Physical Therapy

Here at Fillmore County Hospital Physical Therapy, our therapists and staff strive to give you the best optimal care for your everyday life.  We are here for you to be able to provide high quality care and a wide variety of services, from aquatic therapy to state of the art balance training.

Services Offered

Aquatic Therapy: Aquatic therapy combines heat, buoyancy and massage to relax your body and provide optimal recovery and tolerance to activity. Many times it hurts to exercise, ride a bike or even walk. The aquatic environment allows you to exercise in reduced pain environment to improve joint mobility, strength and function.  The warm immersion allows body temperature to rise, dilating blood vessels and providing a perfect environment of healing, exercise and natural resistance from the water.

Balance and Fall Prevention: Falls are a leading cause of serious injury, in some circumstances death, and loss of independence among the aging population. Falling, however, is not a normal age-related change. Unsteadiness could be a result of an orthopedic injury, arthritis, following a stroke, weakness and many other things. We have state of the art balance master to help assess balance disorders that can help guide treatment to improve your balance and reduce fall risk. Though we have state of the art equipment, sometimes a simple conversation or exercise can make all the difference and were here to help you achieve that goal.

Gait Training: Walking and fall prevention is an important part of our every day need. We are positioned well to help restore your ability to walk or help manage pain after surgery, stroke, accident or injury. We have many different types of exercise equipment, treadmills with forward and reverse options, and balance master to help with your rehabilitation and recovery.

Functional Exercise: Flexibility and strength are crucial components to leading a healthy lifestyle. Exercise is the foundation of physical therapy and our therapists will create an individualized program to maximize your potential and recovery. We will set you up with the tools to continue beyond therapy as well.

Geriatric Rehabilitation: Physical therapy isn’t just for after surgery recovery or sports injury. We can provide a variety of services, especially to our older population in the area. We can help restore balance, strength, walking ability and tolerance, reduce pain so you can go about your every day needs and enjoy those golden years.

Instrument assisted soft tissue mobilization: This technique utilizes multiple instruments or tools to assess and treat any areas of soft tissue restrictions. The instruments allow practitioners to determine the appropriate use and pressure used to break up the restrictions. It can help a wide variety of issues from low back pain, headaches, knee pain and so much more. FCH, staff is certified in Graston.  

Modalities: AT FCH we offer a variety of modalities that aid in your rehabilitation and physical therapy plan of care. Some modalities offered are E-stim, ultrasound, cervical and lumbar traction, moist heat, cold pack compression and others. 

Sport Injuries: Whether you’re a high school athlete, college sports, or weekend warrior we can help get you back into the game with injury recovery. We will provide a thorough assessment and use the best available resources to get you recovered from injury and back to doing the activities you enjoy.

Back to Work Training: We are able to provide for various companies return to work screening or assessments for your employment. Provide full assessment and recovery from work injury so you can go back to work safely.

Vestibular training: Vestibular disorders can often times be nauseating, frustrating and negatively impact ones day-to-day life. Conditions such as vertigo and dizziness can be treated by our trained staff. Our staff will be able to assess your condition and provide a course of treatment to help reduce that dizziness.

For appointments or Questions:

P: (402) 759-3198
F: (402) 759-3220



Bryan is from O’Neill, Nebraska.  He graduated from Concordia University in Seward Nebraska with a Bachelor’s Degree in Biology, where he also competed in cross country and track.  He went on to Creighton University to earn his Doctorate’s Degree in physical therapy.  Bryan has over 8 years of experience working at critical access hospitals.  He enjoys the outdoors, traveling, gardening and running with his dog.

Jaci Nichols, MPT

Jaci is from Dannebrog, Nebraska and graduated from Centura High School. She received her Bachelor’s Degree in Biology from Hastings College and went on to receive her Master’s Degree in Physical Therapy from Idaho State University. Jaci has over 25 years of physical therapy experience working in a variety of healthcare settings. In her free time, she likes to travel, run, coach youth basketball, and watch her children’s athletic events! She enjoys working in a rural setting with a diverse mix of patient types and therapy techniques.

Coleman Cogswell, PT, DPT

Jaci is from Dannebrog, Grew up in McCool Junction, where I graduated high school as well. After this I went to Concordia University in Seward where I ran track and cross country and worked as a student athletic trainer. I graduated Seward with a biology degree and minor in psychology. After Concordia I went to Creighton University and graduated as a Doctor of physical therapy. I am certified in Dry needling levels I & II. I have work experience in orthopedics, skilled nursing, and inpatient rehab. Outside of work I like to play basketball, go skiing, and hangout at the lake. 

Stacey Galusha, PTA

Stacey has an Associates of Applied Science degree from Northeast Community College in Norfolk, NE, along with a background in health and exercise science from the University of Nebraska at Kearney. She then transferred to Northeast Community College, Norfolk, NE, and earned an Associates of Applied Science degree.  She has 10+ years’ work experience as a PTA primarily with the Geriatric population in skilled nursing facilities.  

She grew up in York, NE and graduated from York High. Stacey enjoys spending time outdoors, traveling, going to sporting events and concerts along with spending time with my husband, family, and friends. 


Maddie Taylor, PTA

Maddie was born and raised in Geneva and graduated from Fillmore Central High School. She received her Bachelor’s Degree in Exercise Science from Nebraska Wesleyan. She then received her Associate’s Degree in PTA from Clarkson College. Maddie has been working at FCH as a PTA for over 7 years. She is also certified in the Graston technique. Her favorite part about her job is working with and treating people she grew up around!