About Us

It is the people that make Scarpelli & Associates a top-rated physical therapy practice, over and over.

For over 30 years, Scarpelli & Associates has offered expertise in orthopedic manual physical therapy in San Francisco’s Castro District. We provide in-depth, one-on-one assessments and tailored personalized treatments in private rooms — no factory set treatments, group sessions, or PT aides. We collaborate with your other health care providers to offer a team approach to your care. Ultimately, empowering you to reach your best musculoskeletal health is our top priority.

Scarpelli & Associates is a legacy business, named in 2019. We have been awarded the San Francisco Outstanding Clinic Award, the Patient’s Choice Award, and named one of the Top 3 Physical Therapists in San Francisco by Three Best Rated®.

Each body is different. Therefore each rehabilitation must be different.

Schedule an Evaluation using our Patient Scheduling form

Who We Are

  • Liz Scarpelli is the founder of Scarpelli & Associates Physical Therapy

    Elizabeth Scarpelli, PT, FAAOMPT

    Liz is the original founder of this 30 year old practice. She retired in 2025, and has been a therapist and teacher for over 35 years. She has mentored over 30 graduate PTs on the path to specialization in orthopedic manual physical therapy, including Dr. Cynthia Koch, current owner. She was a senior instructor for over 20 years in the Kaiser Hayward PT Residency and Fellowship program. Liz is an avid cyclist and still teaches workshops for PT’s, mentoring and consulting on difficult cases in our office.

Senior PT, Owner

  • Cynthia is the owner and principal practitioner at Scarpelli Associates Physical Therapy

    Dr. Cynthia Rose Koch. PT/DPT, ERYT500

    Dr. Cynthia, our Canadian current owner and principal PT at SAPT took over the practice in 2025 after Liz’s retirement. She specializes in orthopedic spine, shoulder and foot and ankle conditions. She has taught yoga in San Francisco for over 15 years and is a certified pelvic floor physical therapist from Herman & Wallace. You may also find her singing in her 10-piece Soul Band Luvbomb around the city in a bright blue wig if you’re lucky!

  • Niki Naumchik, Office Manager/Client Services

    Niki ensures the office runs smoothly and efficiently. She enjoys working with clients to handle all aspects of scheduling, appointments and navigating the logistics of insurance. She strives to make things as easy as possible for the client. Travel is her passion.

Schedule an Appointment using our Patient Scheduling form