One-on-one evaluations and custom-tailored treatment plans addressing pain, mobility, and strength for individual needs.
Advanced techniques including dry needling, massage, and electrical therapy to relieve muscle tension and promote healing.
Specialized care for athletes, including high ankle sprains and shoulder injuries, with sport-specific exercises.
Targeted stretches and strengthening exercises designed to improve function and prevent re-injury.
Comprehensive approaches for back pain, joint issues, and long-term discomfort through holistic methods.

Expert physical therapy in a motivating, non-clinical setting—regain your strength and mobility with personalized care.
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Direct Performance Physical Therapy offers expert, one-on-one physical therapy in a unique, energizing environment located within a climbing gym. Our team, including Dr. Mary, Dr. Nate, and Dr. Victoria, provides personalized treatment plans combining advanced techniques like dry needling, targeted exercises, and manual therapy to relieve pain, restore mobility, and prevent future injuries. We specialize in sports rehabilitation, post-surgical recovery, and chronic pain management, serving Norfolk and surrounding areas with a focus on active lifestyles and holistic wellness.
Guided rehabilitation programs to restore mobility and strength after surgical procedures.
Mary Spencer has been thoroughly outstanding providing expert physical therapy that has greatly relieved my discomfort. Moreover, she has provided superior guidance on follow on exercises I can do to keep my rehabilitation going. She is the complete professional and has my highest recommendation.
Dr. Mary is a super positive, warm and friendly therapist. Her knowledge of how the body responds to movement is beyond amazing. Throughout my sessions I was introduced to very helpful stretches, and blown away by the strengthening exercises that really worked for me. It felt like I was given custom tailored movements that were made specifically for me! I definitely recommend checking them out, you will not be disappointed.
Mary at Direct Performance was fantastic- fun, encouraging, and just the right amount of tough. I especially liked that the clinic is located in a climbing gym. It felt energizing and fresh, not at all like a typical hospital setting. Highly recommend for anyone looking for expert care in a unique and motivating space.
I was seeking help with back pain and walking. Found Direct Performance PT and it was a miracle. I saw Dr. Victoria and she did some dry needling. I was skeptical but became a believer as I was soon walking and standing without pain. She additionally was so very good at prescribing the exact exercises I needed to gain back my strength. Additionally, I had a fall and hurt my shoulder which added to the work and dry needling we were doing with similar results. I was truly impressed with her knowledge, ability to pin point exactly what was needed for strength building and pain relief, her patience, and sincere communication. I would recommend she and/or Dr. Nate and Dr. Mary for an honest evaluation and prescribed program. No reservations at all. They are all Blessing in work out clothes.
I really enjoyed working with Dr. Nate :) I had a high ankle sprain from climbing and was afraid at first to push hard because I had unidentified pains in other part of my foot while I worked on it and did exercises at home. Nate checked on how I felt in the beginning of every session, answered my questions and did a bit of massages, dry needling, or electrical therapy with needles (don’t know the exact name of it) to loosen up the part. Last time I had a high ankle sprain, it took me a year to get full mobility back. It’s been about 2 months now since I had started seeing him and I have 90% of mobility back already. He cleared me out last week and I am back at most of the activities I enjoy such as climbing, some yoga, and trail running.
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