Meet Our Physical & Occupational Therapists


Meet our team of highly trained and experienced professional physical and occupational therapists, who are available for treatment Monday through Friday, 6:30 a.m. to 7:00 p.m.

Bill Cioffredi, Physical Therapist and Founding Team MemberBILL CIOFFREDI, PT

Founder & Physical Therapist

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 at the Division 1 level. His interest in biomechanics and physiology led him into the PT profession. “Through my involvement in sports I had an interest in the physiology and biomechanics of how the body worked. As part of my participation in the Shrine game we went and visited the kids at the children’s hospital in Springfield, Mass. It was a very positive experience that left a lasting impression on me and was an influence in my decision.Read More

While playing football at the University of Pennsylvania I interacted with the athletic trainers who were also duel degree physical therapists. Some had second jobs working at local hospitals and I did a number of hours of volunteer work with them. My older sister is also a physical therapist, and at that time was working in the athletic department at the University of Delaware. Between all of that I became very certain about what I wanted to do.”
Bill started his career at Dartmouth Hitchcock Medical Center where he met his wife Ruth. Together they opened Cioffredi & Associates in 1985. As a CEO, Bill is fully committed to ensuring that all patients at the clinic have a positive total experience.

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. Outside of the office he enjoys running, hiking and skiing. Bill resides in Lebanon, New Hampshire with his wife, three daughters, and son.

Marsha Wykes, Clinical Director and Team MemberMARSHA WYKES, PT, OCS, CERT. MDT

Clinical Director, Physical Therapist

Marsha graduated with a degree in Physical Therapy from the University of Minnesota in 1995. She is a board certified Orthopaedic Clinical Specialist (OCS) by the American Board of Physical Therapy Specialties. This advanced certification requires a minimum of 2,000 hours of direct patient care in orthopaedic physical therapy practice. To date there are just over 7600 physical therapists with the OCS designation, and only 29 clinicians with this designation in the state of New Hampshire. Marsha is also certified through the McKenzie Institute USA in Mechanical Diagnosis and Treatment of the spine (Cert MDT).

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A lifelong athlete, Marsha began swimming competitively at age 5. She went on to swim at Junior Olympics, age-group nationals, and eventually Division I at the University of Minnesota where she was a member of the travel squad.

She competed in long distance (500, 1000, mile) freestyle, as well as 200 butterfly, and 400 IM (individual medley). Marsha assistant-coached an age-group swim team in California and was a head coach for a high school swim team in Missouri. In the past she has dabbled in running, competing in 5k and 10k races, a ½ marathon, and trail racing. She has also completed sprint, Olympic, and Intermediate distance triathlons, Warrior dash obstacle races, and natural bodybuilding.

Marsha has focused her work primarily in outpatient orthopaedics with an emphasis on sports and spine injuries and post-surgical rehabilitation. She takes a biomechanical approach to care with an emphasis on re-education of proper movement patterns through balancing strength, flexibility, joint mobility and motor control. Marsha believes that “patient education is extremely important to successful outcomes. If a patient doesn’t understand how and why treatment strategies work, then I haven’t done my job.” As Clinical Director at Cioffredi & Associates, Marsha oversees all of our Clinical Staff to ensure that patient care continues to be of the excellent quality that we are known for.

Marsha lives in the Upper Valley Area with her daughter Rya, and son Easton. In her free time she enjoys running and cooking.

Ruth Cioffredi, Occupational Therapist and Team Co-FounderRUTH CIOFFREDI, OTR/L

Occupational Therapist

Ruth graduated from the University of New Hampshire in 1981 with a degree in Occupational Therapy and a minor in psychology. She specializes in hand therapy, treating painful problems of the hand, wrist, and thumb. Ruth was a charter member of the American Society of Hand Therapists. Her involvement in hand therapy spans over 25 years, during which time she has been instrumental in the design and development of hand clinics with surgeons. She also spent eight years as an Associate Professor in the Occupational Therapy Assistant Program at River Valley Community College. She started her career at Dartmouth Hitchcock, where she met her husband Bill, and in 1985 they opened Cioffredi & Associates.Read More

Ruth describes her treatment philosophy as eclectic, drawing from a variety of techniques based on the symptoms a person presents with. She uses manual therapy, along with therapeutic exercise and patient education to enable her patients to handle future symptoms they might encounter after being discharged from OT. Ruth also helps patients to incorporate principles into their daily routine that will help to reduce stress or irritation of the tissues that contribute to their symptoms. She also uses static, dynamic, and static progressive splinting, along with serial casting when needed to complement treatment.
Ruth’s interests include spending time with family, running, skiing and hiking. Ruth resides in Lebanon, New Hampshire with her husband, three daughters, and son.

Rebecca Swope, Physical Therapist and Team MemberREBECCA SWOPE, PT, MSPT

Physical Therapist

Becca received a Master of Science in Physical Therapy from Cleveland State University in 2006. Prior to grad school she obtained a Bachelor of Science in Biology with a minor in Anthropology from the University of Vermont. Becca joined Cioffredi & Associates in 2011 after practicing in both inpatient and outpatient settings in Chicago, Illinois where she worked with pediatric through geriatric populations and managed an outpatient clinic..Read More

Becca has extensive training in manual therapy which she incorporates in her care. In 2012 she received her 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 Becca uses, when appropriate, to help lengthen and loosen tight muscles. Becca’s philosophy on care is to take a whole body approach to solve a problem rather than focusing on one area, and incorporating the most recent evidence and research in her treatments.

She enjoys working with the athletic population, especially sports such as rowing and running.

In college she participated in lacrosse and crew, rowing at many of the major races along the East Coast. She also volunteered for Vermont Adaptive Ski and Sports aiding in downhill ski instruction and rock climbing. In recent years she has been focusing on running, completing five half-marathons. She also enjoys hiking, kayaking, downhill skiing, and practicing yoga. Becca lives in the Sunapee Region with her husband Tim, daughter Claire, and their dog Woody.

Kate Leiser, Physical Therapist and Team MemberKATE LEISER, PT, DPT, OCS

Physical Therapist

Kate holds a Doctorate in Physical Therapy (2007) as well as a Bachelor of Science in Exercise Science (2005) from Sacred Heart University. She is a graduate of SHU’s Orthopaedic Physical Therapy Residency Program, a highly competitive and intensive year of advanced study post-doctorate. A lifelong equestrian, as an undergraduate she was captain of the SHU Women’s Equestrian Team (Division 1).

Kate is a board certified Orthopaedic Clinical Specialist (OCS) by the American Board of Physical Therapy Specialties. This advanced certification requires a minimum of 2,000 hours of direct patient care in orthopaedic physical therapy practice. To date there are just over 7600 physical therapists with the OCS designation, and only 29 clinicians with this designation in the state of New Hampshire. Read More

Kate, who practiced at Cioffredi & Associates from 2009-2011, returned to our staff in 2013 after spending two years as a Clinical Faculty member in the Doctoral Program in Physical Therapy at Sacred Heart University. Kate’s primary responsibilities at SHU included teaching Musculoskeletal Evaluation & Intervention across all orthopaedic semesters, serving as a faculty member and mentor in the Orthopaedic Physical Therapy Residency Program, and practicing in Sacred Heart’s faculty practice, Sacred Heart University Physical Therapy Specialists. She continues to serve as a member of their faculty teaching online courses and continuing education workshops for practicing clinicians.

Kate enjoys treating a wide variety of musculoskeletal diagnoses and body regions. Her treatment philosophy is to provide patient-centered, evidence-based care, and she has particular interest in treatment of the winter sports athlete across the lifespan. At Cioffredi & Associates Kate serves as our Coordinator of Clinical Staff Development, overseeing our mentorship program for new clinicians and helping all staff to hone their clinical skills.

She lives in the Upper Valley with her husband Brad. In her free time she enjoys snowboarding, skiing, cycling, running, and horseback riding.

Anna Hecker, Physical Therapist and Team Member


Physical Therapist

Anna received her Doctorate in Physical Therapy from Sacred Heart University in Fairfield, Connecticut in May 2013. Prior to graduate school, Anna received a Bachelor of Science in Applied Exercise Science from the University of New England in Biddeford, Maine. She is currently a member of the American Physical Therapy Association. Having been an athlete through college, she enjoys working with orthopedic and sports injuries, and also has interests in prenatal and vestibular care. Anna lives in the Sunapee region with her boyfriend and their dog. She enjoys many outdoor activities including running, swimming, hiking, fishing, and skiing.

Zachary Gardner, Physical Therapist and Team MemberZACHARY GARDNER, PT, DPT

Physical Therapist

Zac received his Bachelor of Science in Kinesiology from the University of Rhode Island in 2013. He then went on to graduate Magna Cum Laude from Franklin Pierce University earning his Doctorate of Physical Therapy in 2016.

Growing up Zac was an avid baseball player, playing three seasons a year from the time he was 8 years old through high school. As he grew as an athlete he developed a strong interest in learning more about the biomechanics of baseball and how the body works. When he sustained an ankle injury that required physical therapy, he knew he had found his life’s calling.Read More

Zac, who joined our practice in May of 2016, was attracted to Cioffredi & Associates because of the variety of services that are offered to take clients beyond rehab. When treating orthopedic and sport injuries Zac enjoys utilizing a functional approach and manual therapy techniques to achieve the patient’s desired goals. Due to his love of baseball, Zac has a special interest in treating shoulder and throwing injuries.

Outside of the clinic Zac enjoys fishing, snowboarding, running, biking, wake boarding, and hiking with his dog. He has also competed in multiple Tough Mudders and 5ks.



Physical Therapist

Julie Messenger earned her Doctorate in PT in 2007, as well as a BS in Psychology in 2004, from Sacred Heart University. She has been practicing orthopaedic and sports rehabilitation therapy since 2007, with a special interest in adolescent athletes.

Julie loves all things “active and outdoors.” As a college athlete she captained her field hockey team, achieving second team All-American recognition, and served as assistant coach as a graduate student. She has experienced many areas of the country including Alaska and Washington state as a travel therapist, and enjoys snowboarding, biking, hiking, kayaking, and “playing with her pups!”

Emily Milbank, DPT, Physical TherapistEMILY MILBANK, PT, DPT, CSCS

Physical Therapist

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 Read More

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 continues to be involved in coaching youth soccer in the Burlington, Vermont area. She enjoys running, hiking, traveling, and spending time with family and friends.