workers' compensation and auto injury coverage. Your plan decides what it pays.
We work within what you can tolerate. Some movements and exercises can be uncomfortable. Tell us, and we change what we are doing.
Book online
Our online schedule opens in a new window. Prefer to talk it through? Call the front desk.