About Us

For over 30 years, Scarpelli & Associates, formally Scarpelli & Kakehashi, offers expertise in orthopedic manual physical therapy in San Francisco’s Castro District. With the retirement of my partner, Lisa Kakehashi, came the loss of an incredible business partner; however, this has also become an exciting opportunity to bring in a group of eager practioners who are dedicated to helping you reach vibrant, long-lasting health.
We provide in-depth, one-on-one assessments and tailored treatments in private rooms--no factory set treatments, group sessions, or PT aids. Additionally, our close-knit staff collaborates with each other and your other health care providers to offer a team approach to your care. Ultimately, empowering you to reach your best musculoskeletal health is our top priority.
Scarpelli & Associates has been awarded the Winner of the 2014 San Francisco Outstanding Clinic Award, 2014 Patient’s Choice for outstanding clinic award, and for four years running, one of the Top 3 Physical Therapists in SF for 2017, 2018, 2019, and 2020.


Elizabeth Scarpelli

Elizabeth Scarpelli, PT, OCS, FAAOMPT

Physical Therapist, Orthopedic Clinical Specialist

Liz has been a therapist for 35 years and brings a wealth of experience, expertise and energy to her practice. She has mentored over 30 graduate PTs on the path to specialization in orthopedic manual physical therapy. She was a senior instructor for over 20 years in the Kaiser Hayward PT Residency and Fellowship program, the first program of its kind in the country. This program sets the standard for advanced clinical residency education in the US and Liz takes this philosophy to heart and continues to mentor therapists in her clinic. Her goal is to assist the PT to be the best they can be and pass it on. This provides huge benefits to our patients because that expertise in long term mentoring is carried forward to our patients' treatments. That collaboration between therapists assists in sorting out complex patient problems so that they can be addressed in the most efficient way. Liz has been published in the American Physical Therapy Journal, and Kaiser Permanente National Website. She wrote a blog for the movie Miss Representation regarding the sordid history of foot binding and other insults to women’s feet. Liz is an avid cyclist and treats her son (when he’s home) who rode on the Italian cycling team Aren Cucina last year.

Elizabeth Scarpelli

Christopher Clukies, PT, DPT

Physical Therapist, Doctor of Physical Therapy

Chris is a therapist who brings a sharp mind, a kind heart and inquisitive mind to his practice and the perfect therapist to work alongside Liz. Chris brings very good listening skills, a vital skill to patients who feel professionals have not heard them. He wholeheartedly embraces the mentoring process and is fully engaged in providing excellent patient care. Chris is an avid cyclist. He is fluent in Spanish.

Jonie Nguyen, PT, DPT

Physical Therapist, Doctor of Physical Therapy

Jonie moved from Hawaii to San Francisco where she received her B.S in Biology from University of San Francisco and her Doctorate of Physical Therapy from UCSF/SFSU. She fosters a collaborative atmosphere where patients are empowered to play an active role in their care. She perceives herself as a guide and strives to educate her clients so they may optimize their movement. When she's not at the clinic, Jonie enjoys hiking, rock climbing, roller skating, and playing with her corgi pup, Noodle.

Joseph Pascual


Office Manager

Is your insurance speaking in hieroglyphics? Did your boss throw a wrench in your schedule and now you're scrambling to rearrange all your appointments? Has your dog devoured your favorite pair of flip flops? Well, he probably can't help much with the last one, but for everything else, Joe takes care of all the administrative hassle that gets in between you and your recovery. Because of Joe, our physical therapists can spend more time getting you back to health and less time arm wrestling with the fax machine and insurance adjusters. When he's not at the practice, you can find Joe riding his bicycle in the Marin Headlands, practicing his beginner’s Spanish at the local farmers market, or back at home playing piano.