Hot Springs Health Program Outpatient Services

Phone: (828)649-1775

Facebook: https://www.facebook.com/hshppt/

New Patient forms: Intake Form Medical History PT Pharm Communication Form 18+ Depression Questionnaire Under18 Depression Questionnaire

Physical therapy focuses on maximizing functional independence through the use of manual therapy, therapeutic exercise, balance training, gait training, and therapeutic modalities.

Some services offered:
Pain Management
Stroke Rehab
Lymphedema Therapy
Joint Replacement Therapy
Gait Assessment and Training
Therapeutic Modalities
Balance Training and Fall Prevention

Our Physical Therapists:

John Lesh, PT, CMP, CLT

John Lesh earned his Bachelor of Science in Biology from Appalachian State University in 2002. After working as an environmental laboratory analyst, he discovered his passion for healthcare and went on to earn his Master of Physical Therapy degree from Western Carolina University in 2008. He is also a Certified Mulligan Practitioner (CMP), with advanced training in orthopedic manual therapy and mobilization techniques.

Throughout his career, John has developed a broad clinical background spanning acute trauma care, skilled nursing facilities, home health, and outpatient orthopedics. He joined Hot Springs Health Program (HSHP) in 2013, bringing experience treating patients with a wide range of musculoskeletal and functional impairments.

John has a particular interest in orthopedic manual therapy, spinal dysfunction, and identifying the underlying mechanical factors contributing to pain and movement limitations. His treatment approach combines skilled hands-on techniques, therapeutic exercise, and clinical problem-solving to address each patient’s specific needs. He especially enjoys working through challenging conditions and helping patients achieve meaningful, lasting improvements in mobility and function.

Having grown up in a rural community, John feels a natural connection to the people and communities of Western North Carolina. His upbringing has given him an appreciation for the values, work ethic, and lifestyles of the patients he serves, as well as the importance of maintaining the physical ability and independence needed for their daily lives.

John lives in Weaverville with his wife and three children. Outside the clinic, he enjoys backpacking, hunting, fishing, cooking, and spending time with his family, particularly supporting his children in their activities.

Jennifer Black, DPT

Jennifer Black moved to Western North Carolina in 2009 to attend the University of North Carolina at Asheville, where she competed as a Division I student-athlete on the cross country and track and field teams. She graduated in 2013 with a Bachelor of Arts in Psychology before earning her Doctor of Physical Therapy degree from Western Carolina University in 2017.

From the beginning of her career, Jennifer knew she wanted to practice in an outpatient setting that emphasized comprehensive, individualized, one-on-one care. This commitment led her to join Hot Springs Health Program (HSHP) in June 2017, where she has continued to develop her clinical skills and build lasting relationships with her patients.

Jennifer earned her certification in dry needling in 2023, expanding the treatment options she offers for musculoskeletal pain and dysfunction. That same year, she experienced rehabilitation from a different perspective after undergoing shoulder surgery and receiving physical therapy from her fellow therapists at Hot Springs Health Program. This personal experience further strengthened her appreciation for the rehabilitation process, and the challenges patients face during recovery. Jennifer’s most rewarding aspect of being a physical therapist is helping people pursue the activities they enjoy without physical limitation or pain.

Jennifer lives in Weaverville with her husband and daughter. In her free time, Jennifer continues to enjoy long-distance running and spending time outdoors with her family in the beautiful mountains of WNC.

Erin Passarello, PT, CST-T

Erin Passarello graduated from Western Carolina University in 2006 with a Bachelor of Science in Recreational Therapy. The program’s strong emphasis on science and human movement sparked her interest in pursuing physical therapy, leading her to earn her Master of Physical Therapy degree from Western Carolina University in 2009.

Throughout her career, Erin has gained experience in a variety of clinical settings, including long-term acute care hospitals, skilled nursing facilities, and outpatient orthopedic clinics. She spent the first four years of her career working in an outpatient clinic specializing in chronic pain and fibromyalgia, an experience that helped shape her understanding of complex, long-standing conditions and their impact on patients’ daily lives and overall well-being.

In 2015, Erin earned her Techniques-Level Certification in CranioSacral Therapy through the Upledger Institute. She has developed particular expertise in treating patients with chronic pain, migraines, concussions, and temporomandibular joint (TMJ) dysfunction. Erin values the opportunity to provide individualized, one-on-one care, taking the time to understand each patient’s symptoms, concerns, and personal goals. She finds it especially rewarding to work with individuals who have struggled with persistent or difficult-to-manage conditions, helping them find relief, improve their quality of life, and regain confidence in their daily activities.

Erin lives in Marshall with her partner, their dog, and their cat. An outdoor enthusiast, she enjoys hiking, biking, camping, traveling, and just about any opportunity to spend time outside.

Noah Reese, PT, DPT

Noah Reese grew up in the mountains of Asheville, North Carolina. He attended Western Carolina University, where he studied Secondary Science Education with a concentration in Biology. Following graduation, Noah pursued his interest in teaching and international travel, working as an educator in Thailand and Kenya before returning to the United States to earn his Doctor of Physical Therapy degree from Marshall University.

Since completing his doctorate, Noah has gained extensive experience in outpatient orthopedics, working as a traveling physical therapist in clinics throughout the country. His time practicing in different communities has provided exposure to a variety of treatment approaches, patient populations, and musculoskeletal conditions. He joined Hot Springs Health Program (HSHP) in October 2026.

Noah has completed specialized training in the McKenzie Method of Mechanical Diagnosis and Therapy (MDT), with an emphasis on evaluating and treating neck and back dysfunction. His background in education influences his clinical approach, as he places particular importance on helping patients understand their conditions and take an active role in recovery. He enjoys collaborating with patients to develop practical treatment strategies that improve movement, reduce pain, and support long-term independence.

Outside the clinic, Noah enjoys traveling, mountain biking, road cycling, hiking, good conversation, and spending time outdoors with friends and family.