Our Team

HTP’s Hand Therapy Partners Team

Based on a foundation of impressive industry experience that can help you pinpoint issues in your hand therapy practice and implement fast changes, the Hand Therapy Partners (HTP) team can rapidly boost your productivity and profitability. HTP helps hand surgeons and hand therapists grow their hand therapy practices through focused assessment of problems and implementing concrete financial, operational and regulatory improvements.

Recent Publications
  • “The APTA’s Campaign Against Physician-Owned Physical Therapy Becomes Even More Indefensible,” Texas Orthopaedic Association eConnect, December 2015
  • “Benchmarking PT Programs-Use Benchmarking to Measure and Improve Productivity,” AAOS Now, October 2014
  • “Benchmarking Orthopaedic Physical Therapy Practices,” Texas Orthopaedic Association eConnect, October 2013
  • “Medicare Cap Changes for 2013,” Advance for Physical Therapy and Rehab Medicine, October 2013
  • “New PT/OT Functional Reporting Requirements for Medicare Patients,” Texas Orthopaedic Association eConnect, September 2013
  • “The Truth Behind the APTA’s Campaign Against POPTS,” AAOS Now, November 2012
  • “Recruiting Physical and Occupational Therapists-Hiring Tips to Make it Easy,” AAOS Now, July 2012
  • “Another POPTS View-A Health Care Attorney Challenges the APTA's Campaign Against Physician-Owned PT Services,” Advance for Physical Therapy and Rehab Medicine, October 2011
  • “Benchmarking Physical Therapy Programs,” AAOS Now, July 2011
Recent Speaking Engagements
  • “Answers to the Top Ten Questions Regarding Your Hand Therapy Practice,”PTM Webinar, December 2015
  • “The Changing Economics of PT/OT Practice,”PTM PT/OT Directors 2015 Annual Conference, October 2015
  • “Benchmarking for Outpatient Physical and Occupational Therapy,” PTM Webinar, September 2015
  • “Ancillary Revenue Update,” Texas Orthopedic Administrators Society 2014 Annual Conference, October 2014
  • “Providing and Protecting Ancillary Services,” Oregon Orthopaedic Association 2013 Annual Conference, November 2013
  • “Outpatient Therapy Caps and Medicare Manual Medical Review: How do the 2013 Rules Apply to You,” ACS Webinar, July 2013
  • “Alternative (and Legal) Methods of Allocating Ancillary Income Among Physician Group Members,” American Association of Orthopaedic Executives 2013 Annual Conference, April 2013
  • “Increase Physical Therapy Profits Using Benchmarks and Lean Tools,” American Association of Orthopaedic Executives 2013 Annual Conference, April 2013
  • “Optimizing Physical Therapy in Your Orthopaedic Practice,” Texas Orthopaedic Association 2013 Annual Conference, April 2013
  • “New CMS Functional Limitations and Goals Reporting Rules,” InfoDive Webinar, April 2013
  • “Incentive Compensation Plans for OT/PT: Developing and Implementing a Bonus Plan that Works for Your Practice and Patients,” ACS Webinar, March 2013
  • “Data Driven Management of Physical and Occupational Therapy,” OrthoCentrix 2012 Annual Conference, October 2012
  • “Outpatient Rehab Analytics: Using Data Analytics to Drive Improvements in Quality and Financial Results,” ACS Webinar, July 2012
  • “Therapy-Specific Benchmarks: Improving Provider Productivity, Program Profitability and Patient Clinical Outcomes,”
    “New and Anticipated Regulatory Requirements and Payment Models,” Pennsylvania Association of Rehabilitation Facilities, 2011 Course
  • “Positioning Your Outpatient PT/OT/ST for Success: Key Challenges in Outpatient Therapy and How to Meet Them,” American Medical Rehabilitation Providers Association, 2011 Webinar Series
  • “Hand Therapy Productivity/Financial Benchmarks and Related Regulatory Developments,” American Society of Hand Therapists 2011 Annual Conference, September 2011
  • “Orthopaedic Ancillaries Update on Financial/Operational Benchmarks and Regulatory Developments,” American Association of Orthopaedic Executives 2011 Annual Conference, May 2011
  • “Alternative (and Legal) Methods of Allocating Ancillary Income Among Physician Group Members,” American Association of Orthopaedic Executives 2010 Annual Conference, May 2010
  • “Physical Therapy Phytness-Getting Your Therapy Practice in Shape,” American Association of Orthopaedic Executives 2009 Annual Conference, May 2009
  • “Adding and Managing Ancillary DME, MRI and Physical Therapy,” Oregon Association of Orthopaedic Executives Spring 2009 Meeting, April 2009
  • “Ancillary Tune-Up: Are Your Ancillaries Producing What They Should?” Georgia Association of Orthopaedic Executives 2009 Annual Conference, February 2009

Clinical Support

MIranda Materi

Miranda is both an occupational therapist and certified hand therapist with extensive experience in clinical practice and therapy management. She has owned and operated a successful hand therapy practice where she gained extensive knowledge and experience in patient scheduling, coding, documentation, and other key elements of practice. Miranda also currently treats patients at the Mayo Clinic and Hand Therapy Partners in the Phoenix metropolitan area. She has chaired the Unit Based Council of the Maricopa Integrated Health’s System, has won an ASHT Outstanding Clinical Poster Award, and has published a number of studies regarding hand therapy outcomes. Miranda received her Doctorate of Occupational Therapy from Creighton University.

Clinical Support

Josh MacDonald

Josh is an occupational therapist who has specialized in hand and pediatric therapy. He has extensive experience in therapy practice management and has served as both clinic manager and treating therapist. His experience includes development of a new clinic and multiple therapy programs, managing therapy scheduling and billing functions and supervising an extensive staff of therapy providers. Josh has also practiced at the prestigious Barrow’s Neurologic Rehab Center in Phoenix, Arizona. He obtained his MS in Occupational Therapy from Grand Valley State University and is a member of the American Occupational Therapy Association.

Regulatory Analysis/Guidance

Zachary Edgar

Zachary provides regulatory information and guidance to HTP clients and is also responsible for CME certifications for PTMS educational services. Zachary has recently worked for CVS/Caremark where he provided regulatory support for its managed Medicaid program. He also worked for Iasis Healthcare where he assisted with certification of managed Medicaid programs. Zachary received his BA and JD from the University of Arizona and his LLM in Health Law from the Loyola University School of Law.

Therapy Database Administration

Diana Kem
BS, Accounting

Diana Kem manages TherapyWorkx, which is HTP's web-based therapy financial and productivity data management and reporting tool. Diana also helps develop and analyze financial, productivity, and other reports for HTP clients. Prior to joining HTP, Diana was the Director of Finance for East Valley Regional Health System in the Phoenix metropolitan area and has also served as a financial and statistical analyst in a variety of other healthcare settings, including physician practices, outpatient clinics, and assisted living centers. Diana received her BS in Accounting and Masters in Business/Heath Care Administration from Arizona State University.

Patient Service Representation

Elizabeth Colburn

Colburn helps train patient service representatives in patient communications, authorizations, scheduling and the other aspects of operating a patient-friendly and efficient front desk. Colburn has had extensive working experience in this area and other key areas of medical practices, including the business office. She has also worked on the clinical side of HT clinics as an ATC and aide, so she brings a unique and useful perspective on all aspects of serving HT patients. Colburn received her BS in Exercise Science and MS in Sports Medicine from Arizona State University.


Stacie Stone

As our recruiting specialist, Stacie brings to HTP a unique combination of HR and administrative skills. Along with a talent for finding the right candidate for any position, Stacie has extensive experience in employee training. Stacie is a graduate of the University of Iowa.

Space Design and Build-Out

James Zedrow

James Zedrow directs the review of tenant improvement plans and costs for HTP clients that are building out new or renovating clinic space. He is the Vice President of Tenant Improvements for Wespac Construction. He has over twenty years of bid review and construction oversight experience which allows him to provide HTP clients with invaluable input in the negotiation of competitive build-out agreements.

Documentation and Coding

Kay Hashagen

Kay is a Senior Consultant with LW Consulting and does documentation reviews for HTP clients. Kay has over 30 years of successful performance in private sector healthcare, specializing in geriatric rehabilitation in skilled nursing facilities, personal/assisted living and independent living, and outpatient rehabilitation. She started her career as a physical therapist working in hospitals and in-patient rehab and then spent over 22 years specializing in industrial rehabilitation and worker's compensation in outpatient clinics. She opened two Work Hardening Centers and has performed over 1,500 Functional Capacity Assessments, in addition to numerous ergonomic assessments. Recently, Kay spent six years working in operations, managing rehabilitation departments for Genesis Rehabilitation Services in both skilled nursing facilities and outpatient clinics.

Prior to that, she spent another seven years developing and managing contract rehabilitation relationships from start up to successful business ventures. Kay received her BS in Physical Therapy from Temple University and her M.B.A. from the University of Central Florida. She is currently licensed as an active physical therapist in Maryland. She stays abreast with her clinical skills by treating patients PRN.