Certificate of Competency in Vestibular Rehabilitation (CCVR) Course

Fall 2021 Registration is OPEN. Now available as part of the Level 4 V2FIT. Visit vestibular.training for details.

Fall 2021 Registration is OPEN

The CCVR course is now available as part of our new Level 4 V2FIT (Visual Vestibular Functional Integration Toolbox). The toolbox also includes additional on-demand courses, tools, discussion forum, coaching calls, etc.

The CCVR Course kicks off on Tuesday, August 31, 2021.

Here is the schedule:

  • Part 1: August 31st - October 8th, 2021
  • Mid-Course Break: October 11 - 15, 2021
  • Part 2: October 18th - December 3rd, 2021
Please click here for more information: vestibular.training

We are currently offering a summer special with a 50% discount. The discounted price of the Level 4 V2FIT is $945 (same price as the individual CCVR course with added value!)

Click here for more details.

Course Description & Objectives

The Certificate of Competency in Vestibular Rehabilitation (CCVR) Course, in partnership with Texas State University and the University of Wisconsin, provides you with a unique set of skills via a convenient and flexible path to advanced training in vestibular rehabilitation.

The vestibular rehabilitation course includes online coursework as well as hands-on labs. The online education provides clinicians a convenient and flexible path to advanced training in vestibular rehabilitation. Upon completion of the online coursework, participants will attend virtual labs.

Upon successful demonstration of the clinical training, participants are also required to successfully complete a written examination to receive their competency-based certificate in vestibular rehabilitation.

Click here for CCVR Course objectives.


The coursework will provide weekly educational modules on a variety of evidence-supported vestibular-related topics. Participants will have access to live online weekly coaching calls, preparatory quizzes, and a classroom discussion forum. Faculty of the program includes a variety of expert medical professionals covering topics in the areas of: neuro-otology, neurology, neuro-ophthalmology, psychiatry, primary care, physical/occupational therapy, audiology, neuro-optometry, and psychology. The primary focus is assessment and treatment of peripheral and central vestibular disorders, understanding the importance of medical management, and recognizing the role of vestibular diagnostics and comprehensive audiograms.


The course is designed for clinicians who have experience working with patients with vestibular dysfunction and/or who have completed coursework in vestibular rehabilitation.

Continuing Education Credits

This educational offering is eligible for the following hours: Certificate of Competency in VR Track - 39.25 continuing education hours (competency-based track that includes online course and labs)

  • Certificate of Competency in VR Track - 39.25 continuing education hours (competency-based track that includes online course and hands-on labs)

Certificates will be awarded upon successful completion of the educational offering and evaluation form.


The CCVR Course starts on Tuesday, August 31, 2021.

Part 1: August 31st - October 8th, 2021
Mid-Course Break: October 11 - 15, 2021
Part 2: October 18th - December 3rd, 2021

The majority of 2021 labs will be virtual, however we will add in-person labs if applicable. Participants must attend one lab.


  • Kamran Barin, PhD
  • Shin Beh, MD
  • Jamie Bogle, AuD, PhD, CCC-A
  • Derrick Chan, PT, DPT, ATC
  • Dana Day, AuD, CCC-A, MBA
  • Laura Dean, PT, DPT
  • Steven Erickson, MD, FACP
  • DeAnn Fitzgerald, OD
  • Sally Fryer Dietz, PT, DPT, CST-D
  • Gerard Gianoli, MD
  • Denise Gobert, PT, PhD, NCS
  • Natalie Hiddemen, PT, DPT, NCS
  • Natasha Johnson, PT, MSPT
  • Craig Kemper, MD, FACS
  • James Kemper, MD
  • Shelly Massingale, PT, MSPT
  • Brad Melancon, MS, FAAA
  • Jamie Pardini, Ph.D.
  • Michele Petrak, PhD
  • Angela Rich, OCS, PT, ScD
  • Emily Schottman, OD, LPC
  • Rudie Spigarelli, PT, DPT
  • Bridgett Wallace, PT, DPT, ITPT - Course Director

See faculty bios below


Your Content

  CCVR Course Core
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  Lesson Plan
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  Lesson 8: The Psychological Overlay in Patients with Dizziness
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  Lesson 11: Additional Thoughts on Treatment
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"This course elevated my entire knowledge base on the wide scope of vestibular therapy & how it can be used to assist the vestibular population and beyond. I was able to take my chronic concussion patient from not being able to tolerate crowds to grocery shopping independently, my vestibular migraine patient can now watch her daughter's volleyball games, and a stroke patient can do 'tree pose' in yoga with her eyes closed. My largest 'win' is that my clinic now understands how important vestibular rehab is."

- CCVR Graduate

"The online format is fantastic! I can't imagine absorbing a week's worth of material at another course! Then not being able to view the material again. The CCVR course allowed me to review selected lectures multiple times. I would highly recommend the CCVR course to any therapist interested in developing their expertise regarding vestibular rehab."

- Bob S., PT, DPT, Oklahoma

"I attended a small one day vestibular rehab course in Iowa provided by a PT with her Emory certification. This course came highly recommended. I previously worked with a vestibular rehab physical therapist who relocated & I wanted to continue serving this population. This course format allowed me to continue working full-time, implementing the info, while also receiving my certificate."

- CCVR Graduate

Frequently Asked Questions

What is the difference between this course and other vestibular courses?
The CCVR Course is now available in our Level 4 Visual Vestibular Functional Integration Toolbox (V2FIT). Visit vestibular.training to learn more. Sign up today to take advantage of our summer special and get LIFETIME access plus a 50% discount. The 360 Neuro Health Institute’s CCVR Course is not an extension of any other advanced course. The CCVR Course is offered as a separate entity in partnership with Texas State University. Our topics of discussion will be very similar to other courses but with distinct benefits: (1) Lecture portion is online, providing greater flexibility and at a lower cost, (2) added content on the cervical spine and visual system: Practical Review of Anatomy & Physiology; Clinical Assessment; Treatment Progressions, (3) more discussion on Concussion Management, (4) additional content: Practice Management/Marketing; Translational Research (bridging the gap between clinical application & research through publication of case studies), and (5) lifetime access to videos and ongoing discussion group.
Do the weekly live coaching calls have a level of flexibility?
Yes, the course is designed for flexibility – not only with the online content but the opportunity to watch the weekly coaching calls at a later time. The coaching calls and any supplemental videos will be recorded and available for access at any time.
How experienced in vestibular rehabilitation should a therapist be before attempting this course?
Experience is recommended but not required. The course content will be intense for both the online content and virtual labs. However, keep in mind that the online content is being delivered over 14 weeks and the format will be presented in a supportive, interactive manner. You will have access to weekly coaching calls and everyone should know that all participants are encouraged to ask questions as needed. We will also make available preparatory reading materials as well as links to additional resources for those participants who are interested.
What is the process if I don't pass the final exam?
We provide 2 chances to successfully complete the written examination and offer additional coaching call as needed/wanted. Since the labs are virtual, instructors will be available to ensure that each participant can confidently and successfully perform clinical assessments and treatments.
Will I be required to re-certify after a certain time?
Re-certification is not required. The continuing education credits are valid for 2 years. At that time, individuals who have completed the competency-based certificate will have the option to register for a 6-hour online course, Continued Certificate of Competency in Vestibular Rehabilitation.
Does the 2 day virtual lab include practicing skills with culmination in a lab practical test?
Yes, participants will be required to demonstrate assessment and treatment skills in the following areas: oculomotor (smooth pursuit, saccades, vergence & accommodation), nystagmus (peripheral vs central; identification of BPPV), balance/gait, and vestibular in the final examination.
Will there be continuing education credits available?
This educational offering is eligible for physical therapists, occupational therapists, neuro-optometrists and audiologists for the following hours:​ Track 1 - 39.25 continuing education hours (competency-based track that includes online course and virtual labs). Certificates will be awarded upon successful completion of the educational offering and evaluation form.
What is your cancellation policy?
Cancellations prior to September 10, 2021 will result in a full refund. Refunds will be issued within 10 days of cancellation. Cancellations after September 10, 2021 will result in loss of full tuition.
What is your contact information?
​Please contact us if you have any questions at 888-313-4443 or email us at [email protected]
How long does it take to get through the CCVR Course?
The CCVR Certification Course is organized into a flexible schedule that allows you time to complete the course at your own pace. Plus, once you purchase the course, you will have lifetime access to all of the modules and materials. We want to give you as much time as you need to complete the certification as we recognize that all of you are industry professionals with busy schedules.
Can you help me show my employer the return on investment for this course?
Although no course (or even licensure) guarantees that individuals will retain and/or apply skills appropriately, successful completion of competency-based training has shown to result in improved patient outcomes and is cost-effective. Investing in more advanced training is considered a win-win-win. Employers demonstrate an investment in their staff, which can increase confidence and value in the employee as well as decrease staff turn-over. Staff can increase clinical skills and job satisfaction. Patients have better outcomes. Here are 3 points of interest to discuss regarding the return-on-investment (ROI) in competency-based education: (1) Bottom Line: ROI = Financial Return/Investment: Niche market w/minimal cash investment to treat patients with dizziness and/or balance disorders. Vestibular dysfunction is present in 40-50% of geriatric population with dizziness/imbalance1. Example: If you add 15 visits a month (1 - 2 patients) with an estimate of $80/visit over just 3 months (45 visits), this results in $3,600 in revenues. When you consider the cost of the CCVR course as a $1,890 investment, the financial return on investment (ROI) is 90%. (2) Quality of Care: The Vestibular Disorders Association (VeDA) found that providers who considered/screened for vestibular dysfunction during the initial visit for patients with dizziness resulted in an accurate diagnosis within 1 month versus 8 months when the provider did not consider the vestibular system as a plausible cause2. (3) Patient-Centered: Studies show vestibular rehabilitation results in better patient outcomes than general therapy and medication alone. Medications continue to be one of the most common treatments for dizziness. Yet, in most cases, effective treatments are available through vestibular rehabilitation without the use of medications that typically hinder the recovery process and increase the risk for falls3-4. Research shows that targeted, customized vestibular rehabilitation results in better patient outcomes versus general therapy and improving patient outcomes is the ultimate goal. Although the bottom line ROI can easily be shown through increased referrals in a niche market with little investment, the true ROI becomes less about bringing in money and more about the patient-centered bottom line through the following: early identification and treatment of the cause(s) of dizziness and/or imbalance, optimal patient outcomes and higher patient satisfaction. REFERENCES: 1. Murdin, Louisa, and Anne G. M. Schilder. Epidemiology of balance symptoms and disorders in the community. Otol Neurotol. 2015;36(3):387–392. doi:10.1097/mao.0000000000000691. 2. Haven, Lisa. VEDA Produces Benchmark Study to Help Reduce Suffering. On the Level: Quarterly Newsletter of the Vestibular Disorders Associations. 2011;28(3-4):1-9. 3. Horak FB, Jones-Rycewicz C, Black O, Shumway-Cook A. Effects of vestibular rehabilitation on dizziness and imbalance. Otolaryngol Head Neck Surg. 1992;106:175-80. 4. Giray M, Kirazli Y, Karapolat H, Celebisoy N, Bilgen C, Kirazli T. Short-term effects of vestibular rehabilitation in patients with chronic unilateral vestibular dysfunction: a randomized controlled study. Arch Phys Med Rehabil. 2009;90:1325-31.
Will this course give me a title?
This course will not give you a title that indicates a board recognized certification. Currently (and unfortunately), there is no recognized board certification in vestibular rehabilitation. You can use the designation, Certificate of Competency in Vestibular Rehabilitation**, upon successful completion of our didactic and practical competency-based coursework. This designation, however, is to be spelled-out and not be represented by initials after your name and other degrees and board certifications. You must, however, also know your practice act to be aware of any language that would supersede this. We also encourage you to know the position of your professional association. For instance, the following is a more current statement by the American Physical Therapy Association (APTA)**, "The APTA spells out out non-APTA certifications and honors in its materials and publications only when they are contextually relevant and space is available. The House position does not provide for abbreviating non-APTA certifications and honors after someone's name." The following is an example: Jane Doe, PT, DPT, Certificate of Competency in Vestibular Rehabilitation, ImPACT Trained Physical Therapist, Certified Exercise Experts for Aging Adults | **Note: Although we have been clear that there is no current board certification in vestibular rehabilitation, our position on the use of designations has evolved over the last couple of years due to changes in position statements by the APTA. For example, the following designations were once listed on the ATPA website: Certified Clinical Vestibular Therapist (CCVT) for successful completion of competency-based coursework and Clinical Vestibular Therapist (CVT) for non-competency-based coursework. As noted above, however, the APTA does not support titles to be used after your name. Early adopters of our CCVR course, therefore, are familiar with the CCVT and CVT initials. We will continue to put forth clarifications on this matter to past, current, and future participants.

Faculty Biographies

Kamran Barin, PhD
Kamran Barin, Ph.D. is Assistant Professor Emeritus, Department of Otolaryngology Head and Neck Surgery, The Ohio State University. Dr. Barine served as the Director of Balance Disorders Clinic at the Ohio State University Medical Center for over 25 years until his retirement in June 2011. He received his Master’s and Doctorate degrees in Electrical/Biomedical Engineering from the Ohio State University. He has taught national and international courses and seminars in different areas of vestibular assessment and rehabilitation. Some of his contributions can found on www.audiologyonline.com, www.asha.org, www.audiology.org, and www.otometrics.com.

Sally Fryer Dietz, PT, DPT, CST-D
Dr. Sally Fryer Dietz is the Founder and Director of Integrative Pediatric Therapy and Integrative Concussion Therapy. Both are unique clinics designed to provide a broad spectrum of individualized physical & occupational therapy services for children & adults. Integrative Concussion Therapy focuses on individuals of all ages, who have sustained concussive injuries and continue to suffer from persistent symptoms. Integrative Pediatric Therapy focuses on children with learning differences and other developmental disabilities. Sally became widely recognized throughout the world for her unique treatment plan as lead physical therapist for conjoined Egyptian twins, Ahmed and Mohammed Ibrahim. She was spotlighted on Oprah, Dateline NBC, and Discovery Health for her unique contribution to their treatment. Since 2014 she has been involved in the Dr. John E. Upledger & Ricky Williams Foundation Concussion Pilot Program, demonstrating the advantages of CranioSacral Therapy in alleviating symptoms of post concussive syndrome.

DeAnne Fitzgerald, OD
Dr. Fitzgerald has been in the eye care profession for over 30 years. A graduate of the College of Optometry in Forest Grove, Oregon, she got into the profession because of her passion for helping people. "The eyes are the windows to the body," she says. "So many things can be seen and diagnosed with a thorough eye exam." Dr. Fitzgerald has been providing eye care to the Corridor community since she moved to Cedar Rapids in 1984. When asked about her future goals, Dr. Fitzgerald replies that they are, "To continue to grow and contribute through my passion for my career." She currently offers patients examinations, diagnoses and treatments for the management of vision diseases and disorders. Dr. Fitzgerald is always investigating and investing in the latest eye care technology to provide the best state-of-the-art patient care possible.

Dr. Gerard Gianoli, MD
Gerard J. Gianoli, M.D., graduated from Tulane University with a degree in Engineering and subsequently matriculated from Tulane University's Medical School in 1986. He did an internship in General Surgery and an internship in Pediatrics. Following a residency in Otolaryngology- Head and Neck Surgery, he completed a fellowship in Otology, Neurotology and Skull Base Surgery at the Michigan Ear Institute. He was a full-time Associate Professor at Tulane Medical School until July 2000 when he joined Ear and Balance Institute. He still maintains a Clinical Associate Professor appointment at Tulane in both the Department of Otolaryngology-Head and Neck Surgery and the Department of Pediatrics. He has published and lectured extensively in the field of Neurotology and serves on multiple Editorial Review Boards for the fields of Neurotology and Otolaryngology.

Denise Gobert, PT, PhD
Dr. Gobert is a board-certified neurologic specialist who has been practicing for over 22 years. She currently teaches in the Neuro/ Research tracks in the Doctoral Physical Therapy Program at the Texas State University-Round Rock, Texas. She also treats patients with neurological disorders in the outpatient-teaching clinic at Texas State and works PRN at the St. David’s North Austin Medical Center. Her clinical practice and research specializes in the care of persons with neurological movement disorders resulting from CVA, vestibular-related pathologies and traumatic brain injury. She received her BS in Physical Therapy at the University of Texas Health Science Center in San Antonio, Texas, and her Masters in Exercise Science and Doctorate in Kinesiology at the University of Texas at Austin. She is also a Certified Expert in Exercise for Aging Adults. Dr. Gobert has directed several specialty programs including the Balance and Gait Program for persons with movement disorders at Texas State University. In addition, she has taught clinical workshops, authored several peer-reviewed book chapters, research papers and presentations for national and international organizations.

Natalie Hiddeman, PT, DPT, NCS
Natalie Hiddemen has a doctorate in physical therapy holds a board certification in neurologic physical therapy from the American Physical Therapy Association. She also has a certificate of competency in the evaluation and treatment of vestibular disorders. She is a PWR!Moves-certified therapist, which is a specialty in treating individuals with Parkinson’s disease. Dr. Hiddemen is a member of the American Physical Therapy Association and the Vestibular Disorders Association. She serves as the Director of Clinical Education for 360 Balance & Hearing. Prior to joining the 360 Balance & Hearing team in 2016, Dr. Hiddemen became an experienced therapist working at UCLA Medical Center in Los Angeles and St. David’s Rehabilitation Hospital in Austin. During this time, Dr. Hiddemen specialized in the rehabilitation of individuals suffering from a brain injury or stroke. Dr. Hiddemen is a proud graduate of the University of Texas at Austin and received her physical therapy degree from Texas Woman’s University in Dallas. She was born and raised in Arlington, Texas.

Dr. Craig Kemper, MD
Dr. Craig Kemper is a board-certified neurological surgeon and has broad interests in general neurosurgery. Dr. Kemper is the region's most accomplished Acoustic Tumor surgeon and serves as medical directory of Neuro-Oncology at St. David’s Medical Center. After earning his medical degree from The University of Texas Medical Branch at Galveston, Dr. Kemper interned at Vanderbilt University Hospital in Nashville. He performed his Neurosurgery residency at Vanderbilt as well. He has been in private practice since 1994. Dr. Kemper is board certified by the American Board of Neurological Surgeons and is a fellow of the American College of Surgeons. His professional affiliations include the American Association of Neurological Surgeons, the Congress of Neurological Surgeons, the Meacham Society and the Southern Neurological Society.

Dr. James Kemper, MD
Dr. James Kemper subspecializes in Otology and Neurotology. After more than ten years of solo practice, Dr. Kemper joined Austin ENT Clinic in April of 2011. As a college undergraduate, Dr. Kemper attended Davidson College, in North Carolina for one year. In 1985, he graduated with Honors from the University of Texas with a degree in Biology. He completed his medical school and his Otolaryngology residency at The University of Texas Health Science Center in Houston. Dr. Kemper completed his Board Certification in Otolaryngology – Head and Neck Surgery, in 1995. After practicing for two years in general otolaryngology, his interest in ear surgery led him to pursue a fellowship in Otology and Neurotology. He left Austin for one year to study at the Otology Group under the guidance of Michael E. Glasscock, III, MD and Wes Kreuger, MD. Since 1998, Dr. Kemper has concentrated exclusively on diseases of the ear and skull base, in patients from infancy through adulthood. His broad experience in managing hearing and balance disorders includes chronic ear disease/infection, management of vertigo and Meniere’s syndrome, tumors of the ear and brainstem as well as cochlear implantation and other hearing implants.

Shelly Massingale, PT, MPT
Shelly Massingale is the Senior Clinical Manager of the Banner Concussion Center. She is a Physical Therapist and is a specialist in vestibular and balance therapy. Shelly has been practicing physical therapy in the Outpatient Neurological setting for the past 22 years. She became certified in vestibular therapy from Emory University in March 2003 and was Advanced Certified at Emory University in August 2007. Over the years, she has developed skills in both vestibular therapy and in neurological rehabilitation. Shelly has been the Senior Clinical Manager with the Banner Concussion Center since its opening in April 2013. Since this time, she has been treating mild traumatic brain injury and post concussive syndrome from sports related injuries, motor vehicle accidents and all other types of injuries that cause mTBI. She has lectured and trained therapy students as well as therapists on current treatments for concussion/mTBI. She is also involved in research regarding balance testing for athletes who suffer from mTBI. Shelly is the author of three separate articles focusing on therapy for vestibular disorders. These articles have been published in medical journals such as Laryngoscope and in the journal of Otolaryngology-Head and Neck Surgery. Her research background is now extending out in the area of concussion/mTBI and balance testing and treatment.

Michelle Petrak, PhD
Michelle Petrak is the Director of Clinical Audiology at Interacoustics DK where her primary role is new product development and is also a practicing audiologist in the Chicago area. She has a doctorate in Electrophysiology and Biomolecular Electronics. Her areas of expertise include videonystagmography, electrophysiological techniques (ABR, ASSR, VEMP, and ECoG), and pediatric audiology. She lectures extensively on these topics, nationally and internationally, and has published articles in hearing industry journals.

Angela Rich, PT, OCS, ScD, ATC
Angela Rich earned Bachelor of Science degrees in Athletic Training from Southern Illinois University in 1984 and Physical Therapy from Texas State University in 1994. She completed her Doctor of Science degree in Physical Therapy from Texas Tech University Health Science Center in 2011. She was awarded her Manual Therapy Certification from the International Academy of Orthopaedic Medicine in 2010 and Board Certification in Orthopaedics from ABPTS in 2015. Angela was a private practice owner for 16 years, specializing in orthopaedics and sports medicine. In 2015, she turned her focus to teaching as an Assistant Professor in Texas State University’s Doctor of Physical Therapy Program with responsibilities in Orthopaedics and Therapeutic Interventions. In 2017, Dr. Rich was recognized with the Faculty Excellence Award in Teaching for the Department of Physical Therapy and the College of Health Professions. Her research agenda focuses on the identification of movement system dysfunction and impairment-based intervention.

Emily Schottman, OD, FCOVD, MA Counseling, LPC
Dr. Schottman holds both a doctorate in Optometry (1996, Southern California) and a Masters in Counseling (2014, St Edward’s University). She is an Optometrist turned Counselor who specializes in visual, brain-based techniques to quickly and efficiently improve difficult feelings, thoughts and physical symptoms. Dr. Schottman specializes in sleep, menopause, anxiety and depression relief. She is also a cancer survivor and specializes in post traumatic stress and its impact on relationships, as well as post-traumatic growth and identity/career change. Dr. Schottman is the owner of Stars In Your Eyes Optometry, and limits her clinical work to counseling only.

Rudie Spigarelli, PT, DPT, MTC
Rudie Spigarelli has a doctorate in physical therapy and holds a certificate of competency in manual therapy and concussion management. Dr. Spigarelli is a member of the American Physical Therapy Association and Vestibular Disorders Association. She serves as Director of Physical Therapy for 360 Balance & Hearing. Prior to joining the 360 Balance & Hearing team in 2015, Dr. Spigarelli gained experience working with orthopedic issues Texas PT Specialists in Austin and her love for vestibular disorders began as a physical therapy student while completing an internship at 360 Balance & Hearing. Dr. Spigarelli is the proud graduate of from Texas Woman’s University in Houston. She graduated summa cum laude with a bachelor’s degree in exercise science at Texas State University in San Marcos.

Bridgett Wallace, PT, DPT, ITPT - Course Director
Bridgett Wallace, PT, DPT, has a doctorate of physical therapy and holds competency-based certifications in vestibular rehabilitation and concussion management. Dr. Wallace has been treating patients with dizziness and balance disorders for more than 20 years and is the founder and President of 360 Balance & Hearing – a specialty clinic for the evaluation and treatment of dizziness and balance disorders that includes both audiology and therapy services. She is also the co-founder and Director of Clinical Education for 360 Neuro Health Institute, which provides online, mobile and live educational offerings for health care providers. Dr. Wallace is a member of the American Physical Therapy Association and the Vestibular Disorders Association. Dr. Wallace consults and lectures both nationwide and internationally in concussion management and on vestibular disorders. She has provided consulting services to The University of Texas Athletics since 1998 and MLB Umpire Medical Services since 2011. Dr. Wallace co-authored two patents for vestibular disorders and developed an iPhone app, PLAY IT SAFE®, which was designed for sideline-concussion assessment. She has been published in the Eye & Brain Journal and has contributed to chapters in Therapeutic Exercise and Lifespan Neurorehabilitation - both textbooks used in therapy schools. Dr. Wallace was awarded the Health Care Heroes Award by the Austin Business Journal in 2011 and Distinguished Alumni Award by Texas State University Physical Therapy Department in 2013.