Serving St. Augustine & St. Johns County, Florida
One-on-One Physical Therapy & Pilates Rehabilitation
Private Sessions • Personalized Treatment • Long-Term Relief
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Problem / Solution
Are you struggling with…
- Chronic hip or back pain that won't go away?
- Slow recovery after knee or shoulder surgery?
- Traditional PT that didn't deliver results?
- Feeling rushed through group therapy sessions?
- Pain that keeps coming back after treatment?
You deserve better. At Premiere Pilates Rehabilitation and Fitness, you get Nicole's undivided attention for the full hour — every session. No juggling multiple patients. No cookie-cutter exercises. Just personalized, hands-on treatment that finds and fixes the root cause of your pain.
What Makes Us Different
Private, personalized care
- Manual therapy techniques
- Private, one-on-one sessions (not group PT)
- Whole-body assessment — we find the root cause
- PT + Pilates rehabilitation combination
- 25+ years of experience
- Modalities: Alpha-Stim and Dolphin Neurostim
- Women's health expertise
- No insurance hassles (cash-pay; superbill available)
Conditions We Treat
Specialized care for your condition
Condition-specific physical therapy and Pilates rehabilitation in St. Augustine — designed to help you recover faster and stay pain-free longer.
Post-Surgical Recovery
- •Knee replacement
- •Hip replacement
- •Shoulder surgery
- •Spinal surgery
Hip & Back Pain
- •Hip & back pain
- •Sciatica
- •Frozen shoulder
- •Knee pain
Women's Health
- •Postpartum rehab
- •Mastectomy recovery
- •Lymphedema
- •Pelvic floor & posture
Knee Rehabilitation
- •Chronic knee pain
- •ACL recovery
- •Post-replacement
- •Stem-cell rehab
Shoulder Injury
- •Frozen shoulder
- •Rotator cuff
- •Impingement
- •Post-surgical recovery
Sports Injury
- •Muscle strains
- •Overuse injuries
- •Return-to-sport
- •Tendon injuries
Foot & Ankle
- •Plantar fasciitis
- •Ankle sprains
- •Achilles pain
- •Heel pain
Chronic Pain Management
- •Ehlers-Danlos (EDS)
- •Persistent pain
- •Sciatica
- •Joint hypermobility
Pilates Rehabilitation
What Is Pilates Rehabilitation?
Pilates rehabilitation bridges the gap between clinical physical therapy and lasting fitness. Rooted in principles of concentration, control, centering, breath, precision, and flow, it emphasizes mindful movement — essential when every repetition needs to support healing rather than reinforce bad habits. Nicole uses specialized studio equipment including the Reformer, Cadillac (Trapeze Table), Wunda Chair, and Spine Corrector to deliver variable resistance and support tailored to your diagnosis, tolerance, and stage of recovery.
In practice, Pilates rehabilitation builds deep core stability, balanced strength around joints, improved flexibility, and better posture — correcting the muscle imbalances and faulty movement patterns that often keep pain cycling. Whether you are recovering from surgery, managing chronic pain, or rebuilding after injury, this low-impact approach retrains how your body moves in daily life. Nicole also integrates the Oov and Konnector for advanced core control, proprioception, and functional movement training within your one-on-one sessions.
Studio Equipment
- •Reformer
- •Cadillac (Trapeze Table)
- •Wunda Chair
- •Spine Corrector
- •Oov
- •Konnector
Success Stories
What Our Clients Say
“Nicole is a miracle worker! I had sciatica so bad I could barely walk — and now I'm no longer in pain. The sciatica has disappeared. I'm stronger from the stretching and strengthening, and I'm extremely happy with the changes I've experienced in my movement.”
“After two knee surgeries in 8 months, she had almost all the swelling gone in 6 weeks. She treats your whole body.”
“She takes time to identify the root cause and create an individualized plan.”
“Nicole's ability to quickly and accurately diagnose movement issues is unmatched. She identifies the root cause, explains it clearly, and creates a plan.”
“My hips and back are feeling much better. She is extremely knowledgeable and very thorough.”
“I can move freely inside myself now. Nicole guided my body back into proper alignment from head to toe.”
“Incredible results — I'm shocked after every treatment. Nicole can define an issue just by looking at you.”
About Nicole
Nicole Tristram, PT
Physical Therapist & Pilates Rehabilitation Practitioner
Nicole Tristram, PT — Physical Therapist & Pilates Rehabilitation Practitioner. UCF Physical Therapy (Magna Cum Laude, 1998), Polestar Pilates International certified, 25+ years treating complex cases, former professional dancer (Ballet Rambert School, London). Founder of "St. Augustine Strong" bone-health support group; guest lecturer at UCF, UNF, and St. Johns River State College.
Nicole discovered Pilates during her own rehabilitation from a dance injury — which taught her that lasting healing requires treating the whole body, not just the site of pain.
Read full bioLocal Care
Physical therapy serving St. Johns County & Northeast Florida
Premiere Pilates is located in St. Augustine and welcomes patients from across Northeast Florida. Private one-on-one physical therapy and Pilates rehabilitation — schedule your evaluation today.
FAQ
Questions & Answers
Ready to feel better?
Schedule your initial evaluation. Nicole will assess your condition, explain what's causing your pain, and build a personalized plan.
Premiere Pilates Rehabilitation and Fitness • 4057 Seminole Point Court, St. Augustine, FL 32086
Serving St. Augustine, Ponte Vedra, Jacksonville, St. Johns County, Palm Coast