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Brain & Balance Center

Back on your feet, one step at a time.

Treatment across a range of specialties

The Brain and Balance Center in Frederick, MD provides skilled physical, occupational, and speech therapy to clients across a wide range of neurological disorders including Parkinson’s disease (PD), multiple sclerosis (MS), traumatic brain injuries (TBI), vestibular impairments, concussion management and other conditions affecting cognition and balance. Our clinicians are also specifically trained to treat orthopedic conditions including joint replacement rehabilitation and other conditions affecting children, adults and seniors. We also offer dry needling for pain management.


Commitment to 1-on-1 Care

Our neurologic, geriatric and orthopedic certified specialists, use of state-of-the-art technology, and commitment to 1-on-1 care make the Brain and Balance Center the region’s most advanced neuro rehab center. Therapists on staff are committed to helping each patient reach their optimal level of function and are deeply vested in the success of our clients. We accept most insurance plans including Medicare, Aetna, Cigna, United Healthcare, Blue Cross Blue Shield and others.

We offer flexible scheduling and treatment options in a calm and peaceful setting.

About Our Center

We Provide Treatment For

  • Amyotrophic Lateral Sclerosis (ALS)
  • Aphasia
  • Autism
  • Back/Pelvic Pain
  • Cerebral Palsy
  • Chronic Pain
  • Cognitive Impairments
  • Concussion
  • Developmental Delay
  • Dizziness and Balance Disorders
  • Dysphagia Hypotonia
  • Huntington’s Disease
  • Low Vision
  • Multiple Sclerosis (MS)
  • Neck Pain
  • Parkinson’s Disease (PD)
  • Rib Pain/Dysfunction
  • Scoliosis
  • Sensory Integration Dysfunction
  • Shoulder/Arm/Hand Pain or Dysfunction
  • Spinal Cord Injury
  • Stroke
  • Traumatic Brain Injury (TBI)
  • Vestibular Disorders

State-of-the-Art Equipment


Spirit MT200

  • Gait Assessment and retraining
  • Parkinson’s and Stroke gait retraining

NeuroCom® Balance Master® System

  • Balance Training
  • Concussion Management
  • Fall Prevention
  • Vestibular Therapy

Solo-Step Overhead Track And Harness System

  • Gait Assessment
  • Balance Training
  • Strength Training

ProPrio 5000 Reactive Balance System

  • Reactive Balance Training
  • Anticipatory Balance Training
  • Dual and Multiple Task Retraining

Bioness Functional Electrical Stimulation (FES)

  • Neurological Re-education
  • Neuromuscular Activation

Bioness Integrated Therapy System

  • Cognitive Rehabilitation
  • Cognitive Challenge with Balance Retraining

VitalStim® Therapy System

  • Treatment for dysphagia

Physical Therapy

  • Gait & Balance Training
  • Traumatic Brain Injury (TBI) rehab
  • Treatment for Neurodegenerative diseases
  • Muscle Strengthening and conditioning
  • Assistive Device Training
  • Treatment of chronic pain
  • Vestibular therapy for dizziness
  • Injury Screenings
  • Pre/post surgical joint and spine rehabilitation

Occupational Therapy

  • Self-care Skills and management training
  • Home management techniques
  • Modification techniques
  • Low Vision training
  • Hand therapy
  • Adaptive Equipment evaluations
  • Adaptive Equipment Training
  • Home safety assessments
  • Dementia Assessments

Speech Therapy

  • Language, Communication and comprehensive re-training
  • Cognitive remediation of attention, memory and problem solving
  • VitalStim and LSVT LOUD therapy
  • Treatment of swallowing and voice difficulties

Cognitive Rehabilitation

Cognitive rehabilitation is designed to help brain-injured and cognitively impaired individuals regain functioning and compensate for cognitive deficiencies. It can help reduce further disability and address the negative, secondary responses to the situation, including loss of self-esteem and self-confidence, or depression.

Cognitive rehabilitation therapists at the Brain and Balance Center follow a system of activities aimed at reinforcing previously learned behavioral patterns, creating new patterns of cognitive activity, and enabling a person to adapt to their cognitive disability to improve their overall functioning.

Directions to our Brain & Balance Center

From North

  • Head South on US-15 toward Frederick
  • Take Exit 16 for Motter Ave
  • Turn Left onto Opossumtown Pike
  • Turn Right into the Amber Meadows Shopping Center

From South

  • Head North on I-270
  • Continue North on US-15 toward Gettysburg
  • Take Exit 16 for Motter Ave
  • Keep right at the fork, follow signs for Opossumtown Pike and merge onto Motter Ave
  • Turn Right into the Amber Meadows Shopping Center

Meet Our Brain & Balance Staff

Dr. Kelli Laffin, PT, NCS

Clinic Director

Dr Kelli Laffin PT joined the Baker Rehab Team in 2016. Dr Laffin has Bachelor’s of Science degrees in both Biology and Health Sciences and a doctorate degree in Physical Therapy. She is board certified in Neurologic Physical Therapy and is a certified brain injury specialist. Dr Laffin has taught clinical education courses and collegiate lectures on electrophysiology and functional electrical stimulation.

Dr. Tiffany McLaughlin, PT, OCS

Staff Physical Therapist

Dr. Tiffany McLaughlin graduated with her Doctorate in Physical Therapy from Temple University in 2014. She went on to complete an Orthopedic Residency through Evidence in Motion in Austin, Texas, to become a Board-Certified Clinical Specialist in Orthopedic Physical Therapy in 2017. She is certified in Trigger Point Dry Needling, Therapeutic Neuroscience Education, and has extensive training using the McKenzie treatment approach. Tiffany also has experience using the FMS and SFMA systems for injury risk screening and treatment in athletes, with a special interest in treating the running population. She is passionate about the field of physical therapy and strives to provide the highest quality care to promote positive outcomes and help patients return to full function. In her free time, Tiffany enjoys spending time outdoors with her husband and new puppy, Charlie! She is also an avid Philadelphia sports fan and proud to be from the city of Super Bowl Champions!

Jennifer Milsovic, OT

Staff Occupational Therapist

Jennifer has worked as an occupational therapist for 17 years in a variety of settings, including inpatient rehabilitation, home health, and outpatient rehabilitation. During her career, she has focused on working with people with neurological conditions such as stroke, traumatic brain injury, Parkinson’s disease, progressive cognitive disorders, etc. She has advanced training in post-stroke upper extremity rehabilitation, vision rehabilitation, cognitive rehabilitation, and driving rehabilitation. Jennifer has presented and lectured on the topic of neurological rehabilitation at professional conferences, symposiums, and support groups. She has a passion for program development, and has created programs, such as a modified constraint induced therapy program for post-stroke rehabilitation and a driving rehabilitation program. Jennifer has also assisted in the development of a dementia assessment and intervention system. She is committed to using the most current evidence to guide her interventions to optimize patients’ recovery. When not working, she enjoys spending time with her husband, two daughters and dog.

Monica Armagost, PT

Staff Physical Therapist

Monica has been a physical therapist for 25 years. She graduated from the University of Maryland at Baltimore in 1993 with a Bachelor’s of Science in Physical Therapy. Monica has worked in several settings, beginning with acute care at Shady Grove hospital followed by many years in the rehab setting before moving into home health. Monica enjoys treating patients with various neurological diagnoses as well as post-operative joint replacements and focuses her treatments on gaining functional movement. Monica is married with three teenage children and has two sweet pups. She lives in Mt. Airy and is a huge Washington Caps fan and unfortunately, a Redskins fan too.

Chelsea Sadaie, OT

Staff Occupational Therapist

Chelsea graduated with her Master’s degree in Occupational Therapy from Texas Woman’s University in 2012. She started working at TIRR Memorial Hermman in Houston (a highly regarded neurological Inpatient Rehab facility) on the Brain Injury and Stroke Team. During this time, she became a Certified Brain Injury Specialist focused on facilitating recovery from brain injuries, spasticity management, and wheelchair seating and positioning. She started working for the Brain and Balance Center in May 2018 treating neurological conditions (dementia, stroke, SCI, concussion/higher level cognitive retraining, vision therapy), providing hand therapy and splinting services, and started a Wheelchair Clinic where she helps recommend and order wheelchair seating systems to best meet the patient’s needs. In addition, she started the Frederick Spinal Cord Injury Support Group that meets every 3rd Wednesday of the month at 12pm at the Brain and Balance Center to provide a support network for people in the community with this condition.

Joseph Garrish, PTA

Staff Physical Therapist Assistant

Joseph is a physical therapist assistant from Hagerstown, MD. He currently does both home health and outpatient rehabilitation. He played sports all throughout high school and eventually tore his UCL from playing baseball. He pursued the field of physical therapy as a profession after realizing how much physical therapy helped him to rehabilitate his UCL injury. Joseph received his Associate’s degree in Physical Therapist Assistant Studies and his Bachelor’s in Letters, Arts and Sciences with a focus on sciences from Penn State University. He graduated with high honors for both his Associate’s and Bachelor’s degrees. The majority of Joseph’s experience has been working with geriatric patients. In his spare time he enjoys playing sports, going to the gym and spending time with friends and family.

Kristin Barry, SLP

Staff Speech-Language Pathologist

Kristin Barry, M.A., CCC-SLP, graduated from James Madison University upon earning her Bachelor’s of Science in Communication Sciences and Disorders. She went on to receive a Master of Arts in Communication Disorders from Louisiana State University. She holds a Certificate of Clinical Competence from the American Speech and Hearing Association (ASHA) and is licensed by the Maryland State Board in Speech-Language Pathology. Kristin is experienced with adult patient populations and has worked in a variety of settings including skilled nursing, assisted living and independent living facilities. She has experience working with expressive/receptive language disorders, cognitive communication disorders, fluency, voice, dysarthria and dysphagia. Kristin has also served as a clinical supervisor for graduate clinicians in training.
In her free time, Kristin enjoys spending time with her husband and two young children.

Lauren Regeimbal, OT

Staff Occupational Therapist

Lauren received an undergraduate degree in Health Sciences from James Madison University and a Master’s degree in Occupational Therapy from Tufts University in Boston. She has been working with people with traumatic brain injury and stroke since her teenage years and specializes in community reintegration, ensuring clients reach their full potential for community and vocational engagement prior to discharge. Lauren also has a background working with pediatrics and wounded service members. She enjoys using a functional approach within her treatment to provide training for real life gains. She has been trained in the Stanley Greenspan Floortime Approach for children on the ASD spectrum and has also trained in Jan Davis’ treatment approaches for the hemiplegic arm. Lauren is a pilates instructor and focuses on a pilates approach for foundational core strengthening and motor control. Lauren loves to do anything outdoors in her free time, checking out new restaurants, and values time spent with her family and friends.

Dr. Maxwell Collins, PT

Staff Physical Therapist

Dr. Maxwell Collins is a 2015 graduate of the physical therapy program at the University of Massachusetts Lowell. He is certified in the LSVT BIG program for patients with Parkinson’s disease and other neurological conditions. He has also treated patients with various orthopedic, neurological, cardiovascular, and oncological conditions. He is passionate about patients improving their quality of life and achieving their goals in physical therapy. He previously served as a corps member for City Year Boston where he performed over 1700 hours of community service in the Boston community. In his spare time, he enjoys playing tennis, bicycling, going to the gym, reading, and enjoying time with family and friends.

Christina Jasek, SLP

Staff Speech-Language Pathologist

Christina grew up in a small town between Buffalo and Niagara Falls, New York. She attended Buffalo State College and graduated with a Bachelor’s degree in Speech-Language Pathology and a minor in Psychology. She was also captain of the swimming team. After graduation, she attended the University at Buffalo and earned her Master’s degree in Communicative Disorders and Sciences. She completed a 10-month fellowship in Winchester, Virginia. Her search for a full-time role brought her to Frederick County, Maryland. In addition to working at the Brain and Balance Center, Christina works in the Frederick County Public Schools system. She has extensive training in AAC (Augmentative and Assistive Communication) and has worked with many students with Autism as well as various other disabilities. She specializes in articulation and language therapy in pediatrics  but has experience in many areas of speech-language therapy. When she is not working, she enjoys being outdoors, reading, hiking, biking, crafting, swimming, and spending quality time with her friends and family.

Brandon Medina

Therapeutic Aide

Brandon joined the Baker Rehab Group team in 2019 after working and building on the value of customer service in retail for five years as an associate trainer. In 2015, Mr. Medina graduated from the Word of Life Bible Institute with a certificate in Biblical Studies. He enjoys every opportunity presented to serve and care for each person at Baker Rehab Group. Currently, Brandon would like to pursue nursing and is working with this goal in mind. Outside of the clinic, he loves spending quality time with his wife Shannon, running, working out, and practicing self-control with sweets.