Rehabilitative Services Staff

T8935 (1 of 1)2

Kathleen Laboray, PT, MHS

Outpatient Rehab Director
Physical Therapist

Kathleen currently serves as Outpatient Rehab Director at CAH. She has been a physical therapist for 38 years. She received a Bachelor of Science in Physical Therapy from Maryville University in 1990 and a Master of Health Care Services degree from Washington University in St. Louis in 2000. She also received a Bachelor of Science in Health and Physical Education in 1978 from Eastern Illinois University. Prior to her time at CAH, Kathleen worked in a variety of settings including large hospitals, outpatient clinics, nursing homes, worker’s compensation clinics and home care. She has specialized training in Lymphedema and Manual Lymphatic Drainage, and is currently studying Thai massage and lymphedema management. Over the years, Kathleen has developed a love for working with the geriatric population. “In these hurried, busy times, they have taught me to slow down, listen, breathe and enjoy their wisdom.”

At CAH, Kathleen is proud of our outstanding team and hospital. A Litchfield resident, she feels that “getting to know people in this lovely community is a joy. They remember my name and are very grateful. For a small community and hospital we see a wide variety of conditions. This keeps us innovative, creative and up to date.” Outside of her physical therapy career, Kathleen is also a Certified Equine Massage Therapist. She enjoys horseback riding, snow skiing, hiking, biking, Yoga, and reading.


Tanya Kessinger MS, OTR/L

Inpatient Rehab Director
Occupational Therapist

Tanya currently serves as the Inpatient Rehab Director and has served as Transitional Care Unit Coordinator at CAH for 9 years. She received a Bachelor of Arts in Psychology from Eastern Illinois University, and a Master of Science in Occupational Therapy from Washington University School of Medicine. She has previous experience working on the Missouri Agrability project, working with farmers with disabilities, adapting equipment/jobs so they could continue farming after injury or with disease. Tanya has 16 years of experience. She is especially passionate about working with patients with post-operative hand conditions affecting their function. “The progress is so visible and our hands are so important and patients are motivated to use them.” She also has specialized skills and experience when working with kids with sensory processing, Autism, or Asperger’s Syndrome, and their parents and teachers, to improve communication, independence, and the ability to handle new situations.

As the Inpatient Rehab Director and coordinator of our Transitional Care Program, Tanya loves to become a partner with our patients in their recovery process, helping them understand their condition and empowering patients and families. “I love the people I get to meet…it is my greatest blessing to be a part of our community in this way, later running in to a child or [TCU] patient, seeing them function better and know I was a part of it.” When she is not working, Tanya enjoys spending time with family and friends, cheering for her boys at sporting events, kayaking, being on the water, baking, searching for and making vintage finds into new things, and anything that stirs her creative side.


Jane Reichmann, PT

jane r Physical Therapist

Jane received her Bachelor of Science in Physical Therapy from the University of Illinois Medical Center in 1974 and has been practicing PT for 42 years. Jane specializes in pediatrics and has been a certified provider of Early Intervention services for children 0-3 years since 1998. Jane also has significant experience treating children in public schools as well as on an outpatient basis. She serves children with apraxia, developmental coordination disorder, cerebral palsy, prematurity, learning disabilities and other diagnoses. Jane is also skillful in providing postural analysis for patients of all ages and incorporates yoga and stretching programs into her treatment plans. She enjoys providing community education presentations on stretching and posture for all ages, encouraging participants to “Please Be Upstanding”! At CAH, Jane enjoys the variety of patient ages and a “good team of therapists who have the patient’s best interest at heart”. When she is not working, Jane stays active with yoga, tap dancing, golf, water aerobics, cycling and many other hobbies.


Paula Hulin, PT, DPT

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Physical Therapist

Paula received her Bachelor of Science in Physical Therapy in 1991 and her Doctor of Physical Therapy in 2010, both from St. Louis University. Paula has gained a wide variety of experience during her 25 years as a therapist, treating patients in Missouri and South Carolina as well as Illinois. She is adept at patient care in many populations, including spinal cord injury, stroke, traumatic brain injury, sports injuries, and pediatrics. Due to her wide variety of expertise, Paula is skilled at managing patients with multiple traumatic injuries. She has specialized training in kinesiology taping and in Thai Massage. In order to expand her skill set, Paula will be completing her Associate Degree in Nursing in May ’16, and will be pursuing her RN licensure in June ’16. Paula has found a home on the CAH therapy team where the “coworkers are supportive,” and she can manage a “wide variety of patients.” Paula and her husband, Andy, have been married for 21 years and have 3 children. She enjoys running, hiking and cross country skiing.


Cindy Reents, PT

Physical Therapist

Cindy received her Bachelor of Science in Physical Therapy from St. Louis University. She brings a valuable 28 years of experience to our rehab team. The majority of her experience is in the outpatient orthopedic PT setting, as well as in the home health setting. Cindy has worked PRN for Carlinville Area Hospital for many years, and recently she joined our team as a regular part-time therapist. Cindy is excited to work in our extraordinary new facility, and to join a “great group of professionals that work as a team.” Cindy loves sports, playing piano and spending time with her husband, 4 sons and 4 grandsons.


Amy Murphy, PT, DPT, NCS

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Physical Therapist

Amy received her Bachelor of Science in Health Management from Southeast Missouri State University and her Doctorate of Physical Therapy from Northern Arizona University. She has 10 years of experience as a physical therapist. In 2011, she attained board certification as a Neurologic Clinical Specialist. Amy specializes in treating patients with neurologic and vestibular disorders, including stroke, spinal cord injury, brain injury, MS, Parkinson’s disease, dizziness and balance disorders, BPPV, and others. A former collegiate athlete, Amy also takes special interest in treating athletes of all types, ages, and skill levels. Since joining CAH in 2011, she has grown her skills in treating pediatric patients and patients with all types of orthopedic conditions. Amy is a certified clinical instructor for physical therapy students. She appreciates the opportunity at CAH “to serve others in my own community, and to grow my skills in a wide variety of treatment areas.” Outside of working at CAH, Amy enjoys hanging out with her husband and 2 young boys, running, hiking/backpacking and traveling with her family.


Laura Starr, PT, MS

Physical Therapist

Laura received her Bachelor of Science in Health Science and Master of Science in Physical Therapy from Maryville University. She is a certified clinical instructor for physical therapy students. Laura has 6 years of experience as a physical therapist and joined the CAH therapy team in 2015 after gaining valuable experience in a regional medical center/level 1 trauma center. A Carlinville native, Laura is happy to be working close to home where she can serve the people in her own community. Laura loves the physical therapy profession because “I am able to talk with people all day long, while prescribing them appropriate exercises to help them feel better and do their best.” Laura and her husband, Nathan, have 4 very active little kids that keep them on their toes.


Deborah Grejtak, PTA

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Physical Therapist Assistant

Debbie brings depth and diversity of experience and knowledge to our therapy team. She has worked as a licensed PTA for 38 years, in many different situations and settings. Debbie began working at CAH in 2007, and in 2015, she joined our team full-time. Debbie appreciates the opportunity at CAH to “see patients with a wide range of diagnoses, a chance to learn from other therapy personnel who are all interested in different approaches to healing, and a chance to follow my patients from beginning to discharge. Working in a small hospital allows me to get to know my patients better and ‘custom make’ a treatment that will fit their specific needs.” In addition to working as a PTA, Debbie enjoys baking, reading, going to the Fox Theater, and traveling to spend time with her family.


Debra Martin, PTA

Physical Therapist Assistant

Deb is a long-standing member of the therapy team at CAH. She has 18 years of experience as a PTA. Deb is skilled and experienced in treating a wide variety of patient populations, and takes special interest in treating balance and gait disorders as well as sports injuries. Deb also has experience in pediatrics and spent 4 years as an onsite PTA at Monterey Coal Mine. At CAH, Deb appreciates the opportunity to “work closely with the treating PT…everyone freely shares new ideas and techniques.” When she is not working, Deb enjoys traveling with her husband, Ken, who is a local musician, gardening (“playing in the dirt”), and enjoying their 5 children and 14 grandchildren. “We love an adventure!”


Melissa Geninatti, COTA/L

Certified Occupational Therapy Assistant

Melissa has 6 years of experience working primarily within our Transitional Care Unit. She has developed strong clinical skills working with the geriatric population and has skilled expertise in home/safety evaluations. She also has a strong interest in patients with neurological disorders, but continues to enjoy working with all populations and is growing her clinical skills in working with hand/upper extremity injuries, aquatics, and with pediatrics. Melissa is highly organized and extremely motivated to provide the best possible care for our patients and their families. She appreciates the opportunity at CAH to work within a small community setting. “Not only are the patients like family, but I have an amazing work family. I feel cared for personally here at CAH.” Outside of working at CAH, Melissa enjoys spending time with her husband and step-daughter, traveling and being outdoors.


Tammy Frankford, PTA

Physical Therapist Assistant

Tammy brings 19 years of experience to our therapy team. She decided to pursue her education and licensure as a PTA after spending time working as a physical therapy tech, because she loved building a personal as well as professional relationship with her patients. Tammy has gained experience in a wide variety of patient populations, but has specialized experience and a special place in her heart for geriatrics. Tammy also takes special interest in orthopedics and has received specialized training in the use of kinesiology taping. Tammy enjoys working at CAH where she gets to “work with a wide variety of diagnoses and age groups. I love getting to know the people in and around our community.” She looks forward to seeing our department continue to grow and expand our expertise. Tammy and her husband, Mark, have been married 21 years and have 4 children and one grandchild. They enjoy camping and racing dirt bikes. Tammy enjoys supporting her family in any of the sports they choose.


Carol Jarden, PTA

Physical Therapist Assistant

Carol has 26 years of experience as a PTA. She is an important part of the therapy team at CAH, working on an as-needed basis. A self-proclaimed “jack of all trades,” she has worked in many other careers as well. Most notably, Carol is also a licensed massage therapist and is owner of “Time-Out and Relaxation Therapeutic Massage Clinic” in Litchfield, IL. Carol’s knowledge and training in therapeutic massage has influenced her style when working as a physical therapist assistant. Carol enjoys helping people to “live their lives, no matter what the situation may be.” She is happy to be a member of the therapy team at CAH, where everyone is “on the same page with patient care.” Carol enjoys creative projects, family time with her 2 daughters and 4 grandchildren (and one on the way!), and living on the farm with her significant other, Bob.


Ashley Lack, PT

Physical Therapist

Ashley received her Bachelor of Science in Health Science and Master of Physical Therapy from Maryville University in St. Louis. She is a certified clinical instructor for physical therapy students. Ashley has been practicing physical therapy for 7 years and joined the CAH team in 2016 where she primarily treats patients on the medical/surgical and transitional care rehabilitation units. Prior to coming to Carlinville, Ashley worked in a large metropolitan medical center where she primarily worked with patients with cardiopulmonary diagnoses. Ashley is happy to be working in a small community and for an organization where “patients come first.” Ashley and her husband Jason became first time parents to Robert Matthew on November 30.


Kelsey Gee, OT


Occupational Therapist

Kelsey comes to CAH after working as an OT in a certified stroke center/ level I trauma center.
She holds a Bachelors degree in Exercise Science from SIUE (2009) and a Masters degree in Occupational Therapy from SLU (2013). Currently, Kelsey is pursuing lymphedema certification (Feb 2017). “I enjoy the OT profession because I am able to assist patients with all aspects of their lives, and have fun while doing so.” Kelsey is married to husband Pat and they have 2 beautiful children, Maddie and JT.


Deb Hernandez, PTA

CH7305(1of1)Physical Therapy Assistant

Deb hails from the Brighton area and brings 34 years of working experience in a variety of different settings including inpatient acute care and rehab, outpatient clinics, nursing homes and home care. Currently Deb loves working with our “Number 1 Rehab Team” in the Transitional Care Unit at CAH and “loves being a part of the therapy services at CAH (whether treating inpatients or filling in with outpatients). In addition to working as a Physical Therapy Assistant, Deb enjoys having a positive attitude toward life and spending time with her family.


Kristina Welch, PTA

CH7288(1of1)Physical Therapy Assistant

Kristina has been a Physical Therapy Assistant for 3 years and has been a member of Carlinville Area Hospital’s rehab team for 1 year. After obtaining her Physical Therapy Assistant License in 2014, Kristina finished her Bachelor’s degree in Exercise Science where she continued her studies in biomechanics, nutrition and exercise physiology. As a former gymnast and gymnastics coach, Kristina particularly enjoys working with pediatrics and sport related injuries. Kristina enjoys working at Carlinville Area Hospital because it is such a positive environment that encourages its employees to continue to learn and grow as a professional. In her spare time, Kristina enjoys spending time with her husband Jake, serving in various ministries at their home church in Bunker Hill, traveling, running and training their German Shepherd, Apollo.


Jim Tiburzi, CCC-SLP

Speech/Language Pathologist

Jim provides the speech/language pathology services at CAH for both inpatients and outpatients. He attended Southern Illinois University Edwardsville and received both a Bachelor of Science and Master of Science in Speech/Language Pathology. Jim has 40 years of experience, much of which he spent providing speech therapy services for children in local schools as well as in private practice. Jim now provides PRN services for children and adults, at several local agencies. Jim enjoys “helping people regain functional skills for living.” Jim is married with 2 children and 4 grandchildren. When he is not working he enjoys playing golf.