Physical Therapy
HCHD’s licensed physical therapists (PTs) and physical therapist assistants (PTAs) are professionally trained in helping patients reduce pain, improve or restore mobility, recover from injury or surgery, and so much more. We provide care for people in a variety of settings, including treating patients at our outpatient therapy center, our hospital’s inpatients, and patients of home health, as well as residents in our assisted living and senior living communities.
Physical therapists utilize treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. PTs can teach patients how to prevent re-injuries or manage their condition so that they will achieve long-term health benefits. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles.
- Musculoskeletal Treatment (muscles, bones, ligaments, tendons, discs, soft tissue)
- Tendon tears (rotator cuff in shoulder, Achilles tendon injuries)
- Trauma injuries (sprains, strains, joint dislocations, fractures)
- Back pain, osteoporosis, arthritis
- Joint injury and replacement
- Repetitive stress injuries (tendonitis, carpal tunnel syndrome)
- Orthopedic Rehabilitation
- Postoperative
- Sports injuries
- Other injuries, including strains and sprains
- Therapy for Walking Difficulties
- Dizziness and vertigo
- Gait and balance training
- Functional Mobility Training
- Cardiovascular Conditioning
- Pain Control Interventions
- Wound Care
- Assistive Device Training
- Therapeutic modalities for treating pain:
- Electrical Stimulation
- Ultrasound
- Paraffin Bath
- Hot Packs
- Manual Therapy
- Dry Needling
At the onset of a person’s first visit, a licensed physical therapist will evaluate the patient’s medical and physical history, the injury or disorder, age, level of activity, and other lifestyle factors in order to develop the most effective customized treatment plan unique to that individual. Just as no two patients are exactly the same, we believe no two treatment plans should be exactly the same.
Physical Therapy services are available with or without orders from a physician—no referral required. To get started, simply call our office to schedule an evaluation.
Our hours of operation are 8:00am—5:00pm Monday through Friday. To learn more about Physical Therapy services or to schedule an appointment, call HCHD Therapy Services at 806-323-9158.
Meet Our Physical Therapists
Justin Frazier, DPT
Justin Frazier is a Doctor of Physical Therapy specializing in outpatient orthopedic and sports rehabilitation. He joined HCHD’s Therapy Services team in April 2026 after relocating to the region.
Justin earned his bachelor’s degree in Exercise Science from the University of Texas at Austin and completed his Doctor of Physical Therapy degree from the University of Texas Health Science Center at San Antonio. Since graduating, Justin has worked in a variety of physical therapy settings, with the majority of his experience in outpatient orthopedics and sports performance environments, including working with high school, collegiate, and several professional athletes.
In his approach to patient care, Justin enjoys helping individuals build a deeper understanding of their bodies and movement. He believes that physical therapy goes beyond simply “getting better,” and instead focuses on empowering patients to develop autonomy and confidence in how they move and function. Justin especially enjoys working with young athletes, as he values sports as a powerful platform for developing character, discipline, and life-skills.
Justin holds certifications in dry needling, along with multiple advanced private certifications in athletic rehabilitation and sports performance protocols. His training allows him to take a comprehensive, performance-driven approach to rehabilitation—helping patients both recover from injury and develop a stronger and more capable movement foundation.
“What I enjoy most about physical therapy is helping people take ownership of their bodies. Seeing someone gain confidence in their movement and realize their capabilities is one of the most rewarding parts of this profession.”
Justin moved to the area from Fort Worth in 2026 with his wife and their two young children. Outside of the clinic, he enjoys spending time with his family—whether that’s having dance parties, playing at the park, or building rock towers.
CARA SMITH, DPT
Cara Smith is a Doctor of Physical Therapy specializing in outpatient orthopedic and sports rehabilitation. She joined HCHD’s Therapy Services team in July 2026 after relocating to Canadian.
Cara earned her bachelor’s degree in biology from Lubbock Christian University and completed her Doctor of Physical Therapy degree at Texas Tech University Health Sciences Center. She brings a decade of experience working in an outpatient orthopedic clinic in Lubbock.
With a passion for helping patients recover from injuries, restore movement, and build healthy habits that support long-term wellness, Cara enjoys working with patients of all ages and believes physical therapy should be both challenging and enjoyable. Her goal is to create personalized treatment plans that help each patient gain confidence, improve function, and return to the activities they love. She is certified in dry needling and orthopedic manual therapy for the spine.
“What I enjoy most about being a physical therapist is walking alongside patients during their recovery. It is a privilege to encourage, educate, and support them as they work toward their goals and celebrate every milestone along the way.”
Cara moved to Canadian in 2026 with her husband and three kids. She enjoys spending time with her family, being outdoors, and participating in church activities.
Janna Markham, PT
Janna Markham, PT has been a physical therapist at Hemphill County Hospital District since 2010. She became interested in physical therapy in elementary school while attending physical therapy sessions with her dad. As she entered high school, she decided to pursue physical therapy as a career, hoping to provide access to physical therapy services in rural communities.
After graduating from Reydon High School in Reydon, Oklahoma, Janna attended Southwestern Oklahoma State University in Weatherford and received her Physical Therapy degree from the University of Oklahoma Health Sciences Center in 2000. Janna began her physical therapy career providing therapy to students in several small schools in Oklahoma. She then worked for a rehab company providing physical therapy to patients at skilled nursing units throughout western Oklahoma for approximately 10 years—and this is where she developed her love for working with elderly patients. Janna joined the staff at HCHD in 2010 where she provides therapy services to patients in HCHD’s Swing Bed program and home health, as well as to long-term care residents at Mesa View Senior Living.
Janna enjoys caring for patients of all ages, but she truly loves working in home health and with the geriatric population. The home health setting gives her the ability to work on specific areas patients need in order to live independently in their own homes. It is very rewarding to Janna when she helps patients return to their favorite activities and improve their quality of life.
Janna lives with her husband, Monty, and two sons on a ranch in southeast Hemphill County where they raise cattle. Spending time with her family and supporting her boys in their many sports and activities brings her the most joy. Janna also volunteers with the Roger Mills County 4-H Adult Council, serves on the board of the Cheyenne-Reydon All Sports Association, and is a member of the American Legion Auxiliary.
Trint Flowers, PTA
Trint Flowers is a Physical Therapist Assistant. After graduating from Murray State College in Tishomingo, Oklahoma, he worked with the geriatric population in home health, swing bed, and skilled nursing facilities across Southeastern Oklahoma for six years. Trint joined HCHD in January of 2023 and is a proud member of the Therapy Services team.
In caring for patients, Trint strives to get them focused on the betterment of their own personal health through achievable, rewarding goals. He believes therapy should be challenging, fun, and geared toward improving overall quality of life.
"Physical therapy is the most fulfilling career path I could have chosen. Seeing patients’ faces light up when they see their own progress and hard work paying off is something you don’t get to see in very many jobs. We are going to celebrate and cheer on all the progress and achievements made—no matter how big or small."
Trint lives with his wife, Jasmine, and three children in Canadian. He enjoys spending time with family, playing music, and being active through exercise and various sports.
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