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Pelvic Health & Pilates

Personalized Pelvic Health Care, Built Around You

Evidence-based pelvic floor physical therapy and Pilates-based rehabilitation, built around you — because no two bodies, and no two plans of care, are the same.

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Dr. Nadine Ayash providing hands-on pelvic floor physical therapy
1:1 Truly IndividualizedNo two plans of care look the same.

Evidence Based Expert Care

Doctor-led physical therapy grounded in current research, for results that last.

Care That Meets You Where You Are

In your home, at your gym, in a rented studio space, or via telehealth — we adapt to what works for you.

1:1 Personalized Attention

Every plan is tailored to your unique needs — never one-size-fits-all.

Whole-Body Approach

Pelvic health, movement, and strength trained together, not separately.

Restore. Strengthen. Thrive.

Care designed to help you return to the life — and movement — you love.

حياة
Hayat
Arabic for “Life”
Our Story

Why We're Called HAYAT

I'm Lebanese, and in Arabic, حياة — Hayat — means life. That's not just where the name came from. It's the whole idea behind this practice.

This work has never been just a job for me — it's a genuine passion, one that has shaped my own life. I wanted to build a practice that could do the same for the people I treat: not simply address a diagnosis and send you on your way, but help pelvic health and movement become part of how you live. A lifestyle, not just a treatment plan you finish and forget.

Dr. Nadine Ayash, PT, DPT
Meet The Team

Led by Dr. Nadine Ayash, PT, DPT

Dr. Nadine brings doctorate-level training in pelvic floor physical therapy, combined with a neurological rehabilitation approach, to build truly individualized plans of care. As the practice grows, HAYAT is building a team of specialized therapists around that same philosophy — so every patient gets whole-person, one-on-one attention, never a one-size-fits-all protocol.

  • Doctor of Physical Therapy (DPT)
  • Certified Pelvic Floor Specialist
  • Neurological Rehabilitation-Informed Approach
  • Pilates-Based Rehabilitation Training
  • Flexible Treatment Locations & Telehealth
Meet the Team
A Different Kind of Pelvic Floor Care

Neuro-Pelvic Floor Therapy

Dr. Nadine's background in neurological rehabilitation opens the door beyond traditional pelvic floor diagnoses — combining hands-on pelvic floor therapy, neuro-informed treatment, and therapeutic and rehab Pilates for patients navigating conditions such as:

Multiple Sclerosis

Parkinson's Disease

Spinal Cord Injuries

Other Neurodegenerative Diagnoses

Services

Care Built Around You

Every plan is individualized — combining hands-on pelvic floor therapy with Pilates-based movement to treat the whole person, not just the symptom.

Neuro-Pelvic Floor Therapy

Combining neurological rehabilitation with pelvic floor therapy for conditions like MS, Parkinson's, and spinal cord injury.

Pelvic Floor Physical Therapy

Assessment and hands-on treatment for pain, dysfunction, and pelvic floor imbalance.

Prenatal & Postpartum Care

Guided support through pregnancy and recovery, tailored to every stage.

Pilates-Based Rehabilitation

Reformer and mat-based movement to rebuild strength, alignment, and control.

Bladder & Bowel Health

Individualized care for incontinence, urgency, and related conditions.

Diastasis Recti Recovery

Core rehabilitation to restore function and support after abdominal separation.

Pain with Intimacy

Compassionate, private care for pelvic pain and related conditions.

Pelvic Organ Prolapse

Supportive, hands-on care to manage symptoms and rebuild strength and function.

Menopause & Aging

Care that adapts with your body through hormonal shifts and the changes that come with age.

Sessions & Pricing

No Insurance Billing Means No Productivity Quotas — Cash-Pay Care That Isn't Dictated by Insurance.

We're out-of-network with all insurance providers. You'll receive a superbill after every visit to submit for reimbursement, and HSA/FSA cards are accepted at checkout.

Initial Evaluation

$215
75 min

A thorough history, movement screening, and (with consent) pelvic floor assessment, resulting in a first-pass plan of care.

Follow-Up Treatment

$160
50 min

Hands-on pelvic floor therapy and progressive treatment tailored to what your body needs that week.

Neuro-Pelvic Floor Session

$180
55 min

Combined neurological and pelvic floor treatment for MS, Parkinson's, spinal cord injury, and other neurodegenerative diagnoses.

Private Clinical Pilates

$120
55 min

One-on-one reformer session bridging rehab and movement, with a therapist's eye on your form throughout.

Prenatal Clinical Pilates

$58 / class
55 min · groups of 4

Trimester-adapted reformer and mat work that keeps your deep core and pelvic floor coordinated as your center of gravity shifts.

Postpartum Restore Pilates

$58 / class
55 min · groups of 4

For those cleared for return-to-movement at 6+ weeks. Rebuilds load tolerance through the abdominal wall, pelvic floor, and hips before you chase heavier lifts.

Multi-Visit Care Package

$850
PT + Pilates mix

Bundles evaluation, treatment, and Pilates sessions together at a reduced per-visit rate.

Not Sure Where to Start?

Ask about a complimentary 15–30 minute movement screen — a brief, no-pressure conversation and movement check to see if we're the right fit before you commit to a full evaluation.

Complimentary
For Patients

How Care Works

A simple path from first conversation to feeling like yourself again — no waiting rooms, no rushing.

I.

Schedule an Evaluation

Share your history and goals so we can understand what brought you here.

II.

Get a Personalized Plan

Receive a plan of care built around your body, your home, and your life.

III.

Begin Your Sessions

One-on-one care wherever it fits best — your home, a gym, a studio space, or online — at a pace that actually fits your life.

Questions

What to Know Before You Book

Not typically — you can reach out directly to schedule an evaluation. If your insurance requires a referral for reimbursement purposes, we're happy to help you sort that out.

Only with your full consent, and only after we've talked through what it involves and why it might help. Plenty of evaluations stay entirely external — breath, posture, and movement screening tell us a great deal on their own.

We're out-of-network with all insurance providers, which means your plan of care is never dictated by what an insurer will approve or cover. Being cash-pay lets us make clinical decisions based on what you actually need, not on coverage rules. You'll receive a superbill after every visit to submit for reimbursement, and HSA/FSA cards are accepted at checkout.

Absolutely. Pelvic floor therapy isn't only for pregnancy and postpartum recovery — we also treat neuro-pelvic floor conditions, pelvic organ prolapse, menopause-related changes, and general pelvic health concerns at every stage of life.

It depends entirely on what brought you in. Some patients feel real change in just a few visits; more complex or long-standing conditions may call for an ongoing plan. We'll talk through a realistic timeline after your evaluation.

Both, depending on what works best for you — sessions can happen in your home, at your gym, in a rented studio space, or via telehealth.

Begin Your Care

Ready to Feel Like Yourself Again?

Schedule your evaluation and take the first step toward personalized pelvic health care.

Schedule an Evaluation