In 2000 Brian returned home and worked for a local hospital as a clinical specialist. Aside from patient care he worked to establish rehabilitation guidelines for post-operative care of multiple orthopedic surgical procedures. Brian founded Granite State Physical Therapy in 2004 to develop an outpatient physical therapy clinic which offers a full continuum of care for his patients. Brian continues to work with area High Schools to include Bishop Brady, Pembroke Academy, John Stark High School, Laconia High School, and Gilford High School.
Brian enjoys treating patients with multiple orthopedic injuries and post-operative diagnoses to include musculoskeletal dysfunctions of the upper and lower quarter and spinal dysfunction. Brian is a Member of American Academy of Orthopaedic Manual Physical Therapy (AAOMPT), American Society of Shoulder and Hand Therapists (ASSET) and the American Physical Therapy Association (APTA). He is certified in Thrust Manipulation of the spine through the SWODEAM Institute. Brian is also a Certified Level III Medical professional with the Titleist Performance Institute (TPI) and offers Golf Fitness and Rehabilitation programs throughout the area.