Pivot Physical Therapy on Duke Street in Alexandria is a provider of orthopedic rehabilitation and therapy services. The practice is noted for its highly competent, professional, and effective therapists who are knowledgeable and pleasant. Reviews highlight that the therapists are great listeners, easy to communicate with, and provide thorough answers to questions. A key strength mentioned is that each session is fully focused on the patient for the entire appointment duration, rather than the therapist moving between multiple people. The treatment is described as personalized, pretty intense, and effective, with patients consistently leaving feeling better. The location is praised for being super and convenient, situated in a plaza with plenty of parking. The office hours are accommodating, open early and late for those with tight schedules. Appointments start on time with no waiting. The staff is also noted as being extremely conscientious about sanitizing before and after all patients. While some feedback indicates that scheduling or rescheduling appointments through the main call center can be a pain, the overall experience is reported as very good. The practice offers a comprehensive range of services, including physical therapy, athletic training, and various specialty services.