PivoT Physical Therapy
Specialized physical therapy designed to restore mobility, manage pain, and pivot to better health!
Are you ready to PivoT ?
As a Physical Therapist with over a decade of experience, I aim to craft every treatment plan around your goals, schedule, and lifestyle so you can return to the activities you love—stronger than before.
Every visit is dedicated entirely to you. You'll work one-on-one with a fellowship-trained physical therapist who provides personalized, evidence-based care tailored to your goals—ensuring the time, attention, and expertise needed for lasting results.
From your first assessment to your final session, you are in good hands. Let’s work together on your healing journey.
Our Clinic Specializes In Treating:
Chronic pain
Back pain
Scoliosis
Hypermobility
Breathing (Biofeedback)
Oromyofunctional Therapy (tongue, jaw)
Vestibular (Dizziness)
Insurances we accept:
Premera
Regence
Medicare (this does not include MedAdvantage plans)
L&I (Worker’s Comp)
Cash pay
Book New Appointments, Check on Upcoming Appointments, and Access Bill Pay — all from one convenient Portal!
Meet Dr. Kathleen Burns
Hello! I'm Kat Burns, and I'm passionate about helping people move, breathe, and feel their best.
I believe the body functions as an interconnected system and that lasting results come from treating the whole person—not just a diagnosis. My approach combines hands-on manual therapy, movement and breathing assessment, education, and individualized exercise to help you better understand your body and achieve your goals. Every treatment plan is tailored to your unique needs, priorities, and lifestyle.
I earned my Doctor of Physical Therapy degree from Ithaca College in 2014 before completing an orthopedic residency through Therapeutic Associates in Eugene, Oregon, where I became a Board-Certified Orthopedic Clinical Specialist (OCS). I later completed fellowship training through the North American Institute of Orthopedic Manual Therapy (NAIOMT), earning the designation of Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT).
My clinical interests include orthopedic manual therapy, breathing assessment and retraining, scoliosis-specific rehabilitation, and orofacial myofunctional therapy. I am also a Certified Breathing Behavioral Analyst (CBBA), certified in International Schroth Three-Dimensional Scoliosis Therapy (ISST), and trained in Orofacial Myofunctional Therapy. I enjoy helping patients understand how breathing, posture, movement, and jaw function work together to support long-term health.
Outside the clinic, I teach continuing education courses, mentor healthcare professionals, and teach yoga classes. When I'm not working, you'll find me hiking around the island with my husband, spending time with our cat, Blink, or enjoying any opportunity to be around horses.
I believe physical therapy is an investment in lifelong health, and I'm honored to serve the Friday Harbor community. I look forward to partnering with you to help you move with greater confidence, resilience, and ease.
Classes
Breathe. Move. Restore.
Yoga with Kat
Join physical therapist and certified yoga instructor Dr. Kat Burns for a Vinyasa flow class that blends mindful movement, breathwork, and meditation to improve mobility, build strength, and support a healthy, resilient nervous system.
This class combines flowing yoga sequences with intentional breathing practices to enhance breathing mechanics, improve body awareness, and promote vagal tone and parasympathetic ("rest and digest") regulation. You'll leave feeling stronger, more grounded, and equipped with practical tools to manage stress and support your overall well-being.
This class is appropriate for individuals who can safely get on and off the floor, spend time on their hands and knees, and perform basic balance activities independently. All experience levels are welcome, with modifications provided to meet your individual needs.
Classes are sold as a 6-Week Series, for a package price of $100.
Next 6-Week Series:
Coming Soon!
Classes held @ PivoT PT, 689 Airport Center, Suite A
Boring Ass Exercises
Exercise with Kat
Join physical therapist Dr. Kat Burns for a small-group exercise class designed to build strength, improve mobility, and create sustainable exercise habits. Each session emphasizes proper movement mechanics, functional strength, and consistency in a supportive, motivating environment.
This class focuses on mastering fundamental exercises that promote lifelong health, resilience, and confident movement.
The class is appropriate for individuals who can safely get on and off the floor (some beds available if not, please let me know), perform basic balance activities independently, and enjoy exercising in a group setting with music.
Classes are sold as a 6-Week Series, for a package price of $100
Next 6-Week Series:
Coming Soon!
Classes held @ PivoT PT, 689 Airport Center, Suite A
Frequently Asked Questions
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I am an experienced Physical Therapist able to diagnose and treat within my scope. My areas of primary focus are chronic pain, back pain, scoliosis, hypermobility, breathing, oromyofunctional therapy (tongue, jaw), and vestibular (dizziness/vertigo).
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Great question! See “How can I contact you?” below and reach out to get on our waitlist. Please indicate if you have any recent or upcoming surgeries or vertigo.
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You can reach us anytime via our contact page, by emailing kburns@pivotsji.com, or calling (360) 472-2534. Please understand, I am a one-person clinic and give my appointments my full focus, I will respond as soon as possible.
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Current patients can book and access billing through the patient portal at: https://pivotpt.patient.sprypt.com/home
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I offer both cash pay at a rate of $165 per visit (cash pay is not available for Medicare patients) and insurance-covered visits. I am credentialed with: Medicare (does not include MedAdvantage), Premera, Regence, L&I (worker’s comp).
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I am primarily a manual therapist with focus on movement coordination. I strive to create an honest and respectful environment, and help you take the actions needed to improve. Physical Therapy is a process where your visits are important, but following through on plan of care between visits is what will get you to your goal.
Contact Us
Testimonials
“Finding and working with Kat was a gamechanger. She helped me recover from a full meniscus repair. I’d show up to my appointment, and she was ready to roll! With her clam, focused, and professional approach, I was able to trust her and the process right away. I made a full recovery and have since worked with her for another injury. With equally great results. Her insight and exercises are always spot on! Many people can relate to feeling down in the dumps when injured but Kat has an incredible ability to make you see the progress you’ve made week to week, and she will be your biggest cheerleader along the way. She is the only physical therapist I fully trust and I recommend her to everyone.”
- Leah
“I was initially referred to Kat for pre-surgery therapy following a complex rotator cuff injury. Her knowledge and experience immediately inspired confidence, but what truly sets her apart is her partnership approach to care. She is an exceptional teacher, helping me understand body mechanics through anatomy diagrams, visualizations, and practical explanations. Her guidance not only improved my strength and mobility before surgery but also motivated me to stay committed to my home program. At my pre-surgery appointment, my surgeon was “amazed” by the mobility I had gained and how prepared I was for recovery. Throughout the slow and sometimes painful rehabilitation process, Kat has been an empathetic coach and cheerleader. She considers my lifestyle, priorities, and long-term goals, helping me build healthier movement patterns that extend far beyond my shoulder recovery. I am stronger, more confident, and better equipped to maintain my overall health because of her care.”
- Mari
"Kat Burns is a natural healer. She is curious and always striving to learn more. She looks at a problem from different perspectives to understand the whole picture and plans the course of treatment accordingly. Her encouragement and positivity motivate me to do what she recommends to hasten the healing process. Our community is very fortunate to have her here."
- Joan