
Foundations Physiatry
Quick Facts
| Practice Type | Hybrid |
| Location | Fort Collins, Northern Colorado |
| Doctors | Casey Emigh M.D., Megan Richard D.O. |
| Year Founded | 2025 |
About
At Foundations Physiatry, two board-certified physiatrists bring focused expertise to complex neurologic, musculoskeletal, and connective tissue conditions. D. co-founded the Fort Collins practice in 2025. O. joins as co-founder and begins seeing patients in September 2026.
The practice centers on a straightforward conviction: when pain lingers or recovery stalls, something foundational is disrupted. Both physicians look beyond isolated symptoms to identify root causes. Clinical interests span Ehlers-Danlos Syndrome and hypermobility spectrum disorders, brain injury and concussion, chronic musculoskeletal pain, and neuropathy. Procedures include electrodiagnostic testing, dry needling, trigger point injections, ultrasound-guided injections, and osteopathic manipulative treatment. Foundations Physiatry operates on a self-pay basis with transparent pricing. The practice coordinates with the broader medical system when imaging, labs, or referrals serve the patient's care.
Details
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Self-pay (cash-pay) practice. Focused Evaluation (60 min): $325. Comprehensive Evaluation (90 min): $495. Follow-Up Visit (45 min): $195 through August 2026, $225 beginning September 1, 2026. Extended Follow-Up Visit (60 min): $195 through August 2026, $225 beginning September 1, 2026. Electrodiagnostic Testing (EMG/NCS): 1 limb $350, 2 limb $525, 3 limb $700, 4 limb $825. Dry needling: $95, Trigger point injections: $125, Ultrasound-guided injections: $175. Additional fee may apply for extensive record review.
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Frequently Asked Questions
Foundations Physiatry publishes all pricing upfront. A Focused Evaluation (60 minutes) costs $325. A Comprehensive Evaluation (90 minutes) costs $495. Follow-Up Visits (45 minutes) and Extended Follow-Up Visits (60 minutes) each cost $195 through August 2026, then $225 beginning September 1, 2026. Electrodiagnostic testing ranges from $350 for one limb to $825 for four limbs. Dry needling is $95, trigger point injections are $125, and ultrasound-guided injections are $175. An additional fee may apply for extensive record review.
No. Foundations Physiatry operates on a self-pay, cash-pay basis and does not contract with insurance. Payment is due at the time of service. The practice provides superbills that patients can submit for potential out-of-network reimbursement. Imaging, labs, and referrals ordered during visits can often go through a patient's insurance separately.
Foundations Physiatry generally cannot serve patients who carry Medicaid as their primary insurance. Patients with questions about their specific situation are welcome to contact the practice directly before scheduling.
Prospective patients can request an appointment through the online scheduling system on the Foundations Physiatry website. The team reviews appointment requests within two business days. Same-day appointments are not currently available. The practice prefers online scheduling or email over phone contact.
No. Foundations Physiatry is a specialty Physical Medicine and Rehabilitation practice. The physicians play a complementary and consultative role alongside a patient's primary care provider and any existing specialists. The practice encourages all patients to maintain those relationships.
The practice specializes in Ehlers-Danlos Syndrome and hypermobility spectrum disorders, brain injury and concussion, chronic musculoskeletal pain, and neuropathy. It also evaluates and manages post-traumatic headache, whiplash, cervical and lumbar radiculopathy, POTS, MCAS, fibromyalgia, complex regional pain syndrome, and a broad range of neurologic and musculoskeletal conditions.
Foundations Physiatry offers electrodiagnostic testing (EMG and nerve conduction studies), dry needling, trigger point injections, ultrasound-guided injections, osteopathic manipulative treatment, cupping, and myofascial scraping. Electrodiagnostic testing and injections became available beginning Spring 2026.
The physicians use the Beighton score following the 2017 diagnostic criteria to evaluate joint hypermobility. Evaluations also include assessment of associated symptoms and overlapping conditions. The practice screens for and manages related comorbidities such as POTS and MCAS when appropriate.
Yes. When relevant, the physicians consider genetic variations such as MTHFR and COMT that can influence how a patient processes nutrients and handles detoxification. This is part of the practice's broader approach to understanding what drives a patient's symptoms.
com, or fax them to 949-773-4869. Records can also arrive in person at the appointment. Patients with extensive records who want to avoid a record review fee can ask the practice team about organizing and summarizing records in advance.
Practice last updated August 17, 2026






