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Peak Performance Physical Therapy
Peak Performance has earned a reputation as the "go-to experts" in physical therapy, personal fitness, and sports training throughout the East Rochester region and beyond! We relieve pain, restore movement, reclaim confidence, and return people to doing more of what they live for. Let us help connect you with what's most important in your life - getting you back to living life your way in comfort and confidence!

We don't just treat symptoms; we find and fix underlying causes so that you can get back to doing more of what is most important to you. We are here to prevent injury, treat conditions, enable an active lifestyle and enhance physical performance related to nerves / joints / muscles / tendons, and enhance an active lifestyle and physical performance.
Reviews (11)
David R.
David R.
Sep 14, 2021
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Can't overstate how wonderful this place it. Mike and team treated my teen daughter for ACL rehab, my mom after hip and knee replacements, and now are helping me w my back. So very grateful for the off the charts levels of expertise, compassion and kindness by everyone at Peak Performance! Thank you Mike, Karen, Rachele and team
Ck
Ck
Feb 21, 2021
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Diagnosed with a frozen shoulder back in September, I was given a cortisone shot and it was suggested that I could get PT or just do the stretching on my own. I figured that I’d do my own thing and if it didn’t get better I’d reach out for PT work. That same day, I got an email from Peak Performance advertising 20 minute free consultations. I thought perfect, I’ll sign up for one of these and get some feedback. I called and booked a slot for a couple weeks into October. Within an hour, I got a call from Karen who said that she saw the request, but didn’t think it was a good idea to wait
Beth M.
Beth M.
May 03, 2019
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Following Knee Replacement Surgery, Karen was incredibly patient and encouraging and helped me to get back on my feet. The entire staff was friendly and helpful. Unlike other PT places I had previously used, Peak Performance truly gave me personalized treatment and developed a plan based on my personal situation, needs and goals. I watched each therapist treat EVERY client with dignity and respect regardless of age, ability, or athletic involvement. I highly recommend Peak Performance and will never go anywhere else in the future!
Kristina Brown
Kristina Brown
Jan 05, 2019
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Thank you Andrew. I am walking much better, walked 2 Saturdays ago at Letchworth Park all day, then last Friday at Darien Lake without my cane. I still use the trekking pole when I walk for exercise without my husband but I am walking 2.5 miles at one time and thousands of steps at a time. Thank you from the bottom of my heart. Thank you for teaching me how to tape my knee as I still need to do that once in a while especially the day I walked Darien Lake from 10:30 AM to 5:30 PM, of course with rest time, and I could walk in the water park with my granddaughter as she played for hours. Yea. Thank
Matthew Taylor
Matthew Taylor
Nov 16, 2018
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I'm a "weekend warrior" who consistently exercises throughout the week and often aims for a long run or ride of some kind on the weekend. After being sidelined due to what I thought was some chronic low back pain, I began trying everything I could think of; chiropractic care, yoga, massage therapy, and a visit to the MD. I was getting desperate and nearly ready to give up until I found an answer to my prayer, PT with Andrew from Peak Performance. Shortly after assessing me, he quickly diagnosed the root cause of my problems and put me to work with some focused stretching and strength building exercises
Deborah Naus
Deborah Naus
Oct 12, 2018
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I had a total knee replacement this past April 2018 and when I was cleared to begin outpatient physical therapy I chose Peak Performance. I live a block away from them and my in home physical therapist recommended them. I have been working with Andrew and Mark during my time there. Due to my waiting so long to have the knee replacement surgery, it has taken me longer to get back my range of motion. My fault, I should have done it sooner! Andrew and Mark have gotten me so far in 2 months! The defining factor is when I FINALLY could take the stairs like a big girl and walk the Renaissance Faire for
Dave Wurthmann
Dave Wurthmann
Oct 03, 2018
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I had adhesive capsulitis (frozen shoulder) on my right side and Mike knew exactly how to help me through it. Via a two pronged therapy consisting of a) phased progression of stretches and exercises, and b) hands on physical manipulation "mobes" of the shoulder socket we were able to make steady progress through all three phases (freezing, frozen, thawing). If you get frozen shoulder, go see Mike - it will change your life!
PS - I spent a lot of time at the facility and vicariously experienced a lot of different sports injury treatment going on around me. The care and attention to detail always
Joe Cavallaro
Joe Cavallaro
Aug 06, 2018
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The folks at Peak Performance were very helpful in getting me through serious elbow pain I was having last year. Mike created a group of exercises that allowed me to strengthen the muscles in that area and relieve my suffering. Thank you very much!
John Maloney
John Maloney
Jul 22, 2018
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Excellent care and sound plan for optimal results. Andrew is a great PT and ensures you will get better (you have to do your part too).
Sheila and front desk were extremely helpful in scheduling appointments.
Highly recommend Peak PT!
John M.
MIchael Kustas
MIchael Kustas
Jul 08, 2018
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Great team to work with. Extremely knowledgeable and not just a “bands and doorways” type of PT office. Have had nagging back issues from an old college injury. Karen has done wonders to keep me going. I would not trust my back to anyone else. If you’re suffering from a back injury, this is the place to go!
Mark H.
Mark H.
Nov 22, 2014
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We were very satisfied with the services we received at Peak Performance. Mike Napierala and his staff are very professional and friendly. Mike is extremely knowledgeable and is up to date with cuurent practicies in the PT field. Mike had a good undertanding of the struggles adolescent athletes go through while dealing with a sport's injury. He looks at the larger picture of sustained recovery vs. rushing back into activity risking continued problems.

Our daughter had two surgeries to address issues related to her knee. When she started having difficulty with her knees we were referred