Performance Physical Therapist in Middletown, DE
Feel Better | Move Better | Perform Better
Cash-based performance physical therapy for athletes and active adults in Middletown, DE. One-on-one care, zero hand-offs.
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The Full Spectrum of Performance Care
From PT to performance training, everything is here.
This Is Not Your Average PT Clinic
You see the same provider every visit, spend a full hour on your care, and have 24/7 access to your PT between sessions. We average one visit per week because our approach addresses the root cause, not just the symptoms.
One-on-One, Every Session
No aides, no techs, no shared time. You get a full hour with your PT, every single visit.
The Same Provider, Every Time
Your PT knows your history, your goals, and your progress. No starting over each visit.
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24/7 Access Between Sessions
Stay connected through the PTEverywhere app. Home program and direct messaging with your PT, any time.
Performance Testing That Tracks Progress
Force plate, VALD, and return-to-sport testing give you objective benchmarks for real, measurable progress.
The Athlete's Approach to Recovery and Performance
Feel Better
Hands-on care and corrective exercise to get you out of pain and moving again.
Move Better
Correct the mechanics and build the strength that makes progress stick.
Perform Better
Crush your goals and keep pain from returning. Performance built to last.
Athletes Helping Athletes Perform at Their Best
A sports PT and a credentialed strength coach, both active athletes who understand what is at stake.
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Dr. Brad Logue
PT, DPT, MS, SCS, CF-L1
Knute Brewer
M.S., CSCS, CF-L1
What Our Clients Are Saying
Trusted by athletes and active individuals across Middletown, DE






































Frequently Asked Questions
Transparent answers to the questions our clients ask most before booking.
Do You Accept Insurance?
We are an out-of-network provider and do not bill insurance directly. We accept cash, all major credit cards, debit, and HSA/FSA funds. Upon request, we can provide a superbill you can submit to your insurance for possible out-of-network reimbursement. Reimbursement is not guaranteed and depends on your individual plan.
How Much Do Sessions Cost?
Our initial evaluation is $225, with a $50 deposit required at booking. Single sessions are $225. We also offer packages: 6 sessions at $205 each, 12 at $190 each, and 20 at $175 each. No surprise bills. Pricing is public and transparent.
Why Only One Visit Per Week?
Our one-on-one, root cause approach is built to be effective with focused sessions rather than frequent passive-treatment visits. Most of our clients see meaningful progress in fewer appointments because each session builds directly on the last, and your home program keeps progress going between visits.
Do I Need an MRI or Surgery Before Starting?
Not necessarily. Many clients come to us wondering if imaging or surgery is required before starting. Our goal is to help you understand what is causing your pain or limitation, identify what can be addressed through movement and hands-on care, and build a clear plan from there. We work alongside your physician when appropriate.
What Happens on the Discovery Call?
The discovery call is a free, no-commitment conversation with your PT. You share what you are dealing with, whether that is an injury, a performance goal, or both, and we help you understand if Top Tier Physical Therapy is the right fit. If it is, we will get you scheduled for your initial evaluation.
Still have questions?
Reach out directly. We are happy to help.

Download our FREE eBook!
This eBook covers current concepts in overcoming pain and returning to activity safely and efficiently. It also touches base on things you can implement immediately to minimize the chances of pain returning.
Get it HereYou Are One Call Away From a Plan That Works
A free discovery call. No commitment. Just answers.
