Care that sees
the whole you.
Integrating wellness.
Restoring balance.
Reclaiming function.
Holistic orthopedic occupational therapy
More than treating where it hurts.
Personalized care for pain, movement, and the activities that make life yours.
Strata Integrative brings together hands-on treatment, movement retraining, and practical education. We look at how your body works as a whole and how your symptoms affect everyday life, then build care around your goals.
Whether you are returning to activity after an injury, navigating persistent pain, or looking for a more individualized approach, your care starts with a conversation.
Who I work with
Support for the way you want to live.
Care is shaped around the person, the concern, and the activities that matter most.
Pain & movement limitations
Persistent discomfort, stiffness, or difficulty moving comfortably at work, at home, or during recreation.
Shoulder, arm, hand, and connected whole-body movement concerns.
Injury & recovery
Support for rebuilding everyday function following injury or surgery, with attention to your recovery stage and any precautions.
A gradual return to the tasks and activities you value.
Complex & changing needs
Individualized pacing for people navigating hypermobility, recurring symptoms, or a body that does not respond well to a standard routine.
Athletes, active adults, and people working toward everyday goals are welcome.
How care comes together
Hands-on care. Meaningful movement.
Orthopedic occupational therapy
Assessment and rehabilitation connect pain and movement findings to what you need to do in daily life. Treatment focuses on function, participation, and realistic progress.
Integrative bodywork
Structural integration and myofascial techniques explore how connected regions contribute to movement. Pressure and pacing are adjusted with your feedback.
Movement & carryover
Neuromuscular re-education, neurodynamic techniques when appropriate, and practical movement strategies help you use what changes during a session.
The whole person matters
Your body.
Your experience.
Your goals.
We consider the nervous system
Pain and movement are influenced by more than mechanics. Your comfort, stress, sleep, breath, and sense of safety can all be relevant. Care may incorporate paced movement, breathwork, and somatic strategies alongside hands-on treatment.
We connect the pieces
Structure, movement, daily demands, lifestyle, and environment help shape the bigger picture. Together, we explore the contributors that are relevant to you.
Your care is collaborative
You are an active part of the process. Your input and experiences guide decisions. Even with the same diagnosis, no two people need exactly the same session.
Listen · Understand · Treat · Integrate
A thoughtful, individualized approach.
We talk
We start with your story, your goals, and what has or hasn't helped.
We assess
We look at your movement, daily demands, and the bigger picture behind what's going on.
We treat
You receive hands-on care and movement work, with your response guiding each step.
We integrate
You leave with movement, breathwork, and practical strategies that fit your life.
We reassess
Your body gives the feedback, and we adjust your plan as your needs evolve.
The philosophy behind the practice
Rooted in connection.
Akim Nyormoi, MS, OTR/L
Occupational therapist · Founder of Strata Integrative
One-on-one care, grounded in listening and clinical reasoning.
I bring more than a decade of experience in orthopedic rehabilitation and hand therapy. My approach blends occupational therapy, structural integration, myofascial work, and movement retraining to help connect treatment with the life you want to lead.
We assess, treat, and reassess together. Your comfort, feedback, and priorities help guide the next step.
Get to know my approach →A path forward
Lasting change happens together.
Work toward less pain, more comfortable movement, and greater ease in your body.
Build strength, control, and confidence through movement that connects with your goals.
Carry progress into daily activities, relationships, and the things you love to do.
A community of learning
Curiosity belongs here.
Learning opportunities for students, therapists, and manual practitioners.
Explore mentoring, shadowing, and guided hands-on training with an emphasis on whole-person care, thoughtful observation, and connecting the pieces.
Before you begin
Questions about care.
What does holistic orthopedic occupational therapy mean?
It means looking beyond the area that hurts to understand how your body functions as a whole. We consider movement, daily activities, your history, and the patterns that may be influencing pain, mobility, and function.
Why Strata Integrative?
Strata Integrative offers individualized, whole-person care that brings together hands-on treatment, movement retraining, and practical strategies for everyday function. Care is shaped by your body, your experiences, and your goals, with an emphasis on understanding how different systems and patterns work together to support meaningful, lasting change.
What kinds of concerns do you work with?
Care may support people navigating orthopedic and neurological conditions, persistent or complex pain, joint hypermobility, post-surgical recovery, and changes in movement or function. Treatment is also mindful of the broader healthcare experience, including medical trauma, previous injuries or procedures, and experiences that may affect comfort, trust, or participation in care. A trauma-informed approach emphasizes communication, consent, choice, and working at a pace that feels appropriate for you.
What happens during a first visit?
Your first visit begins with a conversation about what you’re experiencing and what matters most to you. Assessment and treatment often happen together as we explore movement, hands-on techniques, and your response to begin shaping care around your needs and goals.
Do all sessions use the same techniques?
No. Each session is shaped by your needs, comfort, movement, and response. Treatment evolves as we learn more about your body and what helps you function at your best.
Is hands-on treatment always part of a session?
Not necessarily. Hands-on treatment may be part of your care when appropriate, but it is never assumed. Treatment is guided by your needs, goals, comfort, and consent, and may also include movement, education, and strategies to support function outside of the clinic.
How do I know if Strata Integrative is a good fit?
Start with a free consultation. We can talk about what you’re experiencing, what you’re looking for from care, and whether Strata Integrative may be a good fit. Consultations do not include hands-on treatment.
Do I need a referral?
A referral is generally not required to begin occupational therapy in Washington. Other requirements may apply if you plan to seek reimbursement through your insurance plan.
Do you accept insurance?
Strata Integrative is a private-pay practice and does not bill insurance directly. A superbill can be provided upon request for possible out-of-network reimbursement.
Do you offer training for practitioners and students?
Yes. Mentoring, shadowing, and hands-on learning opportunities are available for healthcare professionals, students, and bodywork practitioners interested in developing a thoughtful, whole-body approach to care.
Start a conversation
Let's move forward together.
Tell me what you would like help with. We can discuss your goals and the next step.
For general inquiries, please avoid sending detailed medical information by email or through the website form.
More than treating where it hurts.
Pain rarely exists in isolation. I look at how your body moves as a whole, then combine hands-on treatment with movement retraining that supports what matters in daily life.
Each session is one-on-one and shaped by your goals, your response, and what we learn together.