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Our Philosophy


At Partnership in Therapy, our philosophy is built on partnering with our patients to achieve optimal outcomes and results. We strive not only to provide our patients with top notch physical therapy, but also to nurture positive, productive client-therapist relationships. This means listening to your concerns, treating you with professionalism and understanding, and thinking "outside the box" in complex cases. Our physical therapists gladly coordinate with your other health care providers; we also offer referrals to medical professionals in the area, should that be appropriate for your condition. We maintain a serene, attractive office, which is designed to put you at ease and make you feel comfortable during your sessions.

Our Team

Dr. Pamela Downey

Owner, Partnership in Therapy

Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction. She is an Adjunct Professor in the Physical Therapy Program at the University of Miami's Miller School of Medicine and at Nova Southeastern University. Dr. Downey also teaches continuing education courses on the pelvic floor to physical therapists through the Herman & Wallace Pelvic Rehabilitation Institute. A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle, and other lumbo-pelvic pain-related dysfunctions.

Dr. Downey received her B.A. from Sarah Lawrence College and her M.S. and Doctorate in Physical Therapy from the University of Miami Miller School of Medicine. She is actively involved in the professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health. Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.

Leni Rapp

Physical Therapist Assistant

Leni Rapp has 22 years of orthopedic physical therapy experience. She works with soft tissue mobilization, exercise, and movement re-education using Pilates and other techniques. She has a Polestar Pilates certification, and has completed additional coursework in Manual Lympathic Drainage and Pelvic Floor Function, Dysfunction, and Treatment. Under Dr. Pamela Downey, Leni continues to work in pelvic floor PT. She graduated with the highest honors from Miami-Dade College with a degree as a Physical Therapist Assistant. Raised in Austria, Leni has lived in the U.S. for 25 years and is the proud mother of two sons. Her languages include English, German, French, and Spanish. 

Hilda Granai

Pilates instructor

As a Pilates instructor, Hilda works with our clients who are ready to move from therapy to an exercise routine that will help them get stronger and avoid future injuries. She is both a PMA certified Pilates instructor and a Polestar certified Pilates instructor. Hilda is an alumna of the Centre de Danse International Rosella in Cannes, France, and the Universidad Rafael Landivar in Guatemala. Hilda's passion for moment started in her native country, Guatemala, where she also studied dance. With her family, she has lived in a number of countries, and has been based in Miami since 2001.

Giglia Mayer

Pilates instructor

Giglia Mayer is a PMA certified Pilates instructor who creates specific Pilates exercise plans for each client. She always aims to optimize the function of each individual's body, so that the client can carry out his or her daily activities in a more efficient way. A native of Brazil, Giglia obtained her bachelor's degree in physical therapy in Brazil and worked as a physiotherapist in her home country for 12 years. Additional professional credentials include a certification in acupuncture and a NCSF certification as a personal trainer. In Brazil, she worked with APG, a French technique that focuses on body alignment to decrease muscle tension and joint load. Giglia enjoys exercising, studying the human body and the intelligent ways that we can move it.

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