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156 providers
Availability last updated 05/16/2025
Dr. Karina Paonessa joined the NHST team in 2020 with a holistic approach to treating her patients. She believes that movement is medicine, and that every body has the potential to heal itself given the correct environment. Her goal is to provide patients the tools they need in order to help them reach their therapy goals. She does this through education, manual techniques, movement, and motivation while fostering a fun and healing environment.
Dr. Paonessa earned her Doctorate in Physical Therapy from West Coast University following her studies in Zoology with a minor in Spanish at the University of California, Santa Barbara. Her interest in physical activity and movement started at a young age when she participated in many sports, landing on soccer, cross country, and track in high school. While attending UCSB, she joined the triathlon club team, intramural soccer, and completed 6 half marathons. She now fills her free time walking her dog by the beach, lifting weights, exploring hiking trails, attending concerts, and traveling.
Karina Paonessa, DPT
Physical Therapist
1784 Newport Blvd
Costa Mesa, CA 92627
Tanner Roche, DPT, is a dedicated physical therapist at Natural Health Sports Therapy in Costa Mesa, California. He specializes in orthopedics and helps active individuals recover and thrive.
Growing up playing multiple sports, Tanner developed a passion for movement and recovery, which led him to pursue a career in physical therapy. After graduating from Huntington Beach High School, Tanner earned his bachelor's degree in kinesiology from San Diego State University in California and continued there to complete his Doctorate of Physical Therapy.
During his clinical rotations, Tanner gained experience treating a wide variety of patients, but his passion for working with an active population solidified his focus on orthopedics. Inspired by his own experiences recovering from low back and shoulder injuries, Tanner is committed to helping patients overcome setbacks and return to the activities they love.
In his free time, Tanner enjoys playing beach volleyball, surfing, or relaxing by the ocean. During winter, he loves snowboarding at Mammoth and Bear Mountain.
Dr. Tanner Roche, PT, DPT
Physical Therapist
1784 Newport Blvd
Costa Mesa, CA 92627
Dr. Shiao-Lan Li, DPT, is a doctor of physical therapy at Minimally Invasive Medical Group, which has offices in Lake Forest, Mission Viejo, and Irvine, California. He performs regular physical therapy, outpatient evaluation, and treatment for orthopedic patients with all body parts. He also coordinates the patient treatment plans with chiropractics, pain management physicians, orthopedic doctors and primary physicians.
As a physical therapist, Dr. Li does not see separate issues relating to only one body part without relation to the rest of the body. Although a specific portion of the body may be the most obviously injured or restricted in its motion, other aspects of the body’s functioning are also immediately impacted, causing the formation of a specific compensatory pattern. The compensating pattern can result in limited recovery in the original area as well as possible future injury in the supporting area. Physical therapy achieves the highest success when treatment is focused on the restoration of the strength/muscle tone balance between the muscle groups, the coordination of the movement, and the elimination of compensatory patterns.
Dr. Li usually uses all possible tools, such as manual therapy, scraping, Yoga, traditional martial arts, etc., according to the patient’s individual situation to maximize the benefits of the therapy.
Dr. Shiao-Lan Li, MPT
Physical Therapist
29300 Portola Parkway
Suite B
Lake Forest, CA 92630
Physical Therapist Erica Fleischauer received both her Bachelor of Science Biology and Master of Science Exercise Physiology at Florida State University. She received her Master of Physical Therapy at University of St. Augustine for Health Sciences. She regularly participates in continuing education classes to stay up-to-date on new techniques and other tools that can help her treat patients to the best of her ability.
She has been working in her field for over 20 years. The majority of her experience has been in an outpatient Orthopedic setting, ranging from teens to adults, athletes, post surgical patients, motor vehicle accident patients, sports injuries, and rehabilitation.
She enjoys helping people heal and getting them back to doing the activities they love, as well as educating her patients on their condition, treatment, and rehabilitation.
Erica is an active person, with a past history of triathlons and marathons. She also enjoys pilates and yoga, and is very active with her 4 children, taking them biking, rollerblading, and skateboarding.
Erica Fleischauer, MS, MPT
Physical Therapist
2365 Seal Beach Blvd
Suite 101
Seal Beach , CA 90740
