Commonwealth Hand and Physical Therapy is an out-patient rehabilitation practice that specializes in hand and upper extremity rehabilitation. As Certified Hand Therapists (CHT’s), our specialists have the highest levels of training in the profession for treating the hand, wrist, elbow and shoulder. Our facilities are equipped to offer our patients an excellent opportunity to reach their optimal functional abilities.

To our patients, we commit to provide the most effective, clinically superior occupational therapy humanly possible at a fair price. The measure of our success will be found in the trust we build and in the hearts of those we heal.

To our employees, we commit to provide a positive, respectful, and fair work environment. We will invest in their professional growth to ensure a compassionate and knowledgeable team of professionals. The virtues of integrity, honesty, and loyalty will make up the moral fiber that bonds us.

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Donald Greg Pitts
Founder and Rehabilitation Director 

Greg Pitts is the founder of Commonwealth Hand & Physical Therapy. He received his first degree, a Bachelor of Science in Psychology, from Eastern Kentucky University in 1986. After graduation, Greg was commissioned an Officer in the U.S. Army where he served four years of active duty. From 1990 to 1996, Greg continued his military service as a Captain in the U.S. Army Reserve. 

Greg received his Master of Science in Occupational Therapy from EKU in 1992 and immediately began practice in an outpatient orthopedic setting. Here he received extensive mentorship and training in hand therapy, ergonomics, and industrial rehabilitation. In 1995, Greg became the Clinical Director for On-Site Rehabilitation for Toyota Motor Manufacturing. 

In 1996, Greg accepted a position as the Director of Occupational Therapy for Dr. Ralph Herms, a well-known hand surgeon. He worked closely with many renowned hand and orthopedic surgeons and in 1997 became a Certified Hand Therapist. He went on to become the Hand Program Coordinator for Easter Seals Kentucky. During this time, Greg also served on the graduate faculty of EKU. He became a well-known lecturer in the areas of hand therapy, industrial rehabilitation, and ergonomics. He has authored/coauthored numerous book chapters and research articles which have been published in prestigious medical journals. 

In 2002, Greg reached another career goal when he opened Kentucky Hand & Physical Therapy in a small 700 square foot basement office. The company quickly grew in size and reputation. KHPT included 5 stand alone clinics and 2 satellite clinics, and was a recognized leader in the performance of innovative and results-oriented rehabilitation in Central Kentucky. 

Greg is the current owner of two private practice locations Commonwealth Hand & Physical Therapy located at 330 Waller Ave in Lexington, Ky.and 105 Lawson Drive Suite #4 Georgetown Ky. The  clinics focus on state of the art care for traumatic hand injuries, cumulative trauma disorders, and total body pathologies that inhibit occupational Performance. Commonwealth Hand & Physical Therapy is a Regional Rehabilitation Center for Central and Eastern Kentucky. The clinic also provides training for up to 25 interns per year and active research with the University of Kentucky, Spalding University, and Eastern Kentucky University.



Greg has received numerous awards and recognitions in his professional life, including Kentucky Outstanding Occupational Therapist of the Year for 1995-1996. Outstanding Alumnus EKU Occupational Therapy 2002, and Member of the Riordan Hand Society 2006. He has served as President of the Kentucky Occupational Therapy Association and American Hand Therapy Foundation Board of Directors.



Certified Hand Therapist; National Chair American Hand Therapy Foundation; Board of Directors hand therapy certification commission; American Society of Hand Therapists; American Occupational Therapy Association; American Association for Surgery of the Hand; Kentucky Occupational Therapy Association; Deep Physical Agent Modality Certification; Hand Therapy Certification Exam Committee 



Greg’s home life is as exciting as his work life. He is a native of Berea, Kentucky. He lives in Lexington with his wife and six children (five girls and a boy) and is an active member of Mary Queen of the Holy Rosary Church. He enjoys outdoor activities, particularly hunting and fishing.

Kyle Mullins

Kyle has been at Commonwealth Hand & PT since it’s opening in 2017. He earned a Master’s degree in Occupational Therapy from Eastern Kentucky University in 2014. Since that time, Kyle has worked exclusively in hand therapy, developing extensive knowledge and skills of a wide range of upper extremity conditions. He earned his Certified Hand Therapist (CHT) designation in 2018. He is also certified in the use of Deep Physical Agent Modalities and has DPAM supervisor designation. Kyle uses a variety of splinting and treatment techniques to achieve the best possible outcomes for his patients. He feels privileged to work with such a talented group of therapists. Outside the clinic, Kyle enjoys spending time with his wife and family, working on home projects, and following/attending Kentucky basketball and football. 

Anne Chambers

Anne is an Occupational Therapist and Certified Hand Therapist from Russellville, Kentucky. Anne received her Bachelor of Science degree in Exercise Science from the University of Louisville in 2011 where she graduated Cum Laude and was also a member of the UofL swim team from 2007-2011. She then earned her Masters of Science in Occupational Therapy from Eastern Kentucky University in 2014, at which time she began working in outpatient hand therapy. Anne received her board certification in 2017 from the Hand Therapy Certification Commission. Her clinical interests include custom splinting, orthopedic injuries and conditions of the upper extremity, and post surgical rehabilitation.

Ryan Foister

Ryan is a 2002 occupational therapy graduate from eastern Kentucky university.  He has worked primarily in the arena of hand and upper extremity rehabilitation with traumatic and cumulative trauma cases for 16 years and a certified hand therapist (CHT) for 11 years.  Ryan has focused particularly in industrial rehabilitative services and is currently the lead hand therapist on site at Toyota Motor Manufacturing Kentucky (TMMK) acute care clinic, with clinical focus and training in the realm of Functional Capacity Evaluations (FCEs), ergonomic evaluations, post offer/pre-employment testing, job analyses and preventative programs.

Tor Ulla

Tor graduated from the University of New Brunswick, Canada with two bachelor degrees in Kinesiology and Education. He went on to teach as an English professor in South Korea and Physical Education in Nova Scotia, Canada before deciding to pursue a career in Occupational Therapy.

Tor went on to complete his Master’s of Occupational Therapy Science at La Trobe University in Melbourne, Australia. During that time he was exposed to the world of hand therapy and has been actively pursuing the credentials of Certified Hand Therapist ever since. Tor spent time working as lead OT in a skilled nursing home before finding a position in hand therapy. Though from Canada, Tor has enjoyed his move to the Bluegrass state and feels very settled in here. Outside of therapy he enjoys travel, Crossfit, and trying new restaurants.

Hillary Klingel

Hillary is an Occupational Therapist and aspiring Certified Hand Therapist. Hillary is a 2017 graduate of Eastern Kentucky University with a Bachelor's in Occupational Science and a Masters in Occupational Therapy. She is originally from Waldo, Ohio, but moved to Lexington to pursue a career in hand therapy rehabilitation. Hillary has nearly 2 years of clinical practice, all of which have been here at Commonwealth Hand and Physical Therapy. Her clinical interests include orthotic fabrication, cumulative trauma rehabilitation, and Peripheral Nerve injuries. Hillary enjoys spending time with her family and friends, traveling, playing sports, and watching movies. Hillary chose to enter the field of Occupational Therapy because she enjoys helping people restore their independence, confidence, and quality of life.

Christian Gryszowka

Christian is originally from the Chicago area, but he loves living here in the Bluegrass State. He is a graduate of the University of Illinois-Chicago with a Bachelor of Science in Kinesiology. Christian received a Master of Science in Occupational Therapy from Spalding University in Louisville, KY. His passion for working with people and wellness can be tracked to early days of his life through his involvement in sports, social clubs, and true enjoyment of being able to be around people. Chrisitan is passionate about wellness and making people feel good. Whether as president of his occupational therapy class or a part of a team, he likes getting people excited about the things he is excited about; especially if they can share a good laugh together!Outside of rehab, Christian is committed to continuing his education as a therapist as well as his journey of traveling, learning about cultures, and new life experiences. Chrisitan is also looking to practice new language skills (he is fluent/ native speaker in Polish).

Luke Nolte

Luke earned his Bachelor of Science in Special Education for Moderate and Severe Disabilities and a Master of Science in Occupational Therapy. Luke is currently pursuing certification in hand therapy.

Mary Wagner

Mary earned a Bachelor of Science in Occupational Science & Master of Occupational Therapy from Eastern Kentucky University.  She is an active member of Kentucky Occupational Therapy Association and will join the executive board later this year. Mary is currently working toward her hand therapy certification.

Madison Cook

Madison was born and raised in Louisville, Kentucky. She graduated Cum Laude from the University of Louisville with a Bachelor of Science degree in exercise science. Madison graduated from Spalding University with her Master of Science degree in Occupational Therapy in August of 2018. Madison wishes to continue studying under her mentors at Commonwealth Hand Therapy to become a board certified hand therapist.

Jake Randolph
Clinical Operations Manager
Melba Custer 

Dr. Custer received her M.S. in Occupational Therapy from Eastern Kentucky University and a Ph.D. in Rehabilitation Sciences from the University of Kentucky. She is a Professor in the Auerbach School of Occupational Therapy at Spalding University since 2018 and affiliated with Commonwealth Hand and Physical Therapy since May 2017. Prior to teaching at Spalding University, Dr. Custer was on the faculty at Eastern Kentucky University, and her clinical expertise is in hand and upper extremity rehabilitation. Dr. Custer teaches research and upper extremity rehabilitation courses. She also teaches certification courses for Deep Physical Agent Modalities (DPAMS) and provides services PRN at Commonwealth Hand and Physical Therapy. Research interests include outcomes of occupational therapy, program evaluation, and upper extremity rehabilitation.

Jake is the Clinical Operations Manager at Commonwealth Hand Therapy. He is a native of Owensboro, Kentucky. Jake attended the University of Kentucky and received a Bachelor’s of Science in Kinesiology and Exercise Science in 2010. He began working in the hand therapy field in 2011. In his spare time, he enjoys outdoor activities, playing with his two boxer puppies, traveling, lake weekends and is an avid sports fan.

Tim Uhl

Tim Uhl, PT, PhD, ATC, FNATA has been practicing physical therapy and athletic training since 1985 in various sport medicine settings.  Tim received his Bachelors of Health Science from the University of Kentucky in Physical Therapy.  He practiced physical therapy at the Lexington Clinic Sports Medicine Center and served as Head Athletic Trainer at Transylvania University until 1988.  He pursued his Masters’ Degree in Kinesiology from the University of Michigan.  At Michigan, he worked with the UM Football team under Coach Bo Shembechler, where working toward a team goal is emphasized.  Tim served both on the staff and as the director of outpatient physical therapy at the Human Performance and Rehabilitation Centers in Columbus, GA.  This rehabilitation center served 18 orthopedic surgeons and the Hughston Sports Medicine Hospital. Founded by Jack Hughston, MD, this was the first sports medicine hospital built in the United States.  Under Hall of Fame Athletic Trainer Joe Gieck, and Hall of Fame Orthopedic Upper Extremity surgeon Dr. Frank McCue, Tim completed his Doctorate in Sports Medicine (PhD) from the University of Virginia in 1998. His studies were focused on shoulder motor control theory.  Dr. Uhl is currently a Professor in the Department of Rehabilitation Sciences, Division of Athletic Training and Director of the Musculoskeletal Laboratory at The University of Kentucky.  He works clinically at Commonwealth Hand Therapy as a physical therapist and athletic trainer. He enjoys treating patients with upper extremity traumatic and overuse injuries.


Tim’s clinical and research interests are in musculoskeletal assessment and rehabilitation, with particular interests in neuromuscular control and shoulder function.  He has secured funding for his research in the area of scapular kinematics and shoulder rehabilitation from private industry and non-profit organizations.  He has over 120 PubMed peer-reviewed publications.


Here is a link to his publications:


Tim is active member of the Sport Physical Therapy Section of the American Physical Therapy Association; he also a past-president of the American Society of Shoulder and Elbow Therapists. Tim is one of five physical therapists in the United States that is an affiliate member of the American Shoulder and Elbow Surgeons society since 2004. He is currently the co-leader in creating Clinical Practice Guideline for Shoulder Instability for The American Physical Therapy Association and was co-author of “Shoulder Pain and Mobility Deficits: Adhesive Capsulitis” J Orthop Sports Phy Ther 43(5):A1-A31, 2013

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