Pulmonary Wellness & Rehabilitation Center

Pulmonary Wellness & Rehabilitation Center

Pulmonary Wellness & Rehabilitation Center

The Pulmonary Wellness & Rehabilitation Center was established in 1998 to provide comprehensive, individualized physical therapy wellness and rehabilitation programs designed to address the highly specialized fitness, rehabilitation and overall wellness needs of people living with pulmonary and cardiovascular diseases.

Since that time, we have conducted over 67,000 exercise sessions.

The Center's mission is to empower our patients to achieve the highest quality of life possible by learning how to lessen the effects of their disease or medical condition and to effectively manage its associated symptoms.

Our Pulmonary Lifestyle Programs are offered to any person with symptomatic, acute or chronic pulmonary disease including but not limited to the following diagnoses

  • Asthma

  • Emphysema

  • Chronic Bronchitis

  • Chronic Obstructive Pulmonary Disease (COPD)

  • Bronchiectasis

  • Interstitial Pulmonary Fibrosis

  • Sarcoidosis

  • Cystic Fibrosis

  • Scleroderma

  • Lung Cancer

  • Pre- and Post-Surgical

The Center's Lifestyle Programs are open to any individual whose goal it is to improve the quality of his or her life by implementing positive lifestyle changes through education, physical activity, risk factor modification and the promotion of an overall wellness lifestyle.

  • Monitored Exercise

  • Strength Training

  • Stress Management/Relaxation Training

  • Nutritional Counseling

  • Smoking Cessation

  • Patient and Family Education

  • Maintenance Program


CARDIOVASCULAR & COMPLEX MEDICAL

CARDIOVASCULAR & COMPLEX MEDICAL

The Cardiovascular and Complex Medical Unit was established in in order to provide specialized and comprehensive individualized physical therapy wellness, fitness and rehabilitation programs for people living with cardiovascular diseases and complex and/or multiple medical conditions.

Patients are closely monitored by exercise specialists with vast experience in geriatric physical therapy and advanced training in exercise physiology. During each exercise session, heart rate and rhythm are constantly monitored via ECG and blood pressure and oxygen saturation are measured in 5 minute increments.

Our Cardiovascular and Complex Medical programs are offered to any person with symptomatic, acute or chronic cardiovascular disease or those patients with complex and/or multiple medical conditions including, but not limited to the following diagnoses: Coronary Artery Disease (CAD), Arrhythmia, Post-MI (Heart Attack), Congestive Heart Failure (CHF), Pulmonary Hypertension (pHTN), Peripheral Artery Disease (PAD), Pre- and Post-Surgical Care.

Components of the Program include:

  • Monitored Exercise

  • Strength Training

  • Stress Management/Relaxation Training

  • Nutritional Counseling

  • Smoking Cessation

  • Patient and Family Education

  • Maintenance Program


ORTHOPEDIC & MANUAL THERAPY

ORTHOPEDIC & MANUAL THERAPY

Muscular pain, joint stiffness and other orthopedic issues can make even the simplest activities more difficult. Our Orthopedic and Manual Therapy program was designed to provide comprehensive, individualized wellness and rehabilitation programs for people living with pain or other musculoskeletal disorders.

The Center's mission is to empower our patients to achieve the highest quality of life possible by learning how to lessen the effects of their disease or medical condition and to effectively manage its associated symptoms.

Our Orthopedic and Manual Therapy Programs are offered to any person with symptomatic, acute or chronic pain, injury and other musculoskeletal conditions including but not limited to: Arthritis, Osteoporosis, Fibromyalgia, Sciatica, Strains and Sprains and pre- and post-surgery.

The Center's Lifestyle Programs are open to any individual whose goal it is to improve the quality of his or her life by implementing positive lifestyle changes through education, physical activity, risk factor modification and the promotion of an overall wellness lifestyle.

Our Orthopedic and Manual Therapy program offers heat/cold therapy, electro- and manual therapy, soft tissue mobilization and therapeutic massage to decrease pain as well as personalized aerobic exercise, strength training and flexibility programs to improve posture and maximize function.

Our 60-minute sessions consist of a one-to-one, hands-on treatment approach combined with specialized modalities as necessary. Patients can usually be scheduled and seen within 24 hours.


AIRWAY CLEARANCE UNIT

AIRWAY CLEARANCE UNIT

Keeping your airways clear of secretions is an essential part of helping people with lung disease live full, healthy and active lifestyles. Increased mucus production and secretion retention can lead to shortness of breath, chronic cough and frequent respiratory infections.

The Airway Clearance Unit of the Pulmonary Wellness & Rehabilitation Center was created by experts with over 20 years of experience in chest physical therapy and pulmonary rehabilitation who provide comprehensive, individualized secretion clearance programs.

Patients can usually be seen within 24 hours and same-day appointments are often possible.

The Unit's programs include but are not limited to the following treatments:

Positive Expiratory Pressure (PEP) Training

Positive Expiratory Pressure is a therapeutic technique that pushes air into the lungs in order to help you to loosen and clear secretions. This specialized training consists of a one-to-one, 90-minute treatment session with a chest specialist who will train you using the most advanced treatment protocols and the appropriate PEP device (Acapella Valve, Lung Flute or Flutter). During your session, deep breathing coordinated with therapeutic exercise are emphasized in order to enhance the effects of the device. Patients are taught how to properly care for their device and are provided with written instructions to reinforce the effectiveness of their treatment.

Postural Drainage and Chest Physical Therapy

This specialized treatment consists of a one-to-one, 60-minute session with a chest therapist individualized to meet your specific respiratory needs. In addition to traditional cupping, ribcage mobility and deep breathing techniques, patients will be educated in proper positioning, cough, huffing, and diaphragmatic breathing. Patients will also be provided with a home exercise program.

Patient Education

At Pulmonary Wellness, our experience has taught us that the most successful patients are those that have a good understanding of their disease as well as the most effective techniques for management.

Follow-Up

Following the treatment session, patients will have ongoing access to the therapist by phone or email in order to answer any questions or to help troubleshoot any problems that may arise.


Noah Greenspan, DPT, CCS, EMT-B

Dr. Noah Greenspan is a Board Certified Clinical Specialist in Cardiovascular and Pulmonary Physical Therapy with over 23 years of physical therapy and cardiopulmonary rehabilitation experience. Dr. Greenspan earned his Bachelor of Science in Physical Therapy from the SUNY Upstate Medical University in 1992 and his Doctor of Physical Therapy from Dominican College in 2006 where his research entitled "Aerobic Exercise and Strength Training in Elderly Patients with COPD", was presented at CHEST 2006, the annual conference of the American College of Chest Physicians.

He began his professional career at the New York University Medical Center's Rusk Institute of Rehabilitation Medicine, with clinical rotations in medical, surgical, orthopedic and neurologic rehabilitation, chest physical therapy and ultimately cardiovascular and pulmonary rehabilitation. From 1995-1999, he served as the chief physical therapist of the Cardiac Prevention and Rehabilitation Center under the direction of Drs. Mariano Rey and Horacio Pineda.

In 1998, he founded the Pulmonary Wellness & Rehabilitation Center, a Manhattan-based physical therapy practice specializing in the care of patients with cardiovascular and pulmonary diseases and New York Wellness, a comprehensive outpatient physical therapy practice with orthopedic, cardiovascular and pulmonary, complex medical and airway clearance units. Under his direction, the Center has conducted over 67,000 exercise sessions and been named "Best of the United States" in the area of cardiovascular and pulmonary physical therapy.

A consummate educator, Dr. Greenspan has trained thousands of patients and hundreds of students and clinicians. From 1995-2003, he was on the faculty of New York University, during which time he was awarded the title of Master Clinician in the area of cardiovascular and pulmonary physical therapy. He has since taught at Dominican College, New York Medical College and Long Island University in the areas of Cardiovascular and Pulmonary Pathology, Diagnosis and Management. He is currently the Pulmonary Rehabilitation Fellowship Coordinator for the Weill Cornell Medical College.

In 2012, Dr. Greenspan co-founded and directed "Cardiovascular of the Rehabilitation Patient", a Continuing Medical Education (CME) course for rehabilitation professionals, co-taught with Dr. Greg Sweeney. This comprehensive two-day seminar covers the essential principles of cardiovascular disease management and their relevant application to rehabilitation.

His monthly Ultimate Pulmonary Wellness Lecture Series can be attended live as an online webinar and his upcoming book, "Ultimate Pulmonary Wellness" is scheduled to be released.

He is the principal investigator in three current studies:

1. The Impact of High Intensity Exercise on Pulmonary Function in Patients with COPD

2. The Impact of High Intensity Exercise on Pulmonary Function in Patients with IPF

3. Safety and Efficacy of Cardiopulmonary Rehabilitation in Patients with Pulmonary Hypertension


Dr. Greenspan is on the Leadership Board of the American Lung Association of the Northeast and is the current Federal Affairs Liaison to the 113th and 114th Congress of the United States representing the Cardiovascular and Pulmonary Section of the American Physical Therapy Association.

In addition to his role at the Center, Dr. Noah Greenspan is a New York State Certified Emergency Medical technician and Advanced Cardiac Life Support Provider; a professional SCUBA Diving International Open Water Instructor and underwater naturalist with a passion for shark photography; a musician, artist and clothing designer under the moniker, Noah G Pop!





Marion Mackles, PT, LMT

Marion Mackles earned her Bachelor of Science degree in Physical Therapy from New York University in 1994, where she graduated Summa Cum Laude and her Bachelor of Fine Arts in Theatre from Ohio University in Athens, Ohio in 1981.

Marion began her career as a Physical Therapist at the New York University Medical Center's Rusk Institute of Rehabilitation Medicine and Tisch Hospital in New York City. Her clinical experience at NYU included rotations in Medical, Surgical, Orthopedic and Neurological Rehabilitation. Marion spent two of her three years at the Rusk Institute on the Chest Physical Therapy and Cardiopulmonary Rehabilitation Units where she worked extensively in the Recovery Room, Transplant Unit and Intensive Care Units. It was during this period that she developed her deep love for and devotion to the care of patients with cardiopulmonary dysfunction.

After Leaving the Medical Center, Marion worked with the Visiting Nurse Service of New York as well as in various skilled nursing facilities where her practice focused on the principles of controlled breathing techniques, energy conservation and balance training in the geriatric population. In 1998, she joined the Pulmonary Wellness & Rehabilitation Center as a Senior Physical Therapist and one of its founding members.

Marion Mackles is the Chief of the Center's Airway Clearance Unit which specializes in helping patients mobilize secretions through chest physical therapy, thoracic mobilization and adjunct clearance devices including the Acapella Valve, Flutter, Aerobika, Lung Flute and Quake.





Aastha Joshi, PT, MS, EP

Aastha Joshi earned her Bachelor of Science degree in Physical Therapy in 2008 from the SDM College of Physical Therapy in Karnataka, India where she trained in the areas of musculoskeletal, neurologic, cardiovascular and pulmonary and pediatric assessment and treatment. She earned her Master of Science Degree in Exercise Physiology in 2010 from East Stroudsberg University where her educational training included coursework in Clinical Exercise Physiology, Cardiovascular and Pulmonary Pathophysiology, Medical Diagnosis and Management, Exercise Testing and Prescription, Nutrition and Public Health Administration.

Before joining the Pulmonary Wellness & Rehabilitation Center as a physical therapist and exercise physiologist in 2011, Aastha began her professional career at the Montefiore Medical Center as a cardiac rehabilitation specialist where her responsibilities included clinical exercise testing, developing individualized exercise prescriptions and supervising monitored exercise sessions.

Aastha is the Lead Clinician of the Center's Orthopedic and Manual Therapy program.





Cynthia Gonzalez

Cynthia Gonzalez

Cynthia Gonzalez joins the Pulmonary Wellness team with a wealth of knowledge in all aspects of medical billing, operations and practice management. Her expertise includes over 15 years of progressive experience in a variety of medical practice settings including Town Total Health and Maimonides Medical Center.










Akua Adu-Labi, MS, EP

Akua Adu-Labi

Akua Adu-Labi earned her Bachelor of Science degree in Biology in 2004 and her Master of Science Degree in Exercise Physiology in 2007 from East Stroudsberg University, where her training included coursework in Clinical Exercise Physiology, Cardiovascular and Pulmonary Pathophysiology, Medical Diagnosis and Management, Exercise Testing and Prescription, Nutrition and Public Health Administration.

Akua joined the Pulmonary Wellness & Rehabilitation Center in 2007 where she is the Lead Exercise Specialist. Her responsibilities include clinical exercise testing, developing individualized exercise prescriptions and supervising monitored exercise sessions.






Wai Chin, MS, EP

Wai Chin

Wai Chin earned his Bachelor of Science in 2006 (Biology and Psychology) and his Master of Science in 2011 (Health Science with a concentration in Cardiovascular Health and Disease) from Long Island University, where his educational training included coursework in Clinical Exercise Physiology, Cardiovascular and Pulmonary Pathophysiology, Medical Diagnosis and Management, Exercise Testing and Prescription, Nutrition and Public Health Administration.

During his studies, Wai was a Strength and Wellness Coach and Team Leader at Long Island University's Outpatient Care Center where he specialized in the treatment of patients with Parkinson's Disease, providing instruction and leadership to group participants and supervising 12 student interns.

Wai joined the Pulmonary Wellness & Rehabilitation Center as a Clinical Exercise Physiologist in 2012, where his responsibilities include conducting exercise testing and prescription and supervising monitored exercise sessions. Wai is the Lead Clinician in the Center's strength training program.





Ellen Wirchin, PT, DPT

Ellen Wirchin

Dr. Ellen Wirchin earned her Bachelor of Arts degree in Biology from Binghamton University in 2010 and her Doctor of Physical Therapy from New York Medical College in 2013, where her thesis on workplace ergonomics focused on the prevention of neck and back pain for the daily computer user. She also received specialized training at the Hospital for Special Surgery in the treatment of gait abnormalities in the elderly.

After completing an internship at the Pulmonary Wellness & Rehabilitation Center, Dr. Wirchin began her professional career in cardiovascular and pulmonary rehabilitation at the Rusk Institute of Rehabilitation Center of the NYU Langone Medical Center before re-joining the Pulmonary Wellness team as a staff physical therapist, where she provides orthopedic, pulmonary and cardiovascular physical therapy to our patients.