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Train Hard, Recover, Be A Stronger Athlete.

The most comprehensive physical therapy for athletes who compete in competitive sports such as CrossFit, Triathalons, Marathons, 5ks and more.

Peak Performance Physical Therapy offers:

  • Dry needling 
  • Mobility assessments 
  • Physical Therapy
  • Injury Prevention & Corrective Exercises  

Our team has more than 15+ years of experience helping athletes increase their mobility, get out of pain and prevent injuries.  

Meet Dr. Amanda Flowers, Owner Peak Performance, PT, DPT

Dr. Amanda received her Doctor of Physical Therapy from the University of Michigan in 2008. She practiced in private practice for 10 years and decided she could deliver the best treatment strategies by starting her own business in August of 2017. She has a passion for dry needling and treating shoulder pathologies by developing lasting treatment strategies. She excels in complex cases including chronic injury with movement dysfunction and injuries related to Crossfit and endurance athletes. Dr. Amanda has been using dry needling as a treatment technique since 2014 and was trained by Kinetacore, the company that trains the US military.  

She has put her dry needling skills to good use on several pitchers of the Campbell Baseball team and a US Rugby player. Amanda enjoys working with the athletes of CrossFit, USTA tennis, endurance runners and triathletes, often using dry needling to help them recover from the rigors of training.  

Additional Certifications: 

Trained in Selective Functional Movement Assessment in 2013 Kinetacore dry needling/intramuscular manual therapy in 2014 APTA certified Clinical Instructor

Coming Soon:

Meet Brandon Walker, PT, DPT, CSCS

Certified in dry needling


Physical Therapy

The American Physical Therapy Association states, "Physical therapists are movement experts who treat people of all ages and abilities, helping them improve and maintain function and quality of life." Peak Performance will assess and diagnose your problem areas and create an individualized treatment plan so that you can avoid surgery, return to normal movement patterns, and achieve your next goal. 

Dry Needling

Dry needling is a treatment for muscular tightness and spasm. These areas of tightness or spasm are commonly referred to as trigger points. Trigger points are defined as the presence of exquisite tenderness in a nodule in a taut band of muscle, and may elicit a twitch in response to pressure. Trigger points can develop from injuries, postural faults, or a disease processes. 

The muscular tightness or spasm that develops from an injury or disease process can cause compression and irritation of the nerves exiting the spine and anywhere along their pathway. When the nerves are irritated they can cause a protective spasm to any of the muscles along their pathway. Care must be directed both centrally to take care of the origin of the pain and peripherally to reduce symptoms from the central compression. 

Mobility Assessments

Peak Performance is certified in Selective Functional Movement Assessment, our goal is to assess your movement patterns to create a detailed diagnoses and give you specific exercises to help you gain a pain free lifestyle and athletic life. We can also clear from your injury or surgery so you can return to your sport or favorite activity. 

Injury Prevention

With our SFMA certification, we are certified to assess your performance and movement so that you can effectively and efficiently participate in your sport or workout without risk of injury. We will coach you to train with precision and purpose so that you can uncover your hidden potential. We will also help you to avoid injury with your favorite activities with a specific plan devoted specific to you.


Do You Take Insurance?

We do not take insurance currently, we are a cash based clinic that allows us to work autonomously and without restrictions from insurance companies.

How Can I Pay?

Peak Performance takes cash, credit cards and Health Savings Accounts or Flexible Spending Accounts. 

How Do I Schedule?

Peak Performance uses an online scheduler that allows you to schedule at any of our locations below. You can also pre-pay for your appointment or schedule out multiple appointments. 

Schedule an appointment now

Education and Safety

Peak Performance Physical Therapists have a Doctorate of Physical Therapy, they are doctors of the profession and are experts in anatomy and physiology. They are well trained through their graduate work in accredited university programs and are certified in post-professional education. They also follow and are certified in OSHA safety standards.


Peak has pivate offices in Holly Springs, Fuquay-Varina, and Cary. If you schedule at one of our other gyms, we treat inside the gym and it is not private. You can find our clinics at:

Elite Spine and Wellness: 500 Holly Springs Rd, Holly Springs, NC 27540

CrossFit Aestus inside Fuquay Sports Center: 6109 NC-55, Fuquay-Varina, NC 27526

CrossFit Brave: 215 Hillsboro St, Cary, NC 27513


Together our partners help athletes and weekend warriors achieve thier highest potential and a pain free lifestyle. 

With a combined experience of 35 years, our purpose it to ease pain and suffering to restore optimal health. You can find us in Holly Springs at 500 Holly Springs Rd. You can visit our website at: 

Myology Sports Massage has provided professional bodywork for athletes, competitions, and sporting events all over the Triangle. We have developed excellent working relationships with many facilities in the area. We pride ourselves in getting consistent results in a very short amount of time. We help to keep athletes where they want to be, training for their next goal. We reduce recovery time, improve range of motion, and decrease incidents of injury. Our greatest sense of accomplishment comes from hearing about our clients' personal achievements and seeing a smile on their face when they do something they once thought they couldn’t.

We are here to help you make healthy “fit” into your life with chef driven, nutritionally balanced menus. We prepare healthy, ready to eat meals to fit your lifestyle whether that be Paleo, Keto, Gluten Free, Macros, Vegan, Flexitarian, or anywhere in between. Each meal is carefully hand crafted by our Executive Chef Jocelyn to be big on flavor, while maintaining balanced nutrients for every dietary lifestyle.

Ready to Book Your First Appointment?

Peak Performance Physical Therapy has helped thousands of athletes in the Triangle area. We look forward to helping you Train Hard, Recover & Be A Stronger Athlete.



Peak Performance Physical Therapy, LLC 

Dr. Amanda Flowers, PT, DPT | | 910-508-0214 

Dr. Brandon Walker, PT, DPT, CSCS | | 614-373-6628

Health Care Disclaimer

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Privacy Policy

This privacy policy sets out how "Peak Performance Physical Therapy ” uses and protects any information that you give “Elite Spine and Wellness” when you use this website. “Peak Performance Physical Therapy” is committed to ensuring that your privacy is protected. Should we ask you to provide certain information by which you can be identified when using this website, then you can be assured that it will only be used in accordance with this privacy statement. “Elite Spine and Wellness” may change this policy from time to time by updating this page. You should check this page from time to time to ensure that you are happy with any changes. This policy is effective from 1/01/2016.  

We may collect the following information:  

name and job title contact information including email address demographic information such as postcode, preferences and interests other information relevant to customer surveys and/or offers We require this information to understand your needs and provide you with a better service, and in particular for the following reasons:  

Internal record keeping. We may use the information to improve our products and services. We may periodically send promotional email about new products, special offers or other information which we think you may find interesting using the email address which you have provided. From time to time, we may also use your information to contact you for market research purposes. We may contact you by email, phone, fax or mail. We may use the information to customize the website according to your interests. We may provide your information to our third party partners for marketing or promotional purposes. We will never sell your information. Security  

We are committed to ensuring that your information is secure. In order to prevent unauthorized access or disclosure we have put in place suitable physical, electronic and managerial procedures to safeguard and secure the information we collect online.  

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You can choose to accept or decline cookies. Most web browsers automatically accept cookies, but you can usually modify your browser setting to decline cookies if you prefer. This may prevent you from taking full advantage of the website.  

Links to other websites  

Our website may contain links to enable you to visit other websites of interest easily. However, once you have used these links to leave our site, you should note that we do not have any control over that other website. Therefore, we cannot be responsible for the protection and privacy of any information which you provide whilst visiting such sites and such sites are not governed by this privacy statement. You should exercise caution and look at the privacy statement applicable to the website in question.  

Controlling your personal information  

You may choose to restrict the collection or use of your personal information in the following ways:  

whenever you are asked to fill in a form on the website, look for the box that you can click to indicate that you do not want the information to be used by anybody for direct marketing purposes if you have previously agreed to us using your personal information for direct marketing purposes, you may change your mind at any time by writing to or emailing us at We will not sell, distribute or lease your personal information to third parties unless we have your permission or are required by law. We may use your personal information to send you promotional information about third parties which we think you may find interesting if you tell us that you wish this to happen.  

You may request details of personal information which we hold about you under the Data Protection Act 1998. A small fee will be payable. If you would like a copy of the information held on you please write to  

If you believe that any information we are holding on you is incorrect or incomplete, please write to or email us as soon as possible, at the above address.