Physical Therapy Services at Elevate.

Services Offered:

  • EPAT (Extracorporeal Pulse Activation Technology) with Andy McGowen
  • HOURS: Monday-Fridays and Saturday Morning
  • Dry Needling  (with PT Services) with Alexander Hsiao PT, DPT, CSCS, CIDN Dry Needling * Manual Therapy * Post-Surgical Rehab * Orthopedics * Outpatient.
  • HOURS: Fridays 2 until 6pm~Saturdays 8am until Noon and Sundays by request
  • Gaston Technique and Cupping with Karli Collins CPT
  • HOURS: Mondays 2pm to 5/6pm


Dr. Alexander Hsiao PT, DPT, CSCS, CIDN – Advanced Integrative Dry Needling * Manual Therapy * Post-Surgical Rehab * Orthopedics and Sports Injuries * Pain Management * Injury Prevention

Dr. Hsiao is a well-respected physical therapist who moved to serve the Rhode Island community since 2015. He obtained his Doctorate in Physical Therapy from New York University, and specializes in orthopedic therapy and pain management. Dr. Hsiao is also renowned for his dry needling technique. He is certified in Advanced Integrative Dry Needling, with additional concentrations in pain management, sports rehabilitation and injury prevention.

Over the years, Dr. Hsiao always upheld his doctrine to provide the best and most current care to his patients, tailored specifically to each individual. He ensures that the most up to date and efficient treatment techniques are integrated into his care. He annually attends conferences, seminars, and has been invited to share his techniques internationally at workshops.

Dr. Hsiao is known for his attentiveness and the high quality of care he provides, receiving continued accolades from his patients. He personally monitors the progress of each of his patients, establishing exceptional long-term relationships and effective recovery.
Certifications & Specialties:
-Certified in Advanced Integrative Dry Needling (CIDN) by the Integrative Dry Needling Institute
-Certified Strength and Conditioning Specialist (CSCS) by the National Strength and Conditioning Association (NSCA)

Karli Collins CPT Gaston Technique and Cupping

Karli is a licensed and certified athletic trainer, Graduated with a Bachelor’s of Science in Athletic Training and a Bachelor’s of Health & Human Performance in 2015. Also graduated with my Master’s of Sport and Exercise Science in 2016. She was an intern, which turned into a full time job at the University of Louisiana 2016-2019. While there, she worked with football, soccer and track & field. She completed trainingin 3D Maps (a functional movement screening), Graston (scraping technique), and obtained an EMT certification. Currently, she’s anassociate athletic trainer at URI where I work with football and softball. She’s attended courses and completed trainings in myofascial release, vestibular therapy, active release therapy, massage & soft tissue work. When work schedule allows, she works part time with Team USA Gymnastics Trampoline & Tumbling-travelling both nationally and internationally with them.

EPAT (Extracorporeal Pulse Activation Technology)

Appointments can be scheduled on the Mindbody app or by clicking on sign up here below.  If you don’t see an appointment time that works for you, please contact:

Andy McGowan – or 401- 864-4041

What is EPAT®?

EPAT® stands for Extracorporeal Pulse Activation Technology.  EPAT® is a form of ESWT (Extracorporeal Shock Wave Therapy) which is an evidence-based, emerging, proven treatment option for patients suffering from both acute and chronic musculoskeletal injuries. This technology was developed in Europe and is considered a standard of care in most of the world for treating chronic musculoskeletal conditions.  If you are tired of being in pain and not able to participate in activities you love, EPAT could be right for you.

How does it work?

EPAT® uses acoustic pressure waves to safely increase metabolism and blood flow, stimulating or enhancing healing of the injury.  The microtrauma induced, triggers a cascade of inflammatory factors such as cytokines and chemokines that help regenerate the damaged tissue.  These inflammatory factors are essential for healing and are present at high levels in acute injuries, but diminish or cease to exist over time in chronic injuries.  Think of EPAT® as a way of pushing the reset button on healing.

Examples of conditions treated with EPAT®:

  • Plantar Fasciitis
  • Achilles Tendonitis
  • Posterior Tibial Tendonitis
  • Anterior Tibial Tendonitis
  • Plantar Plate Injuries
  • Peroneal Tendonitis
  • Interdigital Neuromas

Who is a candidate for this technology?

We recommend EPAT® for acute injuries as part of first line therapy, since it will allow for a faster recovery, so that you can return to the activities you love. It is also recommended for patients coming to us with chronic injuries who have failed to respond to other therapies. EPAT® allows our patients to avoid major downtime during treatment.

What should I expect?

EPAT is usually well tolerated and does not usually require the uses of any use of anesthesia or nerve block.  A handheld applicator along with coupling gel is applied to the skin over each of the injured areas. Patients will then be exposed to a series of pulses, which will slowly be increased as tolerated to a therapeutic level during the session.  Expect each session lasts 10-15 minutes.

Are there any risks to EPAT®?

EPAT® is FDA cleared for the treatment of acute and chronic musculoskeletal pain and connective tissue disorders; there are no known risks or complications.

What should I expect following the procedure?

Most patients will leave the office with a temporary reduction in pain.  Patients are able to walk out of the office and resume normal weight bearing activities.

What are the success rates?

Over 80% of patients see significant or complete resolution of symptoms.

Are there any contraindications?

EPAT® is not recommended for patients on blood thinners, those with malignancies and those who are pregnant.