Expert Physical Therapy in Asheville, NC
Get back to the active mountain lifestyle you love with personalized, one-on-one care from licensed Doctors of Physical Therapy—no referral needed.
Don't Let Pain Keep You From What You Love
You’re active, motivated, and ready to heal—but navigating your recovery shouldn’t feel this hard.
Injuries That Keep Coming Back
You’ve tried rest, ice, and generic exercises, but the pain returns every time you push yourself. You need a treatment plan that addresses the root cause, not just the symptoms.
Slow Recovery After Surgery
You expected to bounce back quickly, but progress has stalled. Without expert guidance and individualized care, you’re left wondering if you’ll ever feel like yourself again.
Chronic Pain With No Real Answers
You’ve been passed from provider to provider with little relief. You’re tired of cookie-cutter treatments and ready for a physical therapist who truly listens and creates a plan just for you.
Why Asheville Chooses Breakthrough Physical Therapy
At Breakthrough Performance, you’ll spend your entire appointment with a licensed Doctor of Physical Therapy—never passed off to an aide or technician.
- Most patients experience relief after their first session, with significant pain reduction in 6 visits or less
- Performance-based approach designed for active adults, athletes, and those serious about getting results
- North Carolina is a Direct Access state—no doctor’s referral required to start treatment
What Our Patients Say
“I started going to Breakthrough Performance two years ago after my knee and hip seemed wrecked. I was considering surgery. Dr. Rachael was very confident if we worked together, I would see results and be able to walk and sleep without pain AND be able to play tennis again. She never scolded or shamed me if I didn’t follow through, but always allowed me to show up as myself. I am eternally grateful and I’m so happy to be back to all the things I love to do.”
-Kate M.
Your Path to Recovery Starts Here
You’re active, motivated, and ready to heal—but navigating your recovery shouldn’t feel this hard.
- Schedule Your Assessment
Call us or book online—no referral needed. We’ll get you in quickly and pair you with the right Doctor of Physical Therapy for your goals.
- Get Your Personalized Plan
Your DPT will spend the full session with you, identifying root causes and designing a treatment plan tailored to your body, lifestyle, and performance goals.
- Return to What You Love
Most patients feel relief after their first visit. We’ll guide you every step of the way until you’re back to running, hiking, playing sports, or simply living pain-free.
Conditions We Treat with Physical Therapy
Our Doctors of Physical Therapy specialize in treating a wide range of conditions for active adults in Asheville.
- Sports Injuries & Overuse Conditions (runners, cyclists, hikers, CrossFit athletes, golfers)
- Post-Surgical Rehabilitation (ACL, meniscus, rotator cuff, joint replacement)
- Pelvic Floor Dysfunction (pregnancy, postpartum, incontinence, pelvic pain)
- Chronic Pain, Back & Neck Pain, Vestibular Disorders & Balance Issues
Hear From Our Patients in Asheville
Rated 5 stars with 95+ verified Google reviews
Dan at Breakthrough Performance is an exceptional resource for all your PT needs. Immediately upon our initial assessment he identified some old 20+ years of patterns that addressed the cause in areas I was not aware of. After several weeks, the daily workout performance videos and App helps you stay focused, and on track. His gym is well loved, and his education and background help patients reach their fitness and performance goals! Definitely a valuable resource.
–Zachery A.
I worked with Rachel Pascko on a couple issues over several months and I’ve seen dramatic improvement. She has a sophisticated understanding of biology and fitness training, she’s a fantastic teacher, and she’s just a lovely and pleasant person. I have referred family to this practice and would refer anyone else who could use a PT.
–Holly S.
Would recommend to anyone! Had ACL reconstruction + meniscus repair 1.5 yrs ago. Things were moving slower than expected, had stubborn swelling and inflammation. Completed therapy at a different facility but felt I reached a plateau. Found Breakthrough where I worked with Megan for several weeks. She was amazing, worked with me to reach goals, improve my stability / strength as well as improve my confidence. Finally made me feel hopeful again.
–Cassie C.
Meet Our Doctors of Physical Therapy
Expert Care
Our team brings specialized expertise and passion.
Dan Carmack, PT, DPT, OCS, CSCS
Owner and Orthopedic Certified Specialist with extensive experience helping patients reach their fitness and performance goals. Known for his exceptional diagnostic abilities, identifying patterns and root causes that other practitioners miss. Specializes in orthopedic PT, sports injuries, dry needling, golf performance, and back pain.
Rachael Paszko, DPT, OCS
Pelvic Floor Specialist and Orthopedic Certified Specialist who completed an orthopedic residency in 2020. She has found her passion for treating individuals experiencing pelvic floor dysfunction, with extensive training through Herman and Wallace Pelvic Rehabilitation Institute. Specializes in working with distance runners, triathletes, CrossFit athletes, and pregnancy/postpartum care.
Emma Gasinski, PT, DPT, Cert. DN, RYT
Specializes in helping older adults reduce fall risk and improve overall fitness, as well as treating vestibular disorders including BPPV and vestibular hypofunction. Certified in dry needling with additional training as a registered yoga teacher and CrossFit Level 1 coach. Passionate about chronic pain management and functional movement.
Megan McCallister, DPT, TPI-C, Cert. DN
Asheville native who played soccer collegiately at Western Carolina University and was a member of the inaugural women’s team with Asheville City SC in 2018. Certified in dry needling and holds a Level I certification through the Titleist Performance Institute. Specializes in sports PT, golf performance, and strength training for active adults.
Visit Us in Asheville
Conveniently located on Biltmore Ave near you.
Just 5 minutes from downtown Asheville via Patton Ave and Biltmore Ave. We’re located on the right side as you head south—you’ll pass Biltmore Village and Mission Hospital on your way. Conveniently near River Hills Shopping Center and Regent Park Center.