A physical therapist kneeling next to a woman in a wheelchair, assessing her strength in her leg.
A person with hemiplegia and a walking cane being assisted by a physical therapist on a grassy field in a park with trees in the background.

Neurologic & Vestibular Physical Therapy in Birmingham, Alabama


Private pay care built for the intensity, frequency, and duration the research says it actually takes to recovery so your care is dosed by the research, not by your insurance benefits.

A person helping another person who has a leg injury down a wooden staircase.
A woman sitting on the edge of an open car trunk filled with fitness equipment, including water bottles, kettlebells, a purple mat, and a black and green exercise bag, wearing a gray T-shirt with "Neuroactive Therapy & Wellness" logo and green pants, smiling at the camera.

We Treat Neurologic Conditions. Only Neurologic Conditions.

Neuroactive is a team of neurologic specialists, including board-certified Neurologic Clinical Specialists (NCS) who treat neurologic and vestibular conditions exclusively. Every session is a full hour, one-on-one, built around what you're actually trying to get back to — and dosed at the intensity and repetition the research says it takes to drive neuroplasticity.

Because we're private pay, we're not bound by visit caps or authorization limits. That means most of our clients use us alongside their insurance-covered therapy, not instead of it: their benefited visits handle what they handle, and we add the frequency, intensity, and neuro-specific expertise that a traditional caseload can't accommodate. When those benefits run out, we're already in place and the progress doesn't stop.

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Designed to meet you where you are…we offer sessions in your home or in our clinic.

No matter the location…you will receive high level, research-backed treatments to aid your recovery or wellness journey provided by specialized rehab therapists.

A woman with brown hair, wearing a white t-shirt and carrying a black and white striped bag, is knocking on a front door.
Man walking on a treadmill with support harness while a woman assists him in a therapy session in a therapist clinic.

Conditions we treat:

  • Stroke

  • Brain Injury

    TBI, medical related brain injury, brain tumor, etc

  • Spinal Cord Injury

  • Parkinson's Disease

    PWR! Moves and LSVT BIG Certified Therapists

  • Vestibular and Balance Issues

    Vertigo, dizziness, frequent falls, progressing off devices such as walker and canes, general imbalance etc.

  • Other Neurological Conditions

    Multiple sclerosis, ALS, Guillain-Barre (GBS), CIDP, etc.

What makes Neuroactive UNIQUE?

  • Flexibility

    Most sessions happen in our accessible, centrally located clinic in Hoover, equipped for the intensity and variety that drives real neurologic recovery. But therapy doesn't only belong in a clinic. When it makes sense for your goals, we come to you — in your home, or out in the places you actually navigate: the grocery store, the pool, the golf course, a hiking trail. You get the equipment when you need it and the real world when that's what will move you forward.

  • Specialization

    We don’t treat people with orthopedic problems or other issues most PT clinics address. Our therapists are neurologic specialists — including Board-Certified Neurologic Clinical Specialists (NCS) — and we treat neurologic diagnoses exclusively. We are laser focused and skilled at addressing issues related to neurological disorders.

  • Dedication

    Neuroactive is a small practice. We are not seeing 20 patients a day, scattered, and burnt out. We are doing things different than the traditional outpatient PT model so that we can be a part of each patient’s team, in their corner, and dedicated to getting them better. When you are part of our client base, we are committed to helping you meet your mobility goals.

  • Value

    A session with Neuroactive is, at minimum, a full hour of intense, research-based, individualized therapy or wellness visits. There are no distractions from you. You, your goals, and your progress have our whole, undivided attention throughout your whole visit. And if you would benefit from a longer session, we do that. No insurance restrictions means we can do what is best for you and your recovery.

  • Focus

    Your goals are the goals we will work towards. We will take time to listen. We want to know what motivates you, what you are struggling with, and what you want to get back to doing. That way we can tailor your treatment to what matters to you. We are passionate about exploring all avenues to give you the best results possible.

Treatment focusing on:

  • Walking

    Gait training to make it safer, more efficient, and easier to walk from point A to point B.

    A woman assists a man with a leg brace in walking across a grassy field on a sunny day, with trees in the background.

  • Exercise

    Effective exercise that is challenging and targeted at getting you to your goals. We strive to make sure intensity matches what research says will help you recover, prevent further deterioration, and improve your function and overall health.

    A young woman assisting an older man with a water exercise on a grassy field, holding a clear ball filled with water.

  • Balance Training

    We use evidence based training to improve your balance, decrease your fall risk, and make you feel more confident in your mobility.

    Older man stepping over a hurdle for balance practice, using orange agility equipment.

  • Mobility

    We train you and your family in the basics of moving better and safer within your environment. This includes transfers of all kinds (getting in and out of the car, on and off the floor, on and off the toilet, or even on and off your favorite recliner), negotiating stairs, moving in bed, or any other task of moving your body through the day.

    A person in black pants and sneakers is helping another person, who is wearing a gray sweater and black pants, down a wooden staircase, holding their knee for support.

  • Education

    Having a new neurological condition can change a lot of things about how you live your life and your health. We help you understand the new ways your body functions and empower you with the knowledge of how to recover, adapt, and prevent further issues.

    A young woman and an older woman smiling at each other inside a room with cabinets, a television, and a small American flag in the background.

  • Wheelchair Prescription and Seating Needs

    We have experience prescribing manual and power wheelchairs to meet your mobility needs. This includes submitting justification on to your insurance provider. We also can ensure your current seating system is meeting your mobility and positioning needs.

    A person in a blue fuzzy sweater holding the wheel of a wheelchair, with another woman sitting nearby, blurred background.

Client Testimonials

  • "Vanessa and Meredith did amazing job working with my mom after her stroke. They were able to help her get back so much mobility and set her up for doing as much as she can. We are so thankful that they responded so quickly and worked with her weekly."

    -NW

  • The knowledge, professionalism and compassionate approach of the therapists at NeuroActive have made a tremendous difference in my husband’s stroke recovery. They take the time to understand his specific challenges and his goals. They have created a personalized treatment plan and consistently encourage him through the process. Tommy has noticed significant improvements in his strength, mobility, balance and confidence. Every session is productive and they always explain the exercises clearly and answer any questions patiently. We are truly grateful for their dedication and expertise and would highly recommend them to anyone seeking a way to gain back functionality loss.

    -DW

  • "We have benefited immensely from working with Vanessa Kaczmarek during my husband’s stroke recovery. He has enthusiastically endorsed her knowledgeable guidance with an encouraging and honest communication style. She clearly shares goals and teaches the work to be done to achieve them. We especially appreciate her personalized attention to the equipment he has needed. One size does not fit all! She has used her excellent resources to individualize items like a wheelchair, brace and cane to get the best fit for him. Since we have a busy therapy schedule, she has created a schedule that works for all of us, and she is timely and dependable. We’re very grateful for her input. We’re told that my husband is recovering ahead of the curve for people with his injury. We highly recommend her!"

    -Karen

  • "I am so glad that we made the decision to go with Vanessa with Neuroactive Therapy and Wellness after Jacob’s release from SRC. He suffered a massive TBI and wasn’t given much of a chance in the beginning. She makes such a difference in Jacob’s therapy. When we have therapy days with her, he does amazingly well....Vanessa just has built a bond with him and he is all gas and no brakes when it comes to her! Another day my boy amazed me. He was literally trotting, almost running. I’m so proud of him and it’s unexplainable. I know the Lord has a plan for him that is larger than anything that I can imagine. He will be fully restored and walking, running and being himself soon but without Vanessa’s expertise it would be slow going."

    -Michelle and Jacob

  • "My husband had a stroke in April 2024. We started working closely with Vanessa/Neuroactive Therapy and Wellness early on in his stroke recovery journey. She has been an asset for our family during transition from inpatient rehabilitation to home and she helped make sure that our home was set up safely for him. Vanessa has an aptitude for making positive connections with her patients, even when the patient might present unique challenges. Her ability to inspire and motivate her patients to find determination during difficult times has been very apparent. Her treatments are intentional and evidence-based, and I have no doubt that my husband is making greater strides in his recovery he would not have made without her visits. Vanessa’s passion for what she does is unmatched and I highly recommend her services to anyone who may find themselves or a family member dealing with similar circumstances."

    -Christen

  • "I cannot recommend Neuroactive enough! They truly took the time to understand my husband’s individual needs after his ABI and tailored every session to help him reach his goals. Vanessa combines her expertise with genuine care and has been the best resource for our family. Her patience is unmatched and we have loved having her in our home every week!!!"

    -Maddie

  • "My son Kyle and I were looking for a NeuroPT who had extensive experience working with adults like my son Kyle. We were connected to Vanessa, owner of Neuroactive Therapy, by a PT at Spain Rehab. There is a huge gap in services for adults with neurophysical challenges once they "age" out of the Children's Hospital out- patient PT programs. Kyle does not use words to speak so it was extremely important to us that we work with a PT that has experience, patience and passion for working with this special population. We are so grateful that Vanessa and her company have chosen to meet this gap in services that is so desperately needed for families of adult children with significant spinal and neurophysical therapies. Kyle cannot wait until Vanessa comes each week. He has gotten stronger, happier and by understanding Kyle's potential thru Vanessa's work with him it gives us reassurance as a family that we are giving Kyle what he needs to be a healthy, sustainable wheelchair user!!"

    -Veronica and Kyle

  • "Donnie enjoys working with Vanessa! She is very knowledgeable about what therapy to use for each client."

    -Autumn

  • "I have been working with Vanessa now for approximately four months, and she has been spot on in terms of appointments as well as phone calls. More importantly, her wisdom upon arrival has been invaluable. She really knows her stuff! I highly recommend her and give her a five star review."

    -David

  • "I have ALS, and we were having such a difficult time moving me from chair to chair or elsewhere. Vanessa has come to our home a few times and shown us how to do things much better than we had been. She is so knowledgeable and patient. I cannot say enough about her and how she has helped us."

    -Linda

  • "We have had an amazing experience with this company! I have watched our 20 year old make progress over the past few months. Vanessa and Meredith are caring, friendly, punctual, and knowledgeable. I would highly recommend them to anyone who needs NeuroPT."

    -Lisa

  • "Very professional. The sessions are personalized to my needs. I am never bored and look forward to my sessions."

    -Mickie

  • You never know if or when you may need a specialist like a physical therapist. We have been very fortunate to have been paired with Ms. Vanessa the owner of NeuroActive. She has been very informative and never has she failed to answer every question we have asked. We would recommend her to everyone ! SHE AND HER STAFF ARE AMAZING PEOPLE ! Oh and she makes it’s fun!!!!

    -Kevin

  • Vanessa,Meredith and Liz are the most dedicated and driven people. They motivate thier clients in away that they believe in themselves again.I have watched my client in a year go from being afraid to push himself to being movated and push towards his goal of independence with walking again.His transitions are smoother and as his confidence gets stronger in his ability to see himself walking again his drive increases. I can't wait for the next six months to pass cause he has come this far in only 5 month's. They are very informative as to what they are doing so that you get the results that you have set your goals to and with information that they give you it enables us to use the techniques they have taught us at home. They are some of the best people and they make you feel comfortable and at home.They are passionate about what they do! WE LOVE NEUROACTIVE THERAPY & WELLNESS!

    -Janise

  • HIGHLY recommend this place! If it weren’t for Vanessa and her team, I’m not sure my dad would even be walking. Thanks to them, my dad is thriving after having a brain aneurysm!

    -Sarah

  • Vanessa is my champion…she has my very best interest when working with me in therapy! Meredith is great also!

    -Barbara

  • I can’t recommend Neuro Active enough! Vanessa’s knowledge and passion for helping those who are battling various neurological conditions is unmatched. She meets every client with patience, skill, and a genuine desire to improve their quality of life.

    -Sara

  • Vanessa and Meredith have been amazing throughout everything. They have truly helped Blake in building back everything he lost in his stroke. They have honestly become family to us and we know our journey with stroke recovery wouldn’t be the same without them.

    -Amanda

Experience the difference of truly specialized neuro rehab

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