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Nicole Muriel OTR/L HSP

Owner/Creator of PivOTal Performance


Nicole Muriel is an Occupational Therapist who specializes in pelvic floor therapy and neurorehabilitation. In her 12-year career as an Occupational Therapist, she has found that her firm background in neurological rehabilitation and orthropedic conditions has set an unbreakable foundation when it comes to pelvic floor rehabilitation. Nicole Muriel believes that the key to being a great OT is creating a space for her clients to be seen and heard. It is a fundamental part of true client success.

In addition to managing her specialized occupational therapy practice, she participates in community/fundraising activities. She has been a proud Rockland County resident for 16 years now. Mark Twain said it best “To be great, truly great, you have to be the kind of person who makes the others around you feel great”. Thus, giving back to the community, and her clients is her top priority. She not only brings passion and empathy to her practice, But her own personal experience with pelvic floor dysfunction helped fuel the drive to create pivOTal Performance.

She had graduated from Dominican College in Blauvelt, NY with her BS/MS in science. She holds quite a few certifications: sacroiliac joint practitioner, myofascial release cupping, corrective exercise specialist, and LSVT-BIG certified. Nicole loves enriching her mind with new and evidence-based treatments. Other courses taken included, Herman & Wallace Pelvic floor 1, 2A, 2B, PR-Matt (manual assessment & treatment, advanced 7-day course for Biofeedback evaluation and treatment for pelvic floor dysfunction Pelvic floor therapy, Pediatiac 1 & 2 Pediatric bladder and gastrointestinal disorders, Kinesiology tapping basic & advanced training, as well as over 65 hours of training in the area of CBT (Cognitive Behavioral Therapy).

She is truly a woman with a creative mind. She enjoys photography, and any DIY projects, especially those Cricut DIY projects. If Nicole has her way she would be outside all the time, enjoying the sun, feeling the warm breeze, and just overall taking in the beauty of the sky. Nature is really her happy place, it's where she gets to recharge her creative juices.

Meet Anna Marie O'Looney

At PivOTal Performance, we are dedicated to providing you with the highest standard of care, and we believe that the combination of chiropractic care and occupational therapy can create a powerful synergy in promoting your health and wellness. 

Contact us today to schedule an appointment and experience the benefits of this perfect pair!


Doctor of Chiropractic, owner of North Rockland Chiropractic

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