One-on-one physical therapy and performance training for active adults and athletes in Camas, Washington.
Bob Cook is a licensed physical therapist and the founder of Performance Physiotherapy in Camas, Washington. He has more than 27 years of clinical experience and has treated 1,000’s of patients over the course of his career.
Performance Physiotherapy is a cash-based, out-of-network practice, and standard physical therapy appointments are a full 60 minutes.
Every plan starts with where you actually are — not a one-size template.
For pain that keeps returning, or an old injury that never fully healed.
For when you’re out of pain, but not yet back to full strength.
For athletes and active people optimizing for their next level.
Book online through Jane or call the clinic — no referral required. Performance Physiotherapy is a cash-based practice, so payment is due at the time of service and there’s no insurance authorization to wait on before you start.
A full movement assessment with a licensed physical therapist, tailored to your specific condition.
Hands-on care and a plan built around the root cause, so the results actually stick.
Performance Physiotherapy provides personalized, one-on-one physical therapy built around your individual needs and goals. Your care is guided by what will help you make progress—not predetermined visit limits or restrictions—giving us the flexibility to spend the time you need, adjust your plan as you improve, and focus on helping you move better, feel stronger, and get back to the activities you love.
Reimbursement is not guaranteed and depends on your individual plan’s out-of-network benefits. We recommend confirming your benefits with your insurer before your first visit.
Helpful physical therapy insights from Bob Cook, MHS, PT, drawing on more than 27 years of clinical experience.
No referral is required. You can book online through Jane, our online scheduling system, or call the clinic, and we’ll handle the rest.
No. Performance Physiotherapy is a cash-based, out-of-network practice — we don’t bill insurance and we don’t work directly with any insurance plan. Payment is due at the time of service.
After your visit we can provide a superbill listing the treatment codes for the care you received, which you’re welcome to submit to your insurer yourself for possible out-of-network reimbursement. Any reimbursement depends on your individual plan’s out-of-network benefits and is not guaranteed, so we recommend confirming yours before your first visit.
Your first session is a full movement assessment with a licensed physical therapist, followed by a personalized plan built around your specific condition and goals. Standard physical therapy appointments are 60 minutes.
It varies by condition, but most patients start noticing meaningful change within a few weeks of consistent sessions.
Yes — our Perform track is built specifically for active people optimizing strength, mobility, and performance, not just recovering from pain.
Posted on Google![]()
Nathan CooperTrustindex verifies that the original source of the review is Google.
My experiences with Bob were great. Due to basketball injuries sustained over a month period I saw Bob twice. The first time I feared I had a fracture, or something significantly wrong, in my forearm. Bob saw me quickly and diagnosed it was not a fracture, then slowly worked with me for over an hour to determine my limits and what was the real issue. By the end of the visit I was feeling great and somehow doing a pull up. Most importantly I felt very confident to continue physical activities with my arm after the visit. A month later I was back due to other basketball injuries. I obviously need to stop playing basketball. Bob diagnosed a partial hamstring tear. His therapy on it expedited the recovery and his guidance on recovery timelines and gradual strength training buildup led to a full recovery. Bob knows his stuff. This is a no brainer. I’ve recommended Bob to multiple friends of various ages since, and will continue to do so.Posted on Google![]()
Suzie DCTrustindex verifies that the original source of the review is Google.
My husband and I have been working with Bob for a few months now, and he is the best physical therapist we have worked with. I am a powerlifter, and my husband is a judoka. He helped me change my squat stance, and my hip pain has gone down significantly. He also noticed my husband’s back issues. What sets him apart is his eye for detail; he found issues other physical therapists missed. We highly recommend him!Posted on Google![]()
Christopher de la RochaTrustindex verifies that the original source of the review is Google.
Had an injury before a competition. Bob treated me with dry needling. I was very skeptical of dry needling. He got me in as soon as he could, and I felt great after treatment. Won me over.Posted on Google![]()
Tammie ProwellTrustindex verifies that the original source of the review is Google.
I highly recommend Performance Physiotherapy! The care I’ve received has made a tremendous difference in how I feel and move. He takes the time to really listen, figure out the underlying problem, and explain what’s going on. He is incredibly knowledgeable, thorough, and genuinely cares about his patients. I’m so grateful for the help I’ve received and would highly recommend Performance Physiotherapy to anyone dealing with pain or mobility issues!Posted on Google![]()
Julia ClarkTrustindex verifies that the original source of the review is Google.
Bob helped me recover from a foot/ankle surgery. I had been working on recovery for 3 months with little improvement. When I switched to working with Bob, he took the time to figure out how my body worked and moved and tailored a recovery plan to fit me. It worked! My recovery sped up, allowing me to go from walking barely a quarter mile to walking 6 in just under 2 months!Posted on Google![]()
Mark HodoryTrustindex verifies that the original source of the review is Google.
Appreciate all that Bob did for me while getting me started on my weight loss journey. He's supportive and encouraging.Posted on Google![]()
DanaTrustindex verifies that the original source of the review is Google.
He is great! Had so much knee pain I thought I would need surgery. However, I was able to continue exercising and heal my knee issue at the same time. I would recommend him to anyone!Posted on Google![]()
Cory LeeTrustindex verifies that the original source of the review is Google.
Bob Cook is a master at diagnosing and treating many of your ailments and concerns. He explains what needs to be accomplished in order for you to heal properly. He does this in a patient and thoughtful way yet doesn’t sugar coat what you truly need to do to heal your body. He genuinely cares about you getting better and will go above and beyond to help you accomplish your goals!Posted on Google![]()
Jesse MosesTrustindex verifies that the original source of the review is Google.
Bob has been a huge asset in my transformation not just physically but mentally too. His focus on injury prevention and strengthening weak points has made me a more well rounded athlete who can be confident moving forward with their athletic goals, and has allowed me to do movements I haven’t been able to do in years.Posted on Google![]()
John BurnsTrustindex verifies that the original source of the review is Google.
Bob at Off The Grid Fit has has completely changed the way I train and has elevated my fitness levels for the past 15 years, and still going. My training background ranges from competitive sports, martial arts, military training, CrossFit, and now currently as a firefighter and I can honestly say that Bob has consistently delivered the most effective training programs I’ve ever been a part of. He has helped through so much of it in the way of strength and conditioning, injury prevention and injury recovery. He is extremely knowledgeable and is as professional as they come. He can train anyone to meet whatever their fitness goals are. If you’re considering his services, I highly highly recommend it.
Book an appointment with a licensed physical therapist in Camas, Washington.