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Rehabilitation · Adaptive fitness · Wellness

Care without conditions — for every ability, every income.

Specialized rehabilitation, adaptive fitness, and wellness for people living with neurologic conditions and disabilities in Fort Collins. You will not be turned away because of what you can pay.

Medicaid · Medicare · Commercial insurance · Sliding scale from $0

A person standing at a mountain overlook at sunrise in Northern Colorado

No one is turned away for inability to pay.

We accept insurance and offer a sliding scale — both, not either. Most patients pay between $0 and $25 per visit.

Pathway 01

Medicaid & Medicare

Health First Colorado and traditional Medicare are accepted across all of our clinical service lines.

Pathway 02

Commercial insurance

We are in-network with major commercial plans, and we verify your benefits before your first visit so you know your cost up front.

Pathway 03

Sliding fee scale

Income-based fees from $0 to a $25 maximum, funded by grants and philanthropy rather than passed on to you.

See the full sliding fee scale →

Our care

Four programs, one coordinated team.

Physical therapy, occupational therapy, speech-language pathology, mental health, and adaptive fitness — clinicians who coordinate on the same patient instead of working in parallel.

Clinical

Specialized Rehabilitation

Physical therapy, occupational therapy, and speech-language pathology for people with complex neurological conditions and physical disabilities. Our clinicians hold advanced certifications in neurologic specialty care.

  • Board-certified neurologic clinical specialists
  • Evidence-based, condition-specific protocols
  • Extended visit times for complex needs — no ten-minute appointments
  • Sliding fee scale; Medicaid and Medicare accepted

Adaptive fitness

Adaptive Fitness Program

Inclusive fitness for people with disabilities and adaptive athletes at every level — whether you are training toward competition or simply want to move with more confidence.

  • Group and 1:1 training sessions
  • Adaptive equipment for every ability level
  • Para-athlete and recreational pathways
  • Coordinated with the clinical team for continuity of care

Wellness

Wellness & Mental Health

Neurological conditions and disabilities affect more than the body. Integrated wellness and counseling services address the full spectrum of health — including caregivers.

  • Outpatient therapy and counseling
  • Whole-person care model
  • Coordinated with your rehab and fitness team

Vocational

Monarch Café Program

A café operated as a Community Rehabilitation Program in partnership with Colorado DVR and the Poudre School District — paid, skill-building work experience for people with disabilities, inside our own facility.

  • Formal CRP partnership with Colorado DVR and the Poudre School District
  • 4–6 paid transitional employment positions at full operation
  • The only program of its kind in northern Colorado
  • Community café open to the public

Who we serve

Care built around you — and everyone who's with you.

Longer visits, specialized certifications, and a team that expects complexity rather than working around it.

  • Stroke
  • Traumatic Brain Injury
  • Spinal Cord Injury
  • Multiple Sclerosis
  • Parkinson's Disease
  • Dizziness & Vertigo
  • Cerebral Palsy
  • ALS
  • Amputations
  • Limb Asymmetries
  • Ataxia
  • Spina Bifida

Neurological conditions

  • Stroke & traumatic brain injury
  • Parkinson's & multiple sclerosis
  • Spinal cord injury & ALS
  • Brain tumors & vestibular disorders

Physical & developmental disabilities

  • Spina bifida
  • Amputees & limb asymmetries
  • Physical disabilities
  • Developmental disabilities

Adaptive athletes

  • Wheelchair athletes
  • Athletes with visual impairments
  • Amputee athletes
  • Anyone training to compete

Mental health

  • Adjustment to disability
  • Diagnosis-related challenges
  • Caregiver mental health
  • Trauma & long rehab journeys

Don't see your condition? Ask us anyway — this list isn't exhaustive.

Who we are

The people building this.

A founding board of clinicians, operators, and neighbors — most of whom came to this work through someone they love.

Click any photo or name to read their full story.

Andrew Tran, PT, DPT, NCS, CSCS, Founder & Executive Director

From our founder

Why I started this.

My sister was only 40 years old when she experienced multiple severe strokes. After each one, she fought her way through the ICU and rehab — grueling, hard-won progress. And then, before she was anywhere close to where she needed to be, she was sent home. Not because she'd recovered, but because her insurance decided she wasn't improving fast enough to justify continued care.

She wasn't discharged because she was ready. She was discharged because she stopped being profitable.

I'm a Doctor of Physical Therapy with an advanced board certification in neurologic rehabilitation. I know exactly what she needed, and I know exactly what she didn't get. And I've watched the same thing happen to patient after patient — people with spinal cord injuries, traumatic brain injuries, MS, cerebral palsy — abandoned by a system that was never designed to truly care for them in the first place.

Andrew Tran, PT, DPT, NCS, CSCS

Founder & Executive Director

Board Chair

A healthcare strategy and operations leader with more than 20 years improving access to care for people with complex medical and social needs, and CalAIM Director for the San Francisco Health Network.

Treasurer

21 years in the medical field — from insurance verification to medical billing to Team Lead Billing Specialist.

Secretary

A strength and conditioning specialist with over 10 years as a trainer and athletic coach, including adaptive track and field with the Challenged Athletes Foundation.

Director at Large

More than 15 years in the nonprofit sector — outdoor programming, peer-to-peer fundraising, volunteer and partner relationships, communications and brand.

Community Liaison & Partner

An occupational therapist with over 23 years in the public sector, currently with the Poudre School District.

Social Media Assistant

Social Media Assistant, helping The Transcend Project tell its story across Northern Colorado.

A café counter with coffee being prepared

Monarch Café

Good coffee.
Real jobs.
Same counter.

A vocational rehabilitation café run in formal partnership with Colorado's Division of Vocational Rehabilitation and the Poudre School District — the only Community Rehabilitation Program of its kind in northern Colorado. Every purchase pays a trainee's wage.

Meet Monarch Café

Why the model works

Sustainable access, built with our community.

Sustainable access

A sliding fee scale with no income-based exclusions, Medicaid and Medicare across all service lines, and philanthropic funding to close the reimbursement gap. Cost is never a reason to go without care.

Community powered

Built with, not for, the people we serve — in partnership with Colorado's Division of Vocational Rehabilitation, the Poudre School District, the City of Fort Collins ARO program, the NoCo Foundation, and the Bohemian Foundation.

Technology forward

AI-assisted, HIPAA-compliant documentation removes administrative overhead so clinicians can give focused, unhurried care instead of paperwork.

The gap we exist to close

1 in 3

Adults with disabilities have unmet healthcare needs because of cost.

National Disability Navigator · CDC BRFSS

$100–$250

Out-of-pocket per neurological rehab session — even when insured, coverage is typically capped at 20–60 visits a year.

$0–$25

What a patient pays here, on our sliding scale, regardless of income.

Grant-funded sliding fee scale

Support the build

Help us open the doors.

Every gift closes the gap between what care costs and what our patients can pay. Donations are tax-deductible and processed through Zeffy, which takes no platform fee.

What a gift covers

  • $25 One sliding-scale rehabilitation visit
  • $100 Two months of adaptive fitness for one athlete
  • $500 A block of paid job training at Monarch Café