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The Orthopedic Manual Physical Therapy Institute was founded by Rich Silliman in 2000. It is the oldest private practice in the DFW metroplex. After completing a Movement System Impairment Syndrome curriculum at Washington University School of Medicine in St. Louis, MO under Dr. Shirly Sahrmann, PT, PhD, FAPTA, a one year residency program in manual therapy in San Antonio and a nationally recognized osteopathic manual therapy residency program under Phillip Greenman, DO at Michigan State University, Rich felt there was a need for an improved model of physical therapy care in the DFW metroplex. Rich also developed a strong biomechanical treatment approach and sport specific rehabilitation programs during this time. This model of care is used to treat both spine and upper/lower extremity conditions and provides a unique and highly successful model of physical therapy care for complex patients.