About Our Team!

Element Physical Therapy, Orthopedic & Balance Clinic opened for business in 2004 with the goal of providing a friendly, calm atmosphere where you would receive professional, nurturing care in a whole person approach to rehabilitation. We have remained small to ensure we continue to follow that approach and give our patients the best care possible. The staff at Element Physical Therapy is dedicated to getting to know your needs and has extensive training in the treatment of a variety of problems. We offer services that include but are not limited to: neurological and vestibular rehabilitation, outpatient orthopedic care, myofascial release, ASTYM®, and manual therapy.  We help people with dizziness,  concussions and balance problems that lead to falls.

Our Focus is on you!

At Element Physical Therapy, you will receive attentive, friendly service and a professional, respectful atmosphere when you involve us in your care. At your initial evaluation, we review your health history and discuss the problem which has brought you to physical therapy. Your therapist performs a physical evaluation related to your symptoms or dysfunction, and reviews the findings with you. Together, we will set goals and design a progressive treatment plan to help you achieve those goals. Your involvement in the plan of care ensures you can make progress toward outcomes that are important to you.

Amy Downing, PT, Owner

Amy has more than 25 years of experience as a physical therapist and earned both her bachelor's and physical therapy degree from St. Louis University. She graduated in 1990 and gained unique and specialized experiences from settings in which she worked including The Rehab Institute of Chicago, Barnes Hospital in St. Louis, MO, and Sister Kenney Institute in Minneapolis. Amy moved to Montana in 1999. She worked in outpatient settings throughout Missoula as she raised her children.

Amy took over Element Physical Therapy in February 2011 and has enjoyed putting her own expertise and personal flare into the clinic. She has a keen interest in balance rehab, concussions and working with the patient with dizziness and vertigo as she herself has Menieres disease. She invested in state of the art equipment, the most advanced technology to date in the world, to help diagnosis and treat the most challenging cases. Amy is Emory University certified in vestibular rehabilitation which is the highest level of certification in our field for dizziness, balance and concussion treatment. She also enjoys working with orthopedic patients as she herself played collegiate volleyball. Amy is married and has four children and enjoys going to her children's athletic event and playing golf with friends.

Lindsey Flint, DPT

Lindsey earned her Doctorate of Physical Therapy from the University of Montana in 2011. She also earned her Bachelor of Science degree from U of M in Health and Human Performance with an emphasis in Exercise Science. Lindsey’s professional interests include orthopedic and manual physical therapy utilized to help others return to their active Montana lifestyle. She also has a passion for helping those with balance and dizziness issues to improve their quality of life. She is pursuing further training and certification in manual therapy through the North American Institute of Orthopedic Manual Therapy. She also has a special interest and additional education in the rehabilitation of dancers with injuries and has been trained in teaching mat pilates.

In her free time, she and her husband (and dog, Fletch!) love traveling, spending time with friends, and all things outdoors including hiking, running, camping, mountain biking, skiing and snowboarding, and gardening.

Lindsay Abrams, DPT

Lindsay is a native Missoulian who earned her Bachelor of Science degree in Exercise Science from the University of Montana (U of M) in 2006 before receiving her doctorate of physical therapy (DPT) from the U of M in 2010. After graduating, she obtained her lymphedema certification from Klose Training institute. Lindsay’s continuing education also includes breast cancer rehabilitation, intramuscular stimulation (dry needling), strain counter strain (cranium, spine, and extremities), TMJ dysfunction, and vestibular rehabilitation.

Lindsay enjoys treating a variety of clientele, from general orthopedics to oncology and vestibular dysfunction. Outside of work, Lindsay enjoys spending time with her husband and family, as well as skiing, snow shoeing, hiking, road biking and running.


Sarah McGree, DPT

Sarah is a Montana native coming to us from Butte, MT. She earned her Bachelor of Science degree in Health and Human Performance with an emphasis in Exercise Science from Montana State University in 2013. During her time at Montana State, she was a member of the track and field team and gained great life experience while competing in the pentathlon and heptathlon. She then went on to earn her Doctorate of Physical Therapy from the University of Montana in 2016. Sarah enjoys treating a variety of patients ranging in age from pediatrics to geriatrics, and she has special interests in orthopedic and neurological rehabilitation. She plans to pursue continuing education in various manual therapy approaches and vestibular rehabilitation.

Sarah enjoys spending time with her fiancé, family and friends, especially over a good cup of coffee. She also enjoys reading, hiking, running, snowboarding, fly fishing, playing volleyball, and volunteering as a coach for track and field.

Emily Piquette-Elliott, Front Office Coordinator

Emily is a recent graduate of Missoula College, University of Montana with an Associate of Applied Science degree in Medical Information Technology, Medical Administrative Assisting. Emily is married with one son. She enjoys walking and spending time with family and friends. She is a third generation Missoula native.