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Dedicated to working one-on-one with you

Alternatives in Physical Therapy (APT) uses a variety of therapy techniques to treat all major orthopedic dysfunctions, balance deficits, neurologic disorders, chronic pain, and a broad spectrum of other issues. 

Whether it’s a sports injury, workplace injury, chronic condition, or chronic pain, our physical therapists are trained to create an individualized program to help you feel better and get back to the activities you love.  APT has been in business for over 25 years, and our success directly reflects our patient’s lasting results.  

Simone F.

Our patients say...

“I was fortunate to meet Tom Bianco 25 years ago at a physical therapy clinic at the Springfield YMCA. I liked his treatment techniques and after just 2 visits the problem with my arm disappeared! Since then Tom has been my PT, through other injuries and surgeries. Over the years, Tom has helped friends, family members and many YMCA members. I feel that Tom is also a friend, he strives to keep everyone well and free of pain. How convenient and lucky we are to have his office right here at this YMCA!”

Thomas Bianco, MSPT

Physical Therapist & Owner of APT


Alternatives in Physical Therapy was founded in 1997 by Tom Bianco.


The premise of APT's practice is to offer manual techniques and exercise prescriptions to assist patients in managing their pain and improving their functional level.

Tom has served as a physical therapist for more than 30 years, having earned a Masters of Science from Springfield College in 1990. After receiving his degree, he worked at an acute hospital and an industrial rehabilitation company that specialized in work hardening and work conditioning.

Over the years Tom has expanded the practice to include locations at the Scantic Valley YMCA in Wilbraham, MA and the Hampshire Regional YMCA in Northampton, MA. The YMCA offers a welcoming setting and first-rate amenities for APT physical therapists to provide manual therapy, exercise prescriptions, post-rehabilitation programs, and aquatic therapy.


APT models itself after the YMCA motto: Spirit, Mind and Body; treating each patient individually based on their needs specifically. In addition to his work with patients, Tom trains YMCA employees in APT's post-rehabilitation program, 1st Step Back, to empower them to better serve with members who are recovering from medical conditions or injuries.  


Tom enjoys time with his wife and five children, playing lacrosse, hiking, woodworking and reading.

Professional Affiliations:

International Association of Healthcare Practitioners

American Physical Therapy Association


License Number:

MA #8237

Mike St. Germain

Physical Therapist

 Mike has been working in the physical therapy field since 1990. He graduated from S.T.C.C in 1998 with a Physical Therapist Assistant degree. Mike's focus includes outpatient physical therapy with a broad range of specialties. His main focus has been aquatic therapy and Parkinson's programs.


He also is trained in manual therapies, exercise and spine care programs, Shiatsu Massage, Craniosacral therapy, Lymph Drainage, and KT taping.

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Marc Arnone

Physical Therapist

Marc grew up in Connecticut and attained his Physical Therapy degree from UCONN. Helping others recover from injury, restore motion, and improve functional mobility is his goal. Being an exercise enthusiast, he has incorporated his love of movement into his career as a Physical Therapist for the past 20 years.


He treats a wide array of conditions including musculoskeletal injuries, pain, mechanical dysfunction, decreased mobility, and sports injuries. In conjunction, he provides, in-depth, injury prevention education. His approach rests firmly on the current evidence that manual interventions paired with movement pattern retraining is a winning combination.



  • Medbridge-Spinal Excellence

  • Connecticut Acupuncture Certification-Dry Needling


Adjunct treatment practices include:

  • Muscle energy practitioner

  • Kinesio Taping

  • Cupping

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