Our therapists “Never Give Up” by utilizing tailor-made therapy at home

What makes us different?

We come to you! Whether you are struggling with daily activities at-home or out in the community, Mobile Physical Therapists (Mobile PT) will meet and work with you there. We can help you regain your functional mobility, ADLs or return you to your favorite hobby. By providing at-home physical therapy or therapy in the community we address the specific challenges where you are struggling.

If your goal is getting in and out of your favorite chair, getting around your house safely, gardening or golfing, we integrate physical, occupational, or speech therapy anywhere you perform the task.

We will meet you anywhere you need to succeed in Vista, San Marcos, Oceanside, Carlsbad, or Escondido San Diego.

Our Tailor-made therapy response to common myths

Myths:Mobile PT Response:
It is normal for seniors to fall. “No! Falling is not a normal part of aging”, says the National Council on Aging, but if a senior has a fall once, they will keep falling until the root cause is addressed by a physical therapist.
Your loved one with dementia won’t benefit from therapy. Dementia patients often relate more to the past so we identify past interests to increase participation. For example, dancing to a favorite era of music to improve balance or drawing to increase trunk and arm strength. Through activity repetition and working with the same therapist over time, positive outcomes often occur.
Your loved one is too old for therapy. Our team disagrees. There are benefits to keeping a body moving even if your loved one is bedbound or unable to walk our therapists can work on improving flexibility, muscle strengthening, pain management, and regaining balance and independence. Plus, your loved one receives a visit from one of our friendly therapists!
They have been having that problem for too long so they need to live with it?A persistent problem, over time, will cause another. For example, an irregular walking pattern due to a painful knee can cause back pain, poor posture then falls. Let us help stop or slow the decline.
This is part of getting old.Many seniors have multiple diagnoses that tax their health. Maximizing movement will help keep those health issues in-check and improves quality of life. We ask our patients how THEY want to improve their physical situation and create a plan of care to meet their goals.
Therapy can NOT help your loved one. Everyone deserves to participate in life to their maximum ability. We want to bring our patients to their highest level. We can identify poorly fit wheelchairs which can lead to pressure sores, unsafe sleeping and bathroom environments and develop safer strategies for moving through an environment.

What exactly is Tailor-Made therapy?

Tailor-made therapy is a holistic, comprehensive and customized plan that addresses all functional issues. For example, a patient with prolonged knee pain may have a limp, resulting in poor posture and decreased strength in the hips, back and neck area. Therefore, the plan will include goals beyond just the knee. Addressing all areas from head to toe is the only way to get one to their highest functional level.

The Doctor of PT will provide all the support necessary to achieve your goals:

  • Not feeling safe while walking? We’ll work on posture, balance and strength and then practice walking on all surfaces, inside and out.
  • Trouble safely transferring from your bed or favorite chair? We’ll physically help you perform the task until you can safely do it yourself.
  • Struggling to get in or out of the car to go on outings? We’ll show you AND your caregiver safe methods so no one gets hurt.
  • Sitting up for hours in an old, uncomfortable hospital-type wheelchair? We can assist in ordering customized wheelchairs that are covered by insurance.

Your diagnosis and how Mobile PT can Help

DiagnosisHow we help:
We always provide a Home Safety Assessment Recommendations & Training for Assisted Devices
Falls• Strengthen the muscles that can’t react fast enough to prevent a fall.
• Improve posture while standing and moving to make waking less strenuous.
• Challenge balance reactions on the specific surfaces in the home, perhaps where the fall happened.
• Build confidence walking and decrease the fear-of-falling.
• Provide a customized exercise program along with caregiver

Joint fractures or Injury• Reduce pain, swelling and stiffness to promote proper muscle activation.
• Increase the range of motion (per doctor. order) and strength of the joint’s muscles and postural muscles.
• Fit and educate on a proper assisted device if needed.
• Perform dynamic activities that promote quick and synchronized muscle activity around the joint.
• Practice functional tasks in the challenging areas of the home and practice activities of daily living.

Back Pain• Increase activation of the muscles that are reluctant to move due to pain.
• Improve range of motion of the spinal segments and the natural curve of the spine.
• Slowly introduce normal back movements and educate on how to prevent further pain.
• Repetitively practice the activities one wants to return to without pain and with ease.
Arthritis• Reduce swelling within the joint and around the joint to increase effective muscle activation.
• Relax and stretch irritated muscles while strengthening ones that limit efficient joint movement.
• Introduce activities that encourage all the muscles to activate in sequence and move the joint through its proper pain-free range of motion.
• Progress towards achieving the tasks one wants to return to doing again with pain managed.
Stroke• Begin specified movements that engage the affected part of the brain.
• Introduce strengthening and coordination interventions to achieve a desired movement of the body part.
• Add movements that include the whole body such as sitting or standing.
• Start functional movements that one wants to return to such as walking, reaching or Activities of Daily Living (ADLs).
Parkinson’s• Strengthen muscles to improve upright posture and stability.
• Focus on quick, large, powerful movements to help with fall prevention.
• Practice all activities in the home with a clear strategy to accomplish each task.
• Educate the caregivers on how to cue the patient when movements slow or shorten.
Multiple Sclerosis• Tailor a conservative exercise program to be done as energy level allows.
• Practice energy conservation while finding the patient’s activity tolerance and when rest breaks are necessary.
• Find compensatory strategies to accomplish the desired tasks and practice these in/out of the home with the therapist.
Dementia• The therapist will create a routine for the patient. Educating the caregivers on how a strict routine decreases anxiety and promotes safe function. This will help therapy outcomes and the patient’s overall quality of life.
• Some traditional interventions may not work for a patient with dementia, however interests from the past may be used as therapy interventions. Dancing and putting a golf ball can both be great balancing activity
• Fall prevention is often the goal as one may be impulsive and not understand their limits. Maximizing what they can do and how they do it can be accomplished by repetitive training.

Finally, we maximize your quality of life by lessening the burden of accomplishing your daily activities. We integrate therapy anywhere you are unsafe or burdened.
We meet you at the place where you need to succeed.

Meet the Team



Mobile Physical Therapists was established by Daniel N. Sheehy mPT, a Physical Therapist licensed in California. While practicing in skilled nursing facilities for most his career, Daniel noticed many of the patients could have remained at home and avoided hospitalization in the first place if they chose to remain safe and independent via physical therapy. Daniel became to realize that patients challenged by physical therapy at their homes had better outcomes by integrating physical therapy in their daily activities. It is Daniel’s vision to decrease hospitalization and keep patients at their home where they want to be. When Daniel isn’t working, he enjoys sailing, traveling and hiking with his wife Melissa and his 2 boys, Tristan and Nathan.



Kara Casey graduated from MGH institute of Health Professionals in Boston with a Doctorate in Physical Therapy in 2006. Kara has worked in various settings over the years: Outpatient orthopedics, acute rehab, long term acute care, Skilled nursing. She is able to assist with wound care, work with patients with dementia, post surgery and fall prevention. Kara loves working with the senior population, allowing them to retain their dignity and independence during the latter stages of life. Seniors really want to remain as independent as possible so they can continue to live in their homes and helping them do so is very rewarding for Kara. Elderly people have lived full and fascinating lives and Kara enjoys learning from their knowledge and stories as well! When not working she enjoys spending time outdoors with her family at the beach, swimming, bike riding and skiing.



Scott Holmes has been a Doctor of Physical Therapy since 2012 year and graduated from University of Saint Augustine- San Marcos. Prior to joining the Mobile PT team, Scott has worked in the field of sports medicine with high school, college and professional athletes. Scott enjoys working with the senior population because he takes great satisfaction in helping people recover from injuries and prevent falls. Scott specializes in fall prevention through dynamic stability training and postural correction. He finds it rewarding when he sees patients improve with gait and balance. He has enjoyed working with the geriatric population since spending a lot of time with his elderly grandparents growing up. When not working Scott enjoys world travel, working out and a good game of chess.



Christina graduated with honors from University of St Augustine with her Doctorate in Physical Therapy in 2013. Prior to joining the Mobile Physical Therapy team, she worked in skilled nursing and outpatient physical therapy clinics. She enjoys working with a variety of patients but has a passion for working with the geriatric and neurological population. Her professional goal is to help her patents improve and maintain their independence and quality of life. When not working Christina spends time with her family, gardening and playing softball.



Claire Uke received her Master’s degree in Occupational Therapy from the University of St. Augustine for Health Sciences in San Marcos, California. She is part-time contributing faculty at the University of St. Augustine and, prior to joining Mobile PT, she worked in rural school districts treating young children with disabilities. Claire enjoys working with the senior population because they are great storytellers and she’s an avid listener. Claire specializes in garden therapy and crafts, and finds it rewarding when her patients become stronger and feel a sense of accomplishment with their newfound independence. When not working, Claire enjoys getting her hands dirty. She is a great fan of gardening, baking, and needlework. She also volunteers as a local Girl Scout Troop Leader on the weekends and enjoys traveling with her family.



Shirley Keating-Hudson, MA, CCC-SLP, has been practicing as a Licensed Speech-Language Pathologist with ASHA Certification since 1978. Before working in conjunction with Mobile PT, she worked in the field of rehabilitation services treating all disorders impacting Speech, Swallowing and Communication. Shirley enjoys working with the senior population because of their varied families and backgrounds, their life histories and their individual contributions that enrich our communities. She specializes in providing treatment and care for patients with difficulty involving Strokes (CVA), Dysphagia (swallowing difficulty, Tumors, Cancer) , Memory (Alzheimer’s, Dementia, TBI, etc), Speech (Parkinson’s, Multiple Sclerosis, etc) and Communication Impairments (Non Verbal, Hard of Hearng, Speech Devices, etc). Shirley finds it rewarding when patients are able to regain control of their lives through their communication with others. She also enjoys when they are able to express their sense of humor with their loved ones and others. When not working, Shirley enjoys reading, Dog Agility classes for her two dogs, her family.

“We Never Give Up” on our patients…how we help Seniors with Tailor-Made Therapy