Urbandale, IA · Accepting new patients
Stop scheduling your life around the pain.
One-on-one care with a Doctor of Physical Therapy: a cause-first evaluation, a plan with an endpoint, and no referral required to start.
5.0 · 315 Google reviews · read them
Recognition · Voted by Des Moines
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Cityview Best of Des Moines
Being awarded with the “Cityview’s Best of Des Moines” award is a testament to our exceptional service and commitment to customer satisfaction. Thank you for your continued support!
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Des Moines People’s Choice Award 2026 – Best Physical Therapy
Voted the 2026 Des Moines People’s Choice winner for Best Physical Therapy. We’re proud to be recognized for our commitment to exceptional care.
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The Official Community’s Choice Award 2025 – Metro’s Best
Voted a 2025 Metro’s Best winner in The Official Community’s Choice Awards. We’re grateful for this recognition and the trust of our community.
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Cityview Best 2024 – Runner-Up
Named Runner-Up in the Cityview Best of 2024 Awards. We’re grateful for the recognition and community support.
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Iowa Living Magazine Residents’ Choice Award – Runner-Up
Recognized as a Runner-Up in the Iowa Living Magazine Residents’ Choice Awards. We’re honored to be acknowledged by our community for our quality care and service
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CityView Best of 2026 – Best Local Physical Therapy Clinic
Named Best Local Physical Therapy Clinic in the 2026 CityView Best of Awards. We’re honored by the recognition and grateful for our community’s trust.
Thirteen ways in. One standard of care.
Every service is delivered one-on-one, by a Doctor of Physical Therapy, on a plan with an endpoint.
Physical Therapy
Hands-on, cause-first care for pain that’s overstayed its welcome. The foundation everything else here is built on.
02Sports Rehab
Return-to-sport testing you have to pass, not a date circled on a calendar. Rehab that ends on the field, not on the table.
03Dry Needling
Precise, targeted work for the knot that’s been there since spring. A tool inside the plan, never the whole plan.
04Body Tempering
Deep tissue tool work that resets guarded muscle before the harder training starts.
05Compression Boots
Pneumatic compression between sessions, for recovery that keeps pace with the plan.
06More Services
Cupping, orthopedic therapy, vestibular therapy, and seven more, all in one place.
You leave visit one holding the plan.
Most pain doesn’t need more mystery. It needs a cause-first evaluation: finding the reason, not renting relief from the symptom.
From there, care moves through four named phases, Pain, Prime, Perform, Prevent, each with its own job and its own criteria for moving on. You always know which phase you’re in and what earns you the next one.
And every plan has an endpoint. We’re here to finish the work, not to see you indefinitely.
Get my plan started ⟶Calm it down.
Hands-on treatment begins at the first visit. You leave understanding what’s actually going on, and you feel a difference early.
Restore what’s stuck.
Targeted mobility work for the joints and tissue actually holding you back, dosed to your body, not a printed sheet.
Build strength you trust.
Progressive load against standards you have to clear before moving on. Confidence, here, is a training effect.
Make it stay fixed.
Testing before you’re cleared, then a keep-it-gone program sized to your real week. Then we graduate you.
Corrections to the record.
Physical therapy has a reputation problem. It was earned, just not here. The record, corrected:
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“PT is a photocopied handout and a heat pack.”
CorrectedEvery visit is hands-on and one-on-one with a Doctor of Physical Therapy. If a sheet of paper could fix it, we’d mail you the paper and wish you well.
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“You’re one of three patients they’re juggling that hour.”
CorrectedOne patient. One doctor. One hour, on the clock for you and nobody else. Your appointment is yours; nobody shares it.
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“Once you start, you’re in for as long as they can bill it.”
CorrectedYour plan has four named phases and an endpoint we name out loud at the evaluation, before you agree to anything. Graduation is the goal, not retention.
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“You need a referral before anyone will even look at it.”
CorrectedYou don’t. IA allows direct access: book the evaluation and we handle the paperwork behind you. No gatekeeper, no note from your doctor.
Your first visit, annotated.
One hour, one room, one doctor. Here’s the anatomy of it.
You talk. We actually listen.
The whole story, not the three lines that fit on an intake form: when it started, what it’s costing you, what you’ve already tried.
We test, not guess.
Movement, strength, and the joints above and below the one that hurts. Where it hurts isn’t always why it hurts.
Treatment starts today.
Hands-on work in the first hour, not the third week. You should leave feeling that something changed.
You leave with answers.
What it is, how long it should take, what phase one looks like, and what visit two will do. In plain language.
Wear something you can move in. Everything else is our job.
The people holding the plan.
Doctors of Physical Therapy and the team behind them, who chose the one-patient-at-a-time model on purpose.
Dr. Bryan M. Ladd
Orthopedics · PT, DPT, MS, OCS
Board-certified in orthopedics, and still happiest untangling the shoulder case everyone else punted on.
Dr. Dylan Holst
Sports & Orthopedic Rehab · PT, DPT
Treats shoulder, low back, knee, and ankle pathologies with the same first-visit curiosity every time.
Dr. Lea Dodson
Vestibular & Post-Surgical Rehab · PT, DPT
Focuses on post-operative recovery, balance impairments, and vestibular rehab, where the timeline matters as much as the technique.
Deana P. Ladd
Co-Owner & Operations Manager · RN, BSN
Runs benefits verification, records, accounting, and HR, the operations side that keeps every doctor’s schedule one-on-one.
“In just a few weeks, Dylan not only addressed the primary reason I sought PT, but also got me back on track and moving better than before.”Steven M. · Google review
I highly recommend Kaizen! I had been dealing with chronic neck pain for a couple of years due to a sports injury, and the team helped me finally get relief.
Katie L. · Google reviewDylan has done very well with my physical therapy. I’m recovering from recent surgeries and his assistance has made a real difference in my recovery.
Lynn R. · Google reviewI am very thankful for the help I am receiving at Kaizen Health & Wellness. I started PT there 5-6 weeks ago after an injury and have already noticed real improvement.
Tami P. · Google reviewReviews are loading. Read them on Google ⟶
The straight answer on cost.
Nobody should need a decoder ring to find out what care costs. Pick your situation; we’ll say it plainly.
We’re in-network with Blue Cross Blue Shield, Medicare, TRICARE, Aplos, Streamline Workers’ Comp, AmBetter Health, MedRisk, O’HARA Workers’ Compensation PPO, Midlands Choice PPO, Humana Choice Care (Medicare Advantage), HealthSmart PPO, and Health Partners, and we verify your exact benefits before your first visit: copay, deductible status, visit limits, all of it.
You’ll get the numbers in plain English before you owe anyone anything. No surprise statements six weeks later.
Verification takes about a business day. Use the form to start it now.
Haven’t met your deductible yet? You’ll likely pay the insurer-negotiated rate per visit until you do, and we’ll tell you that exact number up front.
Because your plan has an endpoint, you’ll also know roughly how many visits we’re talking about, so you can do real math, not hopeful math.
Every dollar counts toward the deductible you’d be paying down anyway.
No insurance doesn’t mean no care. We have a self-pay rate, stated before you book, with no processing games.
One-on-one care also tends to mean fewer total visits than the volume clinics, so most self-pay patients spend less than they feared.
Ask about the self-pay rate when we call to schedule. It’s a number, not a negotiation.
We’re on it.
Expect a call within one business day with your copay, deductible status, and what your plan covers, in plain English.
Questions, answered plainly.
The things people ask on the phone, written down.
Most PT that fails, fails the same way: a rushed evaluation, a generic exercise sheet, and a therapist splitting the hour three ways. Here you get a full hour, one-on-one with a Doctor of Physical Therapy, and a cause-first evaluation that treats the reason for your pain instead of chasing the symptom. Different inputs tend to produce a different outcome.
No. IA allows direct access to physical therapy, which means you can book an evaluation without seeing anyone else first. If your insurance plan requires a referral for reimbursement, we’ll flag that during your benefits check and help you get one.
It depends on your insurance, so we check it for you before your first visit. You’ll know your copay, where your deductible stands, and any visit limits before you owe anyone anything. If you’re self-pay, we’ll quote you the flat rate up front. No surprise statements, ever.
Most patients notice a meaningful difference within the first two to three visits, because hands-on treatment starts at the evaluation itself. The full plan, through the Pain, Prime, Perform, and Prevent phases, typically runs several weeks to a few months depending on the problem. You’ll get a specific estimate at your evaluation, and we track progress against it out loud.
Sometimes the pain fades. The cause usually stays. That’s why it comes back every time you garden, travel, or sleep wrong, and why each round tends to last a little longer than the last. An evaluation tells you what you’re actually dealing with, so waiting becomes a decision you’re making on purpose instead of a gamble.
Clothes you can move in, your insurance card if you have one, and any imaging or reports you already have, though you don’t need imaging to start. Arrive five minutes early and we’ll handle the rest. The evaluation, including hands-on treatment, takes about an hour.
Put it in writing.
Five short questions. A real person calls you back, usually within two business hours, with times that fit your week.
The people who end up filling this out are rarely in the worst pain of their life. They’re just done working around it, done picking the errand that doesn’t require the stairs. If that’s the stage you’re at, this is the part where you stop researching and start.
Consider it filed.
A real person will call you back, usually within two business hours, with appointment times that fit your week. Keep your phone nearby.
Can’t wait? Call (515) 207-2450 ⟶Easy to find. Easy to park.
In the neighborhood, with parking by the door. Come see the place before you commit, if you like.
The clinic · Kaizen Health and Wellness
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