Our Staff

This email address is being protected from spambots. You need JavaScript enabled to view it.This email address is being protected from spambots. You need JavaScript enabled to view it., owner of Advanced Physical Therapy and Fitness, is a doctor of physical therapy with more than 20 years of experience in treating patients with orthopedic injuries and movement dysfunction.  Ann completed her bachelor's degree in physical therapy at the University of Delaware in 1987 and her doctor of physical therapy degree at Chatham University in 2005.  She has been certified by the American Board of Physical Therapy Specialties as an orthopedic specialist since 1993, and she's one of the first 500 orthopedic certified specialists in the nation.  She has been a certified athletic trainer since 1999 and has worked with high school, collegiate and Olympic level athletes.

Ann is a very active member of both the American and Pennsylvania Physical Therapy Associations. Her other professional affiliations include the American Academy of Orthopedic Manual Physical Therapists and  the National Athletic Trainer's Association.   She has volunteered her services locally, nationally and internationally, working with such organizations as the United States Olympic Committee, the Appalachian Wheelchair Athletic Association, Momentum International, and the Amputee Support Team of Central Pennsylvania.

Jen Buono has been practicing physical therapy since 2001. She earned her Doctorate of Physical Therapy from the University of Kentucky in 2012 and has a Master's Degree in Physical Therapy from the University of Maryland, Baltimore. She has experience treating patients with neurological disorders, such as strokes, traumatic brain injuries and Parkinson's disease, in both the inpatient and outpatient setting. Most recently Jen has been working in the outpatient setting treating a wide variety of patients with ailments ranging from balance and vestibular disorders to orthopedic conditions, joint replacements and spinal ailments. She has completed additional training in vestibular rehabilitation, and is a member of the American Physical Therapy Association. In addition to the above experience, Jen is also a certified Pilates Instructor and enjoys incorporating Pilates principles and exercises into her rehabilitation practice.

Outside the clinic Jen enjoys spending time with her husband, daughter and son. Her many interests include spending time outside, reading, running and of course Pilates.

Paula HoffmannPaula Hoffmann, PT  joined the staff at Advanced Physical Therapy and Fitness in the spring of 2016.  Paula earned Bachelor's and Master's degrees from East Stroudsburg University in Exercise Physiology and Clinical Exercise Physiology respectively.  Following completion of her degrees, she moved to the eastern shore of Maryland and worked in cardiac and pulmonary rehabilitation for 10 years.  She then returned to school to obtain a Master's of Physical Therapy from the University of Maryland Eastern Shore.  Paula moved back to PA to take a position in an inpatient rehabilitation faciltiy working with patients following strokes and other head injuries.  Paula also has experience working with geriatric patients in a skilled nursing facility and home health setting, as well as treating individuals following trauma and neurological injuries at a large hospital system.  Most recently Paula was working in an outpatient physical therapy clinic as a staff physical therapist and clinic manager.  Paula has a broad range of experience with orthopedic conditions, joint replacements, spinal ailments and vestibular disorders in addition to the above experiences.

Paula spends much of her free time outside: hiking, kayaking and biking with family and friends.  She also enjoys the company of her Newfoundland and chocolate lab dogs.

Stephany Primrose
This email address is being protected from spambots. You need JavaScript enabled to view it. earned her bachelor's degree in physical therapy from The State University of New York at Buffalo in 1998, graduating summa cum laude.  Since graduating, she has been practicing in an outpatient, orthopedic setting here in central PA.  She has experience treating patients with a variety of ailmanet ranging from balance impairment to spinal conditions.  Her particular areas of interest, however, are working with patients with arm and leg problems, such as ACL tears, rotator cuff repairs and joint replacements, to name a few.

Stephany is a native of western Maryland but now lives in Carlisle with her husband and sons.  In her free time she enjoys spending time with her family, travelling, skiing and reading.


Kristen Moir

Kristen Pagano provides the reception and billing for Advanced Physical Therapy and Fitness.  She enjoys providing a welcoming atmosphere to all of our patients and is happy to assist with your insurance questions.  Outside the office, Kristen's interests include reading, and numerous physical activities from yoga to hiking and running.



Emma Bankert is our evening receptionist and a student at Penn State Harrisburg. She’s majoring in Sociology and hopes to apply her degree towards teaching. She has lived in Mechanicsburg her entire life and enjoys the small town. Outside of classes she is a volunteer music instructor with the Mechanicsburg Area Senior High School drumline, and she has her own small crafting business on Etsy.

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Disclaimer:  The information in this medical library is intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. The information should not be considered complete or exhaustive and should not be used for diagnostic or treatment purposes without first consulting with your physical therapist, physician or other healthcare provider. The owners of this website accept no responsibility for the misuse of information contained within this website.