Meet Our Team


Joyce Thomson, RPT, MBA
Physical Therapist, Owner

Joyce has many years of experience as a physical therapist in both inpatient hospital and outpatient orthopedic settings. She received her Bachelor’s Degree in Physical Therapy and Master of Business Administration from the University of Colorado. Her career includes work as a physical therapist and clinical instructor at hospitals in Colorado, and research for the Department of Neurosurgery at the University of California Medical Center in San Francisco. She has lectured nationally and internationally on topics including the value of integrated medicine in a community, the use of biofeedback and electrotherapy, and the benefits of exercise for seniors. Joyce has been recognized by the American Physical Therapy Association as an Outstanding Physical Therapist, and received the Pacesetter Award for Medicine from Boulder County in 1989. Joyce lives on San Juan Island with her husband, Tom, where they enjoy playing with their dogs and “living on this wonderful island.”

Patti Bjarnason MS, CCC-SLP
Patti is a Speech Language Pathologist having received her Master’s Degree from the University of Washington in 1990. She has worked in Acute Care, Acute Rehab, Transitional Care, Long Term Care, Home Health Care and Out-Patient settings in and around Seattle, and moved to San Juan Island in 2004. Patti treats speech, language, voice, cognitive and swallowing problems. Although her primary focus has been in working with adults, she also works with children with speech and language delays. She holds certificates in Lee Silverman Voice Training for Parkinson’s and Vital Stim for dysphagia. Patti chose Speech Therapy as a career after traveling abroad and learning the difficulties one encounters when not able to communicate. She still loves to travel, walk, hike, knit, sew and read. She is a doting grandmother with a large extended family and no desire to move from her beautiful island home.

Kim Flack
Office Manager

Kim grew up in North Bend and moved to Friday Harbor in 1999. She has a wide variety of work experience including in the restaurant and travel industries. She began working in the medical field in 2006, and at Islanders Physical Therapy & Rehabilitation since 2008. She enjoys reading, cheering for the Seahawks, playing the guitar, and spending time with family and friends.


Tyler Howe, PT, DPT
Physical Therapist

Tyler is a Pacific Northwest native who earned his Doctorate in Physical Therapy from the University of Washington in 2016. He has experience treating a wide range of musculoskeletal and orthopedic conditions. His post-graduate education includes courses in vestibular rehabilitation and manual therapy. Tyler’s treatment approach blends a combination of therapeutic exercise, manual techniques, and patient education to address movement dysfunction and help people reach their rehabilitation and activity goals. In his free time you will find him riding a bike, cross-country skiing, or looking for a pick-up soccer game.


Tara Plank
Front desk

Tara earned a bachelor’s degree in conservation biology and secondary education from Goshen College, located in her hometown of Goshen, Indiana. She has taught science and math in the classroom, worked at a university helping first-year students transition to college. She has also worked as a kayak guide, which ultimately brought her to the San Juan Islands in 2012. Tara is currently enrolled in a physical therapist assistant program, combining her love of fitness and movement with her passion for education. In her free time, Tara loves hiking with her dog, reflecting on nature’s life lessons. On cold, windy days she prefers to stay inside sipping tea, tinkering with bead and wire jewelry.


Patricia Schnier, OTR/L, CHT
Occupational Therapist

Patricia is a Certified Hand Therapist as accredited by the Hand Therapy Certification Commission. She is a resourceful and enthusiastic therapist with many years of experience in both postoperative and non-surgical treatment of the hands in rural and urban settings. Patricia received her degree in Occupational Therapy from the University of Minnesota. She developed Hand and Rehabilitation Departments at Holy Cross Hospital in Salt Lake City, UT and Cuyuna Regional Medical Center in Crosby, MN. Patricia spent 10 years at Napa Valley Physical Therapy Center where she developed a highly-reputable hand practice serving patients with complex post-surgical needs. In Napa she became known as the go-to therapist for top surgeons in the area. Patricia has recently teamed with Touch Bionics of Hilliard, OH in the treatment of patients with bionic hands. Her colleagues consistently describe her clinical expertise, love for her work, and advocacy for her patients as defining characteristics that make her an exceptional practitioner.

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