About Us

Helping You Every Step of the Way.

The Best In Physical Therapy

Metamora Physical Therapy is a privately owned company operated by Kathy Pepper, PT and Heidi Irwin, PT. We have both worked in the outpatient orthopedic setting for a combined 40 years. Our expertise is in treating general orthopedic conditions including low back pain, neck pain, plantar fasciitis, rotator cuff injuries, ACL injuries, total hip and knee replacements and many other diagnoses. We are both members of the community and strive to deliver one on one personalized care by physical therapists only. We are both ASTYM trained and Kathy Pepper is the only physical therapist to offer breast cancer rehabilitation in our area.


Based on 27 customer reviews.


Based on 24 customer reviews.

Recent Awards

Incredible Physical Therapy Staff

Meet Our Team

Kathy Pepper


I graduated from Wayne State University’s Physical Therapy program in 1992 and have 25 years of experience and continuing education in outpatient physical therapy. Health and fitness is important to me, and lead me to pursue my Certified Strength and Conditioning Specialist certification (CSCS). I am a runner, a triathlete and a Pilates instructor and I enjoy treating athletes from the weekend warrior to the collegiate athlete.

Recently, I have had the opportunity to once again let my personal life fuel my professional life. I am now a breast cancer survivor. I am a Certified Lymphedema therapist (CLT-UE) and ASTYM provider with advanced courses in breast cancer rehabilitation, including auxiliary webbing. I believe it is important to treat the breast cancer patient in their entirety. With my skills, knowledge and experience I am dedicated to help these patients every step of the way.

Heidi Irwin and I have been friends and colleagues for many years and I am very excited to join her in opening Metamora Physical Therapy. After raising our two children in Davisburg and sending them off to college, my husband and I moved to Metamora. I am looking forward to being an active part of our new community.

Heidi Irwin


Kathy Pepper and I opened Metamora Physical Therapy in 2017. I was born and raised in Lapeer, having graduated from Lapeer East in 1994. My goal is to be able to treat and care for patients in order to achieve their best outcomes – plus my family needs lots of physical therapy. 🙂 🙂 I enjoy working with and talking to all my patients!

I received my doctor of physical therapy degree from University of Michigan in 2005. I have 12 years of outpatient orthopedic physical therapy experience. I have taken continuing education yearly in manual therapy, torticollis, work conditioning, muscle energy, and am ASTYM trained.

My husband, Tom, my son, Ian and I live in Oxford. I have two misbehaved dogs, Dudley and Maizy. I enjoy reading and spending time up north with my family.

Kayla Thomas


After beginning her career in outpatient orthopedics over two years ago, Kayla Thomas had been working in the physical therapy field as a physical therapist technician where she also had the pleasure of working with both Kathy Pepper and Heidi Irwin. Kayla graduated from the Physical Therapy Assistant program at Mott Community College in June of 2018 where she received high honors. Kayla’s passion for helping others achieve their goals and her ability to positively impact a patient’s recovery made her a great fit for Metamora Physical Therapy.

Kayla recently married her best friend and high school sweetheart, Joe Thomas. Kayla and Joe grew up in Holly, Michigan and recently moved to the area in December of 2017. Together, Kayla and Joe adopted their first fur baby, Wally, and he has been one spoiled pup! Kayla and Joe are looking forward to raising their children in such a beautiful and welcoming community.

While Kayla’s passion resides in helping others and radiating positivity, she also loves being active and spending time with her family. Kayla loves the outdoors, sports, and most importantly, being on the lake!

Kayla is very thankful for the opportunity to work for such driven and knowledgeable physical therapists and she is looking forward to continuing her education and making memorable experiences at Metamora Physical Therapy.

Julie M. Couzens

I was first a patient at Metamora Physical therapy due to a debilitating shoulder injury and during recovery from surgery. Once I worked with the staff of MPT and was fully rehabilitated, I knew I wanted to be a member of this awesome team. I am that bright shiny smile you see when you come through that door, to welcome you.

I am a native of Imlay City and I have two beautiful children Carter and McKinley and a fur baby (dog) Apricot Plum. I have a passion for working out along with that I am also an avid runner and triathlete, this is what I feel keeps my life in balance. I have a Bachelor’s Degree in Business from K. Western (2006) and a strong background in financial management.

I love hiking, biking, camping and spending time with my family. Since my children are active in hockey, soccer, softball and volleyball and basketball, I feel it is important to keep them healthy and strong and for myself to be a positive role model for them to follow.

Olivia Dean

I graduated from Saginaw Valley State University in May of 2020 with a degree in exercise science. I’m planning on going back to school for a Bachelor’s of Science in Nursing at Oakland University in the winter of 2021. I would love to help deliver babies and work with mom and baby postpartum. I love babies and kids and can’t wait to have my own one day!

I grew up in Almont, Michigan and moved back to Almont since graduating college. Though I greatly enjoyed my time in Saginaw, I love my little hometown and am so happy to be back.

I played volleyball for SVSU all four of my years there. I have always loved being active and have played sports for as long as I can remember. Since finishing my volleyball career, I have become an avid runner. I still enjoy playing volleyball for fun with my friends, and I play in a few outdoor tournaments in the summertime.

I have a cat at home, Tootsie, that has one extra toe on each of her front paws and two extra toes on each of her back paws. Her paws look like little baseball mitts. She is 16 years old and still as spunky as ever, although much lazier these days.

I will be leading the senior fitness classes in the clinic and am also available for personal training. I love working with patients and building relationships throughout the course of physical therapy and training!


Lisa Edl Prusakiewicz

I graduated from the Andrews University Physical Therapy program in 2004 and have over 16 years of experience in outpatient physical therapy. I have taken continuing education in running, manual therapy, muscle energy and general orthopedic conditions. I earned my Orthopedic Clinical Specialty in 2015, the year we moved from Ohio back to Michigan. I started working for Metamora PT in May of 2019 after meeting Kathy and Heidi at a Metamora Women in Business meeting. I began covering vacations initially and recently started working part time. I love working with such knowledgable therapists and continue to learn every day. I have been married to my best friend for 13 years. We have 3 children, Cara 12, Gavin 10, and Grace 3. I enjoy spending time with my family and anything that involves the outdoors, especially in the summer. I enjoy working out and learning everything I can about nutrition to be the best version of myself.