Chat with us, powered by LiveChat

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

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.

Sandi Lancaster, SLP

Staff Speech-Language Pathologist

Sandi has been working as a speech pathologist for over 20 years across a number of settings including outpatient rehab, inpatient rehab, private practices, subacute nursing facilities, and home health.  She has extensive experience facilitating group therapy, and she has developed several community-based aphasia group programs as well. Her specialty areas are speech, language, and cognitive disorders, and she has a particular passion for working with individuals with aphasia.  In her free time, Sandi likes to read novels, hike, play cards, and spend time with family and friends.

Stephanie Fletcher, OT

Staff Occupational Therapist

Stephanie is a licensed and board-certified occupational therapist with over 23 years of experience serving clients in Frederick, Maryland. A native of the Midwest, Stephanie graduated with Bachelor of Science degrees in occupational therapy and psychology from St. Ambrose University in Davenport, Iowa before moving to the East Coast. Throughout her career, Stephanie has worked with individuals with neurological conditions, such as stroke, mild cognitive impairment, Alzheimer’s Disease, Dementia, Multiple Sclerosis, Parkinson’s Disease, and low vision in a variety of settings including inpatient, outpatient, home health, and skilled nursing. Stephanie is fascinated with the brain and is a lifelong learner who seeks to know as much information as possible in order to assist her clients with meeting their personal goals. Outside of work, Stephanie enjoys participating in fitness activities, spending time with her family and friends, and immersing herself in scripture.

Josannah Rosario, PT

Staff Physical Therapist

Josannah recently graduated with her Doctor of Physical Degree from Messiah University. During her time in school, she had the opportunity to complete one of her clinical rotations here at the Brain and Balance Center where she found passion treating patients with neurological disorders. Since then, she had other clinical rotations where she gained more experience working with various patient populations, including amputees and post-orthopedic surgeries. She also obtained her LSVT BIG certification to further serve her patients with Parkinson’s disease. Being a California native, she has a heart for the outdoors and enjoys exploring new places.