Physical Therapy has a broad scope of practice.  Below are a list of the most common services utilized and details regarding that service.  Noto Physical Therapy is committed to deliver the highest quality of care and will utilize many of these services, in conjunction, to give the best possible outcome.

Restorative Physical Therapy

Therapy services to improve and restore function

Maintenance Physical Therapy

Therapy services to maintain current functional status and prevent regression

Walking (Gait) Evaluations and Training

Gait analysis identifying barriers to fluid independent gait, with recommendations for assistive device (walker/cane) or bracing as needed.  Training to target weakened or poorly coordinated muscles and balance problems

Brace (Orthotic) Evaluations and Training
  • Includes gait analysis with and without current bracing and may require orthotic adjustment or advancement.  Training to target optimal brace utilization with mobility, often requiring collaboration with current orthotist
  • Upper extremity/neck/spine orthotic evaluation for fit, putting on/off as needed, and maximizing function with bracing, often requiring collaboration with current orthotist
Artificial Limb (Prosthetic) Evaluations and Training

Includes gait analysis with and without current prothesis and may require prosthetic fit adjustment or advancement.  Skin assessment and prosthetic wearing schedule.  Training to target optimal prosthetic utilization with mobility, often requiring collaboration with current prosthetist

Return to Home Mobility Assessment

An assessment of mobility within home and recommendation to improve ease and safety of mobility

Home Safety Evaluations

Evaluation of current home set-up (entrance, furniture, chair heights, flooring surfaces) with recommendation to improve home accessibility, independent mobility, and safety

Caregiver/Aide Training

Skilled training for family, caregivers, and/or aides to better assist a loved one with daily tasks, i.e. guided exercises, stretching, transfer training, gait training, positioning device and brace application

Wheelchair Evaluations

Manual and power wheelchair evaluations, along with the appropriate seating system to maximize mobility and positioning needs, performed in conjunction with an authorized wheelchair vendor

General Wellness Programs

A tailored exercise program will be designed to help maintain strength, flexibility, balance, and aerobic conditioning

Sports Specific Training

Rehabilitation treatment program designed to help you return to or improve your desired athletic hobby.  This may occur out of the home to better mimic sport conditions, i.e. track, soccer field, pool

Guided Recreational Experience

Offsite guided instruction and, as appropriate, adaptive equipment, to explore new options for recreation.   Adaptive rock climbing, golf, hiking, biking, and swimming to name a few.

Contact Us:



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(518) 419-3777

P.O. BOX 272, WATERFORD, NY 12188




  • "My husband suffered a stroke on Sep 30, 2014 and after 13 weeks in the hospital and rehab, we were able to take him home. On the reccomendation of Sunnyview Hospital, we hired Tony as his therapist. They said Frank would never be able to climb stairs or walk unassisted. With the help of Tony and his patience and knowledge and Frank’s determination, within 6 weeks he was climbing stairs to our bedroom and walking down the driveway to get the mail. Tony Noto is awesome and a blessing. I would recommend him to everyone."

    -Faye R.
  • "Stroke recovery and rehabilitation can be a long and often frustrating process for the patient, family and caregivers. Having a confident and compassionate Physical Therapist like Tony Noto is an absolute must! Tony came highly recommended by several of our healthcare professionals. He has worked diligently with us, our therapists, and specials needs service providers to be sure we achieved the goals that have been our priority."

    -Christine K.
  • "I credit Tony with the remarkable progress that I have made since I began working with him. My physicians are amazed by the improvement given my age and my history of untreatable adult Muscular Dystrophy, compounded by a life-threatening surgery. Following the surgery, I lost a major portion of my functionality and became confined to a wheelchair. Since our first encounter, Tony has dedicated himself to helping me achieve my ultimate goal of getting back to baseline and regaining my independence..."

    -Angie C.
  • "...Thanks to Tony, I have reached many milestones: I have eliminated the use of a Hoyer Lift, I am able to stand from my chair, and I have begun walking again – these have been my greatest challenges. It is his exceptional skill, determination and persistence, challenging me further with activities of increasing difficulty that motivate me to perform at a higher level, despite the odds against me. In addition to his professionalism, he consistently displays a caring attitude, reacting with genuine excitement to each of my successes. Along with giving his all to my therapy, Tony goes above and beyond the call of duty as a liaison with medical supply companies, assisting me with selection, adjustment and maintenance of my equipment needs. Tony is not only my PT, he is my cheerleader and advocate! I am so grateful to him for his efforts"

    -Angie C.
  • "Tony Noto became my physical therapist after I had become a bilateral amputee (both legs) and was confined to my wheelchair. Tony was instrumental in helping me rebuild my body core and obtain the proper wheelchair for my needs. This allowed me to move forward with my life instead of just sitting in a corner feeling sorry for myself and doing nothing. Over a period of time, Tony helped me recondition my residual limbs and obtain prosthetics for them. He taught and coached me, which allowed me to ambulate (walk) for short distances at a time and he was always there for me. Tony’s encouragement and advice helped me return to a rewarding and productive life. If you need a physical therapist there is no better than Tony – in my opinion, he is the best there is."

    -Brian D.