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Pivotal’s History

Pivotal began in 1989 (originally Eveline Erni Physical Therapy) as a single practitioner Orthopedic physical therapy practice. She literally treated her first patients either in her own apartment or the patient’s apartment. Her initial patients primarily consisted of Swiss ex-patriots who lived in New York City. Over the next year, her practice grew through word-of-mouth!

In the fall of 1990 Ms. Erni, with trembling hands, signed her first office lease on West 57th St. located in the middle of Manhattan. While understandably nervous, Ms. Erni believed that New Yorkers valued a rehabilitation program that emphasized quality over quantity. As a professional healthcare practitioner, she was not interested in providing mediocre treatment for a large number of patients. Instead, she would work closely with every single patient and address their particular issue with the type of treatment techniques that most efficiently got them better and kept them out of trouble in the future. After signing the lease on her practice, it continued growing through word-of-mouth from happy patients and their referring physicians.

Over the past 30 years Ms. Erni has expanded the practice to include 4 like-minded PT’s who also provide exemplary treatment, bring their own unique perspective and expertise to the table. Pivotal is proud to have been a founding member in good standing of the Hospital for Special Surgery’s physical therapy rehabilitation network since 1994.

In the early years, Pivotal focused on treating general Orthopedic diagnoses. But, over the years Pivotal has been recognized for providing world-class expertise in a number of Orthopedic specializations, such as TMJ, head and neck pain, Bell’s Palsy, facial reanimation, Women’s Health, Pelvic Floor and Scoliosis.

Our former and current patients are Pivotal’s strongest supporters. They believe in our expertise and integrity. They return to us seeking our opinion regarding new injuries or send their friends and family to us for a consultation. Our former patients know that we will be able to assess their injury and get them on the road of recovery! Today Pivotal inhabits a brand-new office with 6 private treatment rooms and a gym that includes Pilates equipment for both rehabilitation and wellness.

Pivotal’s Philosophy

We believe each patient is unique and arrives at our practice with a unique problem. We achieve the best results by thoroughly understanding each individuals problem and carefully formulating an optimal solution. Rehabilitation is most efficiently accomplished by seeing the same physical therapist, One-on-One (without the use of an assistant), for 45 minutes throughout their course of treatment. A particularly complex diagnosis requires input from many professionals. To facilitate this approach we stay in close contact with the referring doctor and routinely review these cases at weekly meetings. We believe that the patient must be empowered at the end of rehabilitation. Specifically, the patient should have physically improved and have gained the skills to prevent further injury.

TMJ, Head and Neck

Evaluation and treatment of pain and symptoms related to the jaw, head and neck requires expertise and finesse. Our experienced Physical Therapists have additional training and are certified by the Physical Therapy Board of Craniofacial and Cervical Therapeutics (PTBCCT) to comprehensively evaluate and adequately treat TMJ pain and dysfunction. We also treat the related issues which include headaches, neck, facial pain and muscle weakness.


At Pivotal Physical Therapy, we are board-certified in orthopedics by the ABPTS (American Board of Physical Therapy Specialties). This designation allows us to give you the best care, and fully understand your diagnosis or pain. We treat all musculoskeletal injuries and patients include a broad age range of individuals with various levels of activity, from sedentary to the highly athletic. No matter your specific orthopedic need, we’ll ensure you get the care you expect and the results you want.

Pelvic Floor and Women’s Health

Pelvic Floor and Women’s Health issues can affect your ability to enjoy a normal and active lifestyle. We offer effective therapies and exercises that will ease your discomfort and regain your active lifestyle. We have over 20 years of clinical experience, treating all women’s health and pelvic floor issues. We take the time to make sure you feel comfortable during the course of your care.

Post Cosmetic Surgery by Pivotal Physical Therapy

Post Cosmetic Surgery

Most patients experience swelling and discomfort after cosmetic or plastic surgery. Physical therapy can help alleviate symptoms in the post-op phases. We use manual lymphatic drainage and soft tissue techniques to decrease swelling and improve mobility.

virtual physical therapy exercise


Pilates is an exercise method using a movement repertoire based on principles such as breathing, axial extension, core stability, shoulder and hip mobility, and overall movement integration. At Pivotal Physical Therapy, our wellness and rehabilitative Pilates programs are highly individualized to meet your needs and goals. Our contemporary approach to Pilates allows our programs to range from purely rehabilitative to full body strengthening.

Contact Us Today to Start Your Healing!