our team
physical therapy serving metro portland

Noel Tenoso

In 1999, Noel Tenoso founded Advance Sports and Spine Therapy with a vision to connect patients to what’s most important in their lives through a fun and personal rehabilitation setting.

Earning both his Masters in Science and a Doctorate in Physical Therapy from Pacific University, he has since gone on to earn the following advanced post graduate certifications:

• MDT Certified Mechanical Diagnosis and Therapy through McKenzie Institute International
• COMT: Certified Orthopedic Manipulative Therapy through the North American Institute of Orthopeadic Manual Therapy.
• OCS: Orthopedic Certified Specialist through the American Physical Therapy Association
• Astym through Performance Dynamic
• Strong First Kettlebell Certification
• RYT-Registered Yoga Instructor 200 hours

Noel is also involved with several committees within the Oregon Physical Therapy Association. His passion for quality care has fueled a desire to assist with much of the government affairs within the profession. Currently, Noel practices out of our West Linn location. When He’s not in the clinic, you can find him working on his yoga flow or teaching kettlebell classes!

Jeff Cox

Jeff received his Masters of Science in Physical Therapy and Doctor of Physical Therapy from Regis University (Denver, CO). Prior to physical therapy school he earned a Bachelors of Science in Exercise and Sports Science from Colorado State University (Ft. Collins, CO).

Practicing since 2003, Jeff has worked in a variety of settings, but his passion has always been in outpatient orthopaedics in the private practice setting.  Since completing his formal physical therapy education, he continued to develop his expertise through post graduate professional education and development becoming a Board-Certified Clinical Specialist in Orthopaedic Physical Therapy (OCS) in 2009.  In 2010 he completed his McKenzie Institute’s post graduate certification and became Certified in Mechanical Diagnosis and Therapy (Cert. MDT and commonly known as the McKenzie Method).  He furthered his education within Mechanical Diagnosis and Therapy attaining the highest credentialing within the McKenzie Institute by completing the Diploma in Mechanical Diagnosis and Therapy (Dip. MDT) in 2016.  In 2017 he completed the McKenzie Institute USA’s Orthopaedic Manual Physical Therapy Fellowship program and was accepted as a Fellow in the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT) in 2018.

In addition to his clinical duties, Jeff has given back to his profession as a clinical instructor and mentor for entry-level physical therapy students from many different physical therapy schools and is a clinical mentor for Fellows-in-Training through the McKenzie Institute USA’s Orthopaedic Manual Physical Therapy Fellowship program.   Jeff has also previously been involved in professional governance, serving on the Oregon Physical Therapy Association’s Membership Committee, Board of Directors, and has been an Oregon Delegate to the American Physical Therapy Association’s House of Delegates.

Growing up in a small mountain town in Colorado, Jeff feels most at home in the mountains.  He loves to spend as much time in the outdoors as he can and enjoys hiking, camping, fishing, kayaking, and skiing with his wife, Megan, and their two school aged children.  He also enjoys being active in his home community of West Linn.   He is an avid sports fan, playing many different sports growing up.  He first became interested in physical therapy after having to rehabilitate his knee due to tearing his ACL playing football.

Jeff currently holds the following certifications:

• OCS: Board Certified Orthopaedic Clinical Specialist
• MDT: Diploma in Mechanical Diagnosis and Therapy
• FAAOMPT: Fellow of the American Academy of Orthopaedic and Manual Physical Therapy
• ASTYM: Certified Provider through Performance Dynamics
• FMS: Functional Movement Screen and Y Balance Test Specialist

Megan Cox

Megan joined Advance Sports and Spine Therapy in 2006 after attending Regis University. There, she earned both her Masters and Doctorate Degree in Physical Therapy. Holding a special interest in vestibular conditions, she has continued to pursue further education and certifications in vertigo, dizziness and fall prevention.

She currently holds the following post graduate conditions:

• MDT: Certified in Mechanical Diagnosis and Therapy through the McKenzie Institute International;
• OCS: Board Certified Orthopaedic Clinical Specialist through the American Board of Physical Therapy Specialties;
• ASTYM Certified Provider through Performance Dynamics

In addition to her clinical practice, she has also assisted in in the education and instruction for ASTYM, both locally and nationally.

Megan stays very active balancing both her clinical practice and family life. Currently, she is taking time away from the profession to spend more time with her family. On occasion, she fills in for our physical therapists if need be. It’s always a treat to have her in the clinic!

Chris Hughes

Chris joined Advance Sports and Spine Therapy in 2007. Graduating from Pacific University’s physical therapy program in 1984, she went on to work in several hospitals and private practices across the country. Chris brings over 30 years of experience to our team, specializing in Women’s and pelvic health.

She currently holds the following post-graduate certifications:

• MDT: Certified in Mechanical Diagnosis and Therapy through the McKenzie Institute Internation al;
• OCS: Board Certified Orthopedic Clinical Specialist through the American Physical Therapy Board Physical Therapy Specialties;
• CMPT: Certified Manual Physical Therapist through the North American Institute of Manal Therapy
• ASTYM certified provider through Performance Dynamics
• FMS: Functional Movement Screen through Functional Movement Systems

In addition to several advanced certifications, Chris has taught numerous community classes and assisted in Women’s Health certifications. Her passion for the field has also led to her service on the board of the OOPTSG (Oregon Orthopedic PT Study Group).

Chris currently practices out of our West Linn clinic, with a primary focus in Pelvic and Women’s Health.

Adam Reinecker

Adam joined the team at Advance Sports and Spine Therapy in August of 2021. He graduated from Pacific University in 2008 with his Doctorate in Physical Therapy (DPT) degree. Prior to graduate school he earned his Bachelor’s of Science in Physical Education (BSPE) and Exercise Science degree from Pacific Lutheran University in 2002.

Adam feels that his number one priority in physical therapy is helping patients reach their maximum potential.  He enjoys treating a variety of orthopedic conditions such as low back pain, neck pain, ACL reconstruction and rotator cuff repair.

He completed certification in the McKenzie Method (Cert. MDT) in 2011. He earned his board certification as an Orthopedic Clinical Specialist (OCS) in 2018. He also holds certification in ASTYM treatment and is a certified clinical instructor.

As a certified clinical instructor, Adam enjoys mentoring Physical Therapy students and teaching them the fundamentals of the practice. He has also worked as adjunct faculty at Pacific University in the Physical Therapy program.

Adam is a member of the American Physical Therapy Association and McKenzie Institute International. He is also a member of the Clinical Education committee for the Oregon Physical Therapy Association and helps organize clinical education programs for Physical Therapists throughout the state of Oregon.

Adam has enjoyed an active lifestyle his entire life.  Growing up in Oregon he has spent many years on Mt. Hood skiing, hiking and camping.  He grew up playing a variety of sports such as soccer, baseball and ski racing, which he feels contributed to his passion for maintaining an active lifestyle.  In his free time he enjoys weight training, cycling and running.  Most importantly, he enjoys spending time with his wife and children

Adam currently holds the following certifications:

• OCS: Board Certified Orthopedic Clinical Specialist
• MDT: Certification in Mechanical Diagnosis and Treatment
• ASTYM: Certified provider through Performance Dynamics
• CI: Certified Clinical Instructor

Addy Brown

Addy enjoys working with a diverse patient population and loves that she is able to assist individuals reach their goals of returning to doing what they love. She especially loves working with runners, climbers, and soccer players, as she enjoys these activities herself. As an athlete herself, who has experienced injuries, Addy understands what her patients are going through with their pain and being sidelined, whether that is the game or in life. She strives to work with her patients in a therapeutic alliance using functional movements and patient education about their condition, health, and fitness to develop a patient-centered approach, helping each individual address their unique problems in a way that aligns with their goals and values.

Kristen Curtis

Kristen graduated from the University of Texas Medical Branch at Galveston (UTMB) with a Master of Physical Therapy in 1995. She previously earned a Bachelor of Science in Nutrition and Dietetics from Texas Christian University in 1988.After working as a clinical dietician in a hospital setting, she became interested in Physical Therapy. She has worked as an outpatient physical therapist since graduating in 1995 with the exception of a few years off to raiser her daughters. She uses a combination of approach of hands-on manual Therapy techniques with targeted exercises to correct movement dysfunctions. Kristen appreciates the diversity of clients and conditions that outpatient physical therapy provides. She has received advanced education in McKenzie Institute methods, manual therapy, orthopedic and sports rehabilitation including kinesiotaping and instrument assisted soft tissue mobilization and treatment of lower extremity amputees. Kristen is passionate about working with patients to help them get back to doing what they love. She and her 3 daughters have lived in Texas, New Mexico, Washington and now Oregon. Outside of the clinic she enjoys running, hiking, paddle boarding, reading and spending time with family and friends.

Ron Stibal

Ron Stibal started his physical therapy career in 1992. His first job was at a large hospital – based outpatient clinic providing physical therapy for a wide range of individuals including high level athletes and medically complex individuals ranging in age from children to geriatrics. It was during this time that Ron developed a strong understanding of what being patient/client focused meant and the importance of using a team approach that included healthcare professionals.

Ron has continued to treat a diverse patient population with a wide-range of diagnoses. He pursued advanced training to become certified as a specialist in manual therapy. He marries this with the application of evidence-based physical therapy concepts to create an eclectic approach to meet the individual client’s needs.

Ron continues to refine and improve his approach to client care. He is very excited by the growing body of knowledge in neuroscience, especially in terms of how it pertains to our understanding of pain.

Sandy Hilton

Sandra (Sandy) Hilton earned a Master of Science in Physical Therapy from Pacific University in 1988 and her Doctor of Physical Therapy degree from Des Moines University in 2013. Sandy has contributed to multiple book chapters and papers, including 2 books for understanding and treating pain: “Why Pelvic Pain Hurts” (OPTP) and “Self-Care for Pelvic Pain” (OPTP). She is an invited international instructor and speaker on pelvic health for all genders. Sandy enjoys helping people get back to finding joy in the things that matter to them.