Penrose Physical Therapy

Dr. Steven Roach

DPT, OCS, General Manager

Dr. Steven Roach was born and raised in Washington’s Thurston County. He graduated from the University of Southern California in 2013 with a Bachelor of Science in Human Biology with a concentration in Applied Physiology. After a year of working as a physical therapy aide at South Sound Physical & Hand Therapy, Steven entered Columbia University’s Doctor of Physical Therapy program and graduated in 2017. Through his clinical experiences during his time in school, Steven has worked within a variety of settings across the nation ranging from acute care within a Veterans Administration (VA) hospital in the Bronx in New York to outpatient, sports-specific rehabilitation with professional athletes in Phoenix and Denver.

Steven has always loved sports and sports medicine. He was fortunate enough to have had the opportunity to pursue various educational experiences from high school through graduate school as well as during his postgraduate endeavors. Steven culminated his orthopedic manual therapy residency through industry leader, Evidence in Motion, with a board specialist certification in orthopedics in June of 2019. Throughout this residency, Steven advanced his knowledge in targeted manual therapy interventions to help patients get better, faster. Recently, Steven has taken a special interest in golf and gotten Titleist Performance Institute (TPI) certified to better assess golf specific movement patterns and faults. He then blends his experience in the world of physical therapy with extensive, customized exercise prescription to help each individual achieve the most efficient swing their body is capable of.

Outside of work, Steven enjoys exploring the world with his wife, Brooke and dog, Wade, through hiking, camping, hunting, fishing, motorcycle rides, SCUBA diving, playing soccer, and traveling to new places and cultures across the globe.

Undergraduate Education: University of Southern California, Los Angeles, California, Bachelor of Science in Human Biology with a concentration in Applied Physiology, May 2013.
Physical Therapy School: Columbia University, New York, New York. Doctorate in Physical Therapy, May 2017.
Residency: Evidence in Motion, May 2019.
Board Certification in Orthopedics: June 2019.

Personal Bio

Favorite Movie:
I have a few ranging from The Bucket List to American Gangster to Bullet Train
Favorite Book:
The Alchemist
Why I live in the South Sound:
The people, the mountains, the water
Favorite sports moment:
Playing backyard sports with friends and family
Worst injury ever suffered:
Left ACL tear with lateral posterior horn meniscus tear, bone bruising and trabecular fracture June 2025 while playing co-ed recreational over-30 soccer.
When I am not at work, I am:
Playing or watching sports, spending time with my wife and pets, traveling, adventuring outside, or learning new skills.
Best advice I’ve ever received:
Focus on what you can control and let go of the rest.

Kasha Khalsa

Physical Therapist

Kasha earned her B.S. in Human physiology from the University of Oregon before completing her DPT at the University of Puget Sound in Tacoma, WA. She moved here for PT school but stayed for the many mountains in the area. Growing up, Kasha was exposed to holistic healthcare and the importance of the mind-body connection when treating a person coping with a pathology.

Kasha believes that physical therapy is uniquely suited as a holistic profession backed by evidence to obtain and maintain a healthy lifestyle. Her favorite part of being a PT is learning what is meaningful to each patient and finding ways to make treatment connect to their own values and goals.

Personal Bio

Favorite Movie:
I’m still trying to figure this one out…
Favorite Book:
Mindset, the Dune series
Why I live in the South Sound: Proximity to Olympic and Cascade Mountain ranges.
Favorite sports moment:
Completing a century bike ride.
Worst injury ever suffered:
Chronic knee pain through high school. I wish someone had taken me to PT!
When I am not at work, I am:
Hiking up something steep with my husband and/or dog, cooking, drinking tea or coffee and looking for more places to do the same.
Best advice I’ve ever received:
Imagine the other person is you.

Kindra McDougall

Physical Therapist

Kindra earned a B.S. in Exercise Science Integrated Physiology and Business Administration from Pacific University before completing her DPT at George Fox University. She grew up here in Lacey and is happy to be back in the area. As a physical therapist, she thrives on inspiring others to be their best not only in their sport or art, but in life.

She loves helping patients of all ages and skill levels but working with gymnasts, dancers, circus artists, cheerleaders, and fitness athletes are her favorite. She uses biomechanical analysis and functional movement to create a whole body treatment approach catered to each person’s needs and learning styles. Kindra loves the puzzle of identifying the root cause of a symptom and teaching her patients to fix it with a combination of sport or movement specific exercises and self massage, myofascial release, and joint mobilization techniques.

She is well educated in treating hypermobility including Ehlers Danlos Syndrome (EDS). She is a lifelong learner and is always seeking ways to grow and develop her skills to better help her patients.

Her goal is to educate her patients on the tools to maintain a healthy and pain free life so they never have to give up on their dreams.

Personal Bio

Favorite Movie:
I love too many movies, I constantly have movies on in the background while I am doing other activities.
Favorite Book:
I’m not a reader, but I have been learning to enjoy audiobooks while I drive.
Why I live in the South Sound:
Most of my family is here and I love the access to the great outdoors and performing opportunities. This area is so pretty and there are never ending opportunities for adventure.
Favorite sports moment:
Continually living out my dream as an acrobat and aerialist performing throughout the US.
Worst injury ever suffered:
I’ve unfortunately had too many to count. The worst have been an elbow dislocation that led to surgery 10 years later, a shoulder dislocation leading to chronic instability, managing unstable ribs after fractures to both sides, multiple fractures to my ankle, and breaking my arm 3 times before it fully healed.
When I am not at work, I am:
Performing as a professional aerialist, partner acrobatic, and hand-balancer, working backstage or on the sideline as a physical therapist, and coaching other performers or athletes. I also enjoy spending time with my family, game nights with my friends, trying new foods, and adventuring in the great outdoors whether it’s kayaking, mountain biking, hiking, or rock climbing.
Best advice I’ve ever received:
Follow your heart and be true to yourself.

Tamara Fielder

Physical Therapist

Tami has been a Physical Therapist since 1992. The study of movement, fostering the mind-body connection, good nutrition, and sleep are the foundation of her practice. “Personalized care across the lifespan for the whole person” describes Tami’s core professional beliefs.

Patients who need gait training, balance work, and fall prevention benefit from her care in addition to those managing breast cancer, osteoporosis, and total joint replacement. Additionally, Tami is experienced in treating shoulder, elbow, and hand injuries. She was born and raised in Olympia, Washington, and she enjoys spending time with her husband, son, and dachshund.

Personal Bio

Favorite Movie:
The Wizard of Oz
Favorite Book:
Pillars of The Earth, Ken Follet
Why I live in the South Sound:
Clean air, beautiful trees, mountains, ocean, rivers and lakes. Family!
Favorite sports moment:
Backyard sports with family (wiffle ball, volleyball, pool sports, football)
Worst injury ever suffered:
Severe carpal tunnel syndrome requiring surgery
When I am not at work, I am:
Traveling, spending time with family, running, biking, creating in the kitchen.
Best advice I’ve ever received:
Be Present, Time Flies.

Nancy Sladek

Physical Therapist

Nancy has worked in a variety of PT settings for many years, especially out-patient orthopedics. She enjoys helping patients feel better and achieving optimal function by using a variety of manual treatment techniques and functional strengthening exercises. She considers it a privilege to be part of people’s recovery from illness, injury or surgery.

Nancy enjoys being active and tries to push herself to stay fit, similar to how she challenges her patients. Her passion is learning new techniques and approaches to therapy.

When I’m not working, I enjoy spending time with family and friends. Music is a big part of my life and brings joy to my soul. I sing with a jazz group and lead the worship team at my church.

Gardening is also a delight.

Personal Bio

Favorite Movie:
Not a big movie buff. I mostly like movies with happy ending.
Favorite Book:
I love to read and usually have several books going at once. Daily Bible reading.
Why I live in the South Sound:
This is an area of great natural beauty. Can’t beat the summers
Favorite sports moment:
Watching my son complete the Ranger challenge.
Worst injury ever suffered:
I am very fortunate to have never had a major injury.
When I am not at work, I am:
I like spending time with my husband. Gardening, volunteering in the community. Playing the piano and singing.
Best advice I’ve ever received:
Be kind and compassionate to one another

Lauren Totura

Physical Therapist

Personal Bio

I was born and raised in the suburbs of Chicago where I developed my love for sport and being active. I went on to college in Wisconsin and grew my love for the profession of physical therapy.  After finishing grad school, I began working in Outpatient Orthopedics in Illinois, followed by Kansas, then Oklahoma, and now Washington. Being active and exploring new states has complimented my love for Orthopedics well.
 
Undergraduate Education: Bachelor of Science in Exercise Physiology from Marquette University
 
Physical Therapy School: Doctorate of Physical Therapy from Marquette University
 
Favorite Movie: White Christmas
 
Favorite Book: The 7 1/2 Deaths of Evelyn Hugo
 
Why I live in the South Sound: My husband is stationed nearby at JBLM and Lacey seemed like the perfect place to set up a home and get involved in the community
 
Favorite sports moment: The 2013 Chicago Blackhawks game 6 comeback win for the Stanley Cup
 
When I am not at work, I am: My spouse and I enjoy exploring the outdoors, broadening our horizons at museums, visiting family, and baking.
 
Best advice I’ve ever received: If you always wait for a hard time to pass before enjoying life, you will always find yourself reaching for a goal that can never be achieved.

Chad Rogers

Outpatient Physical Therapist

Born and raised in the beautiful Pacific Northwest, I’ve always been passionate about helping people regain their independence and improve their quality of life. I completed my undergraduate education at the University of Washington before going on to earn my Doctor of Physical Therapy degree from the University of Puget Sound.

As an outpatient physical therapist, I specialize in vestibular rehabilitation, helping individuals with vertigo, dizziness, and balance impairments. In addition to my expertise in this area, I have extensive experience working with a broad range of orthopedic conditions, from musculoskeletal injuries to post-surgical rehabilitation. I’m dedicated to providing individualized, evidence-based care to help each patient return to their daily activities and achieve their personal goals.

Outside of work, I’m an avid enthusiast of both winter and summer sports. I love skiing in the winter and wake surfing during the warmer months. I also enjoy woodworking and remodeling projects, always finding new ways to challenge myself.

Personal Bio

Favorite Movie:
Chevy Chase’s Christmas Vacation
Favorite Book:
The da Vinci Code
Why I live in the South Sound:
I love our regions mild climate and having the ability to enjoy a variety of outdoor activities year-round.
Favorite sports moment:
As a Seahawks fan I must say when the Hawks won the Superbowl in 2014.
Worst injury ever suffered:
I’ve been pretty fortunate overall, but I have had to undergo surgery to repair a torn ligament on my right index finger from a football injury and surgery to repair torn meniscus in both of my knees.
When I am not at work, I am:
Woodworking / remodeling projects, skiing, kayaking, and wake surfing.
Best advice I’ve ever received:
Pursue what truly interests you and brings joy to your life!

William Montenegro

Licensed Massage Therapist

Prior to pursuing a career in massage therapy, William studied computer programming for two years but decided to switch paths in order to find a more fulfilling path in life with helping others. He started Body-mechanics School of myotherapy & massage in Tumwater in May 2021 and graduated in March 2022.

William likes to use techniques for sports massage, deep tissue, and myofascial release. William drives to help others recover from injuries and relieve them of their stress. An asset William brings to the team is his ability to speak Spanish and communicate well with everyone.

Personal Bio

Favorite Movie:
I want to eat your pancreas
Favorite Book:
Holes by Louis Sachar
Why I live in the South Sound:
Majority of my family is in Washington and I love the cold weather
Favorite sports moment:
Seattle Sounders winning their first MLS cup in 2016 against Toronto FC in penalties
Worst injury ever suffered:
Breaking my collar bone going down a hill on a skate board and then breaking it again 2 years later while playing soccer
When I am not at work, I am:
Watching the office or soccer, playing games, hiking, or trying to find new music to listen to
Best advice I’ve ever received:
“In the wild, there is no healthcare. In the wild healthcare is ‘Ow, I hurt my leg. I can’t run. A lion eats me, and I’m dead.’ Well, I’m not dead. I’m the lion. You’re dead.”

Nicole Marchiori

Physical Therapy Assistant

Nicole started her Physical Therapist Assistant education at Penn State University in DuBois, Pennsylvania, but it was put on hold due to her boyfriend moving with the United States Army. The two of them moved to Washington in 2018 and Nicole went back to finish her degree at Olympic College in Bremerton where she earned her Associates Degree.

During her education she received experience in both in-patient and out-patient clinical settings however, she found that she preferred the dynamic pace and the one-on-one time with the patients in an out-patient setting. During her last clinical rotation before graduating, Nicole spent two months here at Penrose Physical Therapy where she fell in love with our core values, patient care model and positive team environment. Nicole aims to provide the best possible care to our patients and she sincerely values learning.

As a result, she is always enhancing her skills through continuing education classes that fit the needs of our patients and from the real-world clinical knowledge from our more than 45 years of combined experience.

Personal Bio

Favorite Movie:
Princess Bride
Favorite Book:
Maybe You Should Talk to Someone by Lori Gottlieb
Why I live in the South Sound:
My boyfriend is in the Army and stationed at JBLM
Favorite sports moment:
Made a sign for my favorite Pirates player and made it on TV, then met him after the game.
Worst injury ever suffered:
Thankfully never suffered any serious injury….yet
When I am not at work, I am:
At the dog park, hiking, or camping
Best advice I’ve ever received:
” You know what they say. Fool me once, strike one, but fool me twice…Strike three.” – Michael Scott

Darrin Downs

Physical Therapy Assistant

Darrin has been a Physical Therapist Assistant since 2012, with an associate’s degree from Whatcom Community College in Bellingham, Washington. His career started as an amateur competitive bodybuilder and A.C.E.-certified personal trainer, helping people achieve goals ranging from weight loss to improving athletic performance, as well as injury recovery and prevention.

Darrin is not only skilled at exercise intervention but also at various manual therapy techniques and modalities. “I have always been passionate about using my hands to help people heal.” He is passionate about the ability of proper exercise and healthy eating habits to change people’s lives for the better. “Most chronic diseases can be avoided by healthy eating and exercise.” What he enjoys most about his job is getting to know and interact with people of all different backgrounds and personalities.

Darrin enjoys being active with his wife and two sons. Whether surfing, backpacking, or foraging wild mushrooms, any time spent playing outside is time well spent.

Personal Bio

Favorite Movie:
Rocky 3
Favorite Book:
Surf is where you find it by Gerry Lopez
Why I live in the South Sound:
We chose the south sound because of its proximity to the ocean and Olympic Mountains. We also wanted to raise our kids close to our extended family.
Favorite sports moment:
Seahawks Superbowl win
Worst injury ever suffered:
The worst injury that I have had is a toss-up between rotator cuff and biceps tendon strain while in the gym and broken ribs from a snowboarding accident
When I am not at work, I am:
I am an active person that enjoys challenging myself. I love surfing, hiking and just generally rough-housing with my family
Best advice I’ve ever received:
Go outside!”

Jim Rogalla

Physical Therapy Assistant

Originally from rural Minnesota but has lived in Washington for over 25 years. Started PTA career while in the Airforce and transferred to Green River CC to complete his Associates Degree in 1993.

During his career he has had a wide exposure to both in and outpatient clinics and patients ranging in age from 6 to 98. He has found enjoyment in helping people in all environments but leans toward the outpatient experience where he likes to help people return to there functional lives. “I love being around the water.” I’m a life long swimmer/diver and try to incorporate it into a patient’s experience when appropriate.

I coach a special Olympics swim team in Thurston county and can be found on the Puget Sound or local lake swimming or kayaking on a regular basis.

Personal Bio

Favorite Movie:
Ratatouille (cooking and fighting for the underdog)
Favorite Book:
The Outsiders
Why I live in the South Sound:
The openness, the outdoors and water everywhere
Favorite sports moment:
The Miracle on ice 1980 USA Olympic hockey team.
Worst injury ever suffered:
Broken collar bone (3 different times).
When I am not at work, I am:
with my wife, dog, or around the water.
Best advice I’ve ever received:
When one door closes another one opens.

Noble Pugh

Marketing Assistant

Personal Bio

Favorite Movie:
Sound of Metal
Favorite Book:
One Piece
Why I live in the South Sound:
PNW born and raised. Always gonna be the place l call home.
Favorite sports moment:
Whenever we get the Sonics back
Worst injury ever suffered:
I haven’t had a serious injury up to this point.
When I am not at work, I am:
With friends and family. Making music. Playing basketball.
Best advice I’ve ever received:
“It’s a leap of faith.”

Tianna Sath

Operations Manager

Personal Bio

Favorite Movie:
The Lord of the Rings series
Favorite Book:
The HitchHikers Guide to the Galaxy
Why I live in the South Sound:
My roots are here. I was born and raised in the PNW.
Favorite sports moment:
When they win?
Worst injury ever suffered:
Torn meniscus
When I am not at work, I am:
Spending time with my family
Best advice I’ve ever received:
Anything worth doing is worth doing right — even if that means doing it twice.

Ariana Stewart

Tech

Personal Bio

Favorite Movie:
Shadow of the Vampire
Favorite Book:
A Child Called It
Why I live in the South Sound:
I was born and raised here. I have been many other places, but the south sound is home. I love the weather and the nature.
Favorite sports moment:
The Seahawks winning the Superbowl back in 2014. I lived downtown Seattle at that time and everyone was dancing in the streets.
Worst injury ever suffered:
I crashed on a dirt bike when i was 14. I broke my foot, and had to get the rocks scrubbed out my skin due to road rash.
When I am not at work, I am:
Doing whatever my kids say, and probably outside.
Best advice I’ve ever received:
Get the epidural

Eryn Woelk

Lead Admin

Personal Bio

Favorite Movie:
Anything Disney
Why I live in the South Sound:
Born and raised here
Favorite Food:
Fish Tacos
Worst injury ever suffered:
Broken tailbone
When I am not at work, I am:
With family and on adventures
Best advice I’ve ever received:
Live every day like its your last

Shanna McMullen

Admin

Personal Bio

Favorite Movie:
The Flinstones
Favorite Book:
Vampire Huntress
Why I live in the South Sound:
Military family
Favorite sports moment:
I don’t watch sports
Worst injury ever suffered:
Have not had one
When I am not at work, I am:
Spending time with my kids
Best advice I’ve ever received:
Life is not a bed of roses