Meridian 
(208) 898-0988
68 S. Baltic Place
Meridian, ID 83642
Mountain Home 
(208) 587-8255
245 N. 3rd E.
Mountain Home, ID 83647

Our Healthcare Professionals

Rachelle Ruffing

Rachelle Ruffing
Owner; Speech-Language Pathologist

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Rachelle is the owner of Advanced Therapy Care and has operated this practice since 2003. She earned her Master's Degree in Speech Pathology in 1997 and a Masters of Education in Human Exceptionality in 1998. Rachelle has practiced in the field of speech pathology for 16 years. Her areas of expertise are Adult and Pediatric Dysphagia, as well as Infant and Toddler communication delays. Rachelle lives in Mountain Home with her husband and four children. She enjoys scrapbooking, camping and spending time with friends and family.

Dr. Chad Hilmo, OTD, OTR/L

Dr. Chad Hilmo, OTD, OTR/L
Clinical Director

Dr. Chad Hilmo, OTD, OTR/L earned his Doctorate of Occupational Therapy from the University of Southern California (USC). Prior to his Doctorate, Chad completed his Post-Professional Master’s Degree from USC and BSc (Honours) Occupational Therapy Degree from Coventry University, located in England, where he resided for nearly 10 years. In furthering his education, Chad became Sensory Integration Praxis Test Certified (SIPT certification) and also initiated research with at-risk youth. Over the years, Chad has worked with quite a few different populations from pediatrics to adults, but has always had a passion for working with kids and youth. Chad has worked with various diagnoses and limitations, including: deaf, blind, emotional disturbance, post-traumatic stress disorder, oppositional defiant disorder, autism, intellectual disabilities, cognitive delays, sensory dysregulation, Cerebral Palsy, Down syndrome, children with complex behaviors and those with emotional regulation challenges.

Chad has voluntarily run large multi-city youth groups as well as set up, promoted, organized and ran a non-profit fitness series to target childhood health and well-being. Most recently, Chad set up and developed an Occupational Therapy division within a non-public school system to expand its operations across many sites. Throughout his life and career, Chad has enjoyed working with people, whether it be in the form of management, peer-to-peer interactions and in working directly with clients and their families. In his free time Chad loves to travel, explore the outdoors, and enjoys time with his wife and three kids.

Brei Riley

Brei Riley
Administration

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Office Location: Mountain Home

Brei was born and raised in Mountain Home. She has been working at Advanced Therapy Care since 2009. She currently lives in Mountain Home with her husband and two boys. On her spare time she enjoys reading, running, doing puzzles, and spending time with her family.

Dani Russell

Dani Russell
Administration

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Office Location: Mountain Home

Dani was born and raised in Mountain Home, Idaho. After graduation she attended The College of Southern Idaho and received her certification for Emergency Medical Technician. She has been working for Advanced Therapy Care since 2017. In her spare time she enjoys hiding horses and hanging out with her family. Dani lives in a rural town an hour outside of Mountain Home where she lives with her husband Steven and their son Ridge, who was born in September 2019, their 5 dogs, and their many other animals on their 100+ year old family ranch.

Skylar Luna

Skylar Luna
Administration

Office Location: Meridian

Skylar was born and raised in Heyburn, Idaho. After graduating highshool, she moved to Boise to attend Boise State University. In 2018 she obtained a Bachelor of Kinesiology degree with an emphasis in exercise science.  She has a passion for helping others and she enjoys volunteer work in her free time.  She also enjoys spending time with her loved ones, exercising, crafting, interior design, and obsessing over her two rescue dogs Oakley and Panda.

Madeline Ray

Madeline Ray
Administration

Office Location: Meridian

Madeline grew up in Clackamas, Oregon and moved to Boise in 2013 to go to Boise State. In 2017, she graduated with her Bachelor's of Science in Health Studies, with an emphasis in gerontology and a minor in Psychology. Although her degree is in the geriatric population, she has always loved being around kids and wanted to work with them. In her free time, Madeline and her husband like to take their dog on hikes, barbecue with friends and go camping.

Dr. Tiffany McMillan

Dr. Tiffany McMillan
Physical Therapist

Dr. Tiffany McMillan, PT, DPT, a pediatric physical therapist, joined the Advanced Therapy Care team in January 2019. Tiffany attended Texas A&M University, where she earned her Bachelor of Science in Kinesiology in 2003. In 2006, she graduated with her Doctorate of Physical Therapy from the University of Southern California. For 14 years, Tiffany has worked in a multidisciplinary outpatient pediatric clinic setting, specializing in early intervention. She is able to recommend a variety of equipment, including orthotics, shoe wear, custom orthoses, Kinesio taping, walkers, gait trainers, and cranial reshaping helmets. She has extensive experience with hypotonia, torticollis, prematurity, idiopathic toe walking, respiratory dysfunction, and global delays.

Tiffany and her family relocated to the Treasure Valley in 2018 to enjoy all that Idaho has to offer. Tiffany is married and has four children of her own. When she is not treating, Tiffany enjoys taking family adventures, cooking global cuisine, drinking coffee, and reading.

Dr. Jacob Gibson

Dr. Jacob Gibson
Physical Therapist

Dr. Jacob Gibson, PT, DPT initially graduated with his Bachelor’s Degree in Public Health from BYU-Idaho in 2017. Furthering his education, he earned his Doctorate of Physical Therapy in May 2020 from Idaho State University. Jacob has a passion for working with children of all ages and enjoys making their play therapeutic through guided movement patterns and positioning techniques. He has always had a love for working with kids and this was his focus throughout his education. That focus led him to experiences including participation in an Interdisciplinary Pediatric Evaluation Team and exposure to multiple pediatric clinics and therapy techniques. He has worked with a range of diagnoses, including Cerebral Palsy (CP), Chiari Malformation, Agenesis of the Corpus Callosum, Rubinstein Taybi Syndrome, Charcot Marie Tooth, Hydranencephaly, Spina Bifida, Torticollis, Idiopathic toe walking, childhood orthopedic injury, and Global Developmental Delay. congenital, neurologic, or genetic disease resulting in severe impairments.  Jacob is passionate about working with kids because he feels they deserve to be able to function to their full capacity! He feels he is able to help them in a very playful way because their job is to have fun while learning and developing. Jacob is fluent in Spanish and is always eager to use that skill to enhance the quality of his care. He has two beautiful daughters of his own at home. In his free time, he enjoys getting outside for walks and camping with his family.

Jessica Espinosa

Jessica Espinosa
Physical Therapy Assistant

Jessica graduated from the College of Western Idaho in 2018. She has been a PTA since 2018. Since graduating, She has worked in skilled nursing facilities, which has allowed her to gain experience in neuro re-education, gait training, balance training, stroke rehab, and manual therapy techniques. Jessica has a passion for exploring and expanding her experience in neuro re-ed. She received additional continued education course certifications in stroke rehab, dementia care, pulmonary rehab, E-stim and ultrasound application/use. She has always been passionate about working with kids from her youth up into adulthood, especially through various volunteer children ministries through her church. She loves to see the world through children's eyes, the joy and happiness they bring, and the satisfaction of knowing what a huge impact can be made when they are young that they can carry with them through their life. Jessica also believes that children are a special gift from God and should be treated as so. She loves to be active such as playing sports, specifically recreational volleyball, and soccer, exploring the outdoors, traveling, and spending time with family and friends. Jessica is also involved in children’s ministry through her church on Sundays, and this makes up a huge part of her life.  She loves traveling to Argentina and visiting all her family, which consists of over 60 family members in the same town!

Elliot Starcevich

Elliot Starcevich
Occupational Therapist

Elliot graduated from the University of Texas Health Science Center San Antonio in 2015. For the majority of his career, Elliot has been working in Pediatrics, with a year experience in working with adults. Prior to becoming an OT, he was a teacher and loved educating, teaching and helping others in that role. Whilst teaching he felt he wanted to impact children in a different way, which led him to discovering OT. He enjoys working with kids because they bring him so much joy and feels he is making a huge difference. He loves how fun they are to be around and that they are teachable. Whilst living in Texas several years ago, Elliot was able to volunteer at a wheelchair clinic in Del Rio, Texas, assisting to distribute donated wheelchairs to kids and would help coordinate with the families in this process. The families were citizens of Mexico and were permitted to cross the border to receive these goods and services for these projects.

Following OT school, Elliot visited Acuña, Mexico where he was part of a work crew that built a house for a family in need. Elliot continues to volunteer in working with children in a variety of ways and through his church. After graduating, Elliot has continued to develop and further his clinical experience and expertise, becoming certified in the bal-a-vis-x program which comprises 250 exercises aimed at engaging the whole mind-body system for improved function. He was also certified in SAMA SATORI which is a de-escalation program targeting client aggression management and self-defense techniques against self-harm. When able, Elliot loves to travel and explore.

Sami Milburn

Sami Milburn
Certified Occupational Therapy Assistant

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Sami is a Certified Occupational Therapy Assistant (COTA) who has been working with Advanced Therapy Care since 2017. She earned her Bachelor's Degree in School and Community Health Education in 2006 from the University of Idaho. After working for a few years and finding a passion for helping others, especially children, she decided to go back to school and received her Associate’s degree for Occupational Therapy Assistant in 2015. She has been working in pediatric outpatient clinic’s since graduating and has assisted with school contracts.

Sami continues to broaden her knowledge on various topics and diagnosis through continuing education classes and workshops; sensory integration, implementing play-based therapy, and strategies for various behaviors. Sami enjoys working with kids of all ages on pre-academics, fine motor and gross motor skills for increased success in school settings, the community, and ADL’s. Outside of work she enjoys spending time with friends and family, outdoor activities, and volleyball. Sami lives in Boise with her husband and beautiful daughter.

Gretchen Smith

Gretchen Smith
Certified Occupational Therapy Assistant

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Gretchen is a Certified Occupational Therapy Assistant (COTA) that earned her Associates Degree with Honors from Pima Medical Institute in 2016. Since graduating she has worked with children through adults in a variety of settings, including: schools, Post Acute Rehab and in clinical settings. Since graduating she has continued to further her clinical skills by being trained in the BAVX program which comprises 250 exercises aimed at engaging the whole mind-body system for improved function. She has engaged in continuing education opportunities with an emphasis in Autism, ADHD, and emotional & learning disabilities. Gretchen is passionate about helping and watching kids grow. She loves to help them build optimal success through improved self-confidence, skill development and improved ability. As she helps others to achieve their goals, it helps bring joy and happiness into her own life. Gretchen loves being a COTA and using her abilities to help others. She loves to explore the outdoors, local events and activities with her son. She enjoys gardening, crafting, helping within the community, helping to make others smile, doing ceramics, art and loves Boise State Football!

Wendy MeGuess

Wendy MeGuess
Occupational Therapist

Wendy was raised in Silverdale, WA and graduated from the University of Puget Sound with a degree in occupational therapy in 1991. She chose occupational therapy as a career because she wanted a job where she could really make a positive difference in an individual's life. She loves working with the animated, energetic children here. She feels it is a privilege to help them to become more connected, efficient, and comfortable in their bodies so that they can optimize their growth and participation in self-care, play, and school; their occupations.

Wendy really enjoys learning and has completed over 200 hours of continuing education in pediatric occupational therapy. She has begun the extensive process to earn a certification in sensory integration treatment in 2019 and is wanting to specialize within this area of practice. Wendy feels she had a wonderful professional and personal growth experience in 2018 when she spent 3 months in Ecuador working in a private pediatric occupational therapy clinic. It is a beautiful country and she hopes to see more of it someday.

Wendy likes to be outside in her free time gardening, backpacking, mountain biking, skiing, snowshoeing, and walking my cocker spaniel and my beagle. She also enjoys yoga and baking at home where she lives with her husband. She has 4 grown children, having 2 right here in Boise, with her other two in CA and Louisiana, as well as 1 grandson also in Louisiana.

Heather Ybarlucea

Heather Ybarlucea
Speech-Language Pathologist

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Heather received her Master of Science degree in Speech-Language Pathology from Idaho State University in 2015. She also has a Bachelor of Science degree in Psychology from the University of Idaho. As well as providing Speech Therapy through the Idaho Infant Toddler Program for ATC, Heather is also our Kids Connect Program Coordinator, which is a therapy driven learning based program for preschool aged kids. She enjoys treating clients of all ages, but especially enjoys working with preschool age children. Heather is listed as a trained Autism Navigator provider in the Boise area, having had extensive training in working with and treating preschool age children with autism. Heather has also completed level 1 training in Picture Exchange Communication System (PECS), an evidence-based treatment for children with autism. For those appropriate, she provides teletherapy services to preschool age children through Advanced Therapy Care. Heather knows her last name is difficult to pronounce, and feels that you get to graduate from speech therapy as soon as you can say it. A lifelong Idahoan, Heather has been able to participate in many of the amazing activities Idaho has to offer including skiing, camping, and whitewater rafting. She spends her free time with her husband and two children doing projects around the house and exploring the Treasure Valley.

Taunya Bos

Taunya Bos
Speech-Language Pathologist

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Taunya has been a Speech Language Pathologist here at Advanced Therapy Care since September of 2008. She cannot think of a more rewarding career than helping people communicate! She loves the ability to meet and work with such a wonderful variety of clients of all ages and needs.  So many feel like family for her!  Outside of work, she keeps her husband (married in June of 2006) busy with many building projects that they can do together. She was blessed with 2 wonderful children. She has a beautiful daughter, Aaliyah (born in 2014) who plays basketball for Kuna High School, and a sweet son, Gavin (born in 2008) who likes to play video games and fish. When she can fit it in, she also enjoys playing volleyball, softball, and shopping (much to my husband’s dismay).  She cannot wait to see what God has in store for her and her future here at ATC.

Ashley Hansen

Ashley Hansen
Speech-Language Pathologist

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Ashley received her Master's Degree in Speech-Language Pathology in 2014 from Idaho State University. She joined the Advanced Therapy Care team in February 2015. Prior to entering the field, she spent three years overseas as an English language teacher working with students from preschool through adulthood. She continues to enjoy working with individuals of all ages and she has clinical experience in settings ranging from preschool to intensive care. She is currently working in our Meridian and Mountain Home clinics as well as with the Idaho Infant Toddler Program. Ashley has a passion for utilizing interventions to facilitate functional progress in the lives of those she works with

Terri Peterson

Terri Peterson
Speech-Language Pathologist

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Terri graduated from Abilene Christian University in 1983 with a BSEd and in 2014 with a Master’s Degree, M.S., in Communication Disorders. She is originally from southern California and enjoyed living in Colorado and Germany. She worked 2 years in home health speech therapy and has more than 10 years of experience working as a speech therapist in the public schools. Terri's areas of expertise include working with children with Autism Spectrum Disorders (ASD) using sensory integrative strategies, language therapy techniques including contextualized language intervention, blended with a whole language approach. Her speech therapy strategies include an emphasis on literacy and phonological awareness. Terri and her husband of 40+ years love to travel. They have 4 grown children and 2 grandchildren.

Teresa Johnson

Teresa Johnson
Speech-Language Pathologist

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Teresa earned her Bachelor’s Degree from Boise State in the 90’s and began working as a chef for more than 20 years. In pursuit of something more fulfilling and a desire to change career paths, she began assisting school aged children as a paraprofessional and quickly realized working with kids is where her passion is. In 2014, she completed the pre-professional program at Idaho State University (ISU) and continued pursuing her education, attaining her Master's Degree in Speech Language Pathology in the summer of 2018. Teresa has experience with early language, social communication, fluency disorders, speech and sound disorders and in working with individuals diagnosed with Autism. She continues to further her experience and knowledge in pediatric swallowing and feeding as well as other speech related educational courses. Teresa loves to help others. Working with each client brings her joy and she enjoys helping them improve their communication skills. Growing up, Teresa’s family was in the army and she lived in several locations within the US and in Germany and she feels this has given her a compassion for others and ability to have patience in challenging situations. In her free time, Teresa uses painting, photography and baking as creative outlets. Teresa has lived in Boise since 1986 and enjoys spending time with family, gardening, and hiking in the Boise foothills.

Jenny Simison

Jenny Simison
Speech-Language Pathologist

Jenny received her Master's Degree in Speech-Language Pathology from Idaho State University in 2019. Prior to becoming a Speech and Language Pathologist, Jenny worked in several Special Education classrooms and once her children were grown, she decided to pursue her passion of working with kids in a new way! She enjoys and treats children of all ages but has a passion for working with children birth to 5. For her, at this stage they are learning and growing so much. Each word, sign, or skill that is developed is something to celebrate. Each step forward is building the foundation for the rest of their lives. She really enjoys this part of the learning process for them. Jenny has always had a love for language and communication in all of its forms. She is an avid reader with a special love for older literature. A native Idahoan, Jenny grew up in North Idaho and has lived in Meridian for 15+ years. She enjoys spending time with her husband and three children. They all love to ski and love being on the mountain together. Jenny also loves yoga, crosswords, ducks, and squirrels. 

Cathy Saxey

Cathy Saxey
Speech-Language Pathologist

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Cathy earned her master’s degree in Speech-language pathology in 2018 through Idaho State University and enjoys providing communication services to both the adult and pediatric populations. She is particularly passionate about treating adults with aphasia as well as infants and toddlers with receptive – expressive communication delays.  Since earning her degree, Cathy currently has the opportunity to provide speech-language services in a variety of settings including in clinic, rehabilitation facilities and in home visits where she provides early intervention services to infants and toddlers through the Idaho Department of Health and Welfare.  Cathy also brings a psychology background to the field, which has been an asset in assisting others to improve their quality of life through increased self-awareness and advocacy of specific communication needs. Cathy enjoys time with her family, walks with her golden retriever, helping out friends, and any opportunity to explore the great big, beautiful world. 

Annie Abinanti

Annie Abinanti
Speech-Language Pathologist

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Annie graduated from the University of Nevada Reno in 2012. During her graduate program Annie worked with her neurogenic professor in setting up an AAC lab for her university and provided assessments at the local hospital for ALC and MS patients. She was also able to help create an assessment booklet in testing high-risk, low socioeconomic children for literacy-language challenges. Following graduation, Annie began as a traveling therapist, working in a few different states prior to settling in Idaho. Annie has experience working with multicultural populations and with a wide variety of disabilities and disorders, from feeding to fluency, articulation and/or language. Annie is skilled in all areas of speech and language with a specific interest in fluency (stuttering disorders), apraxia, and neurological conditions. Speech therapy is one of her biggest passions! She loves what she does, and she loves sharing her knowledge with others. She feels blessed to be in a profession to not only see huge improvements but learn from her clients. She feels everyone has a voice and she relishes in the moment where they realize words give them power to communicate or when they can regain that skill. There are few things better. Annie has furthered her training through DIR FloorTime approach program, 

Beyond helping others with communication challenges, she enjoys good food, exercising, eating clean and "healthy desserts" (yes, there is such a thing!), and enjoying the outdoors.

Stacy Flatt

Stacy Flatt
Speech-Language Pathologist

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Stacy received her Master of Science degree in Speech-Language Pathology from Idaho State University in 2017. Being a speech therapist is a second career choice for her. Stacy transitioned to be a speech therapist after a desire to further her passion for helping others, a love of language and her reflection on college linguistics classes. She enjoys treating clients of all ages, but especially enjoys working with the preschool and school-age populations. Stacy loves to work with kids because working with them is so fun and she enjoys learning and education. Stacy moved to Idaho in 2011 to be closer to family, after living in Arizona and New York City.  At home, Stacy enjoys knitting and other crafty pursuits, in addition to spending time with her family and pets.

Sherry Farley

Sherry Farley
Speech-Language Pathologist

Sherry attended Idaho State University and completed her Bachelor of Science in Communication Sciences and Disorders in 2014. And two years later, in 2016 she was able to complete her MSc in Speech Language Pathology Degree. Sherry has worked in a variety of settings including schools, private practice, home health and the state's Infant Toddler Program. Her areas of interest include early language intervention, speech sound disorders, oral motor disorders, ASD, and feeding. As Sherry has continued to keep her clinical skills up-to-date, she has sought out continuing education and certifications in OPT (Oral Placement Therapy) and she is also Beckman Oral Motor certified. Sherry has worked with a variety of age ranges, but especially enjoys working with the pediatric population. In her spare time, Sherry enjoys getting outdoors and spending time with her son and two fur children.

Eliza Gertlar

Eliza Gertlar
Speech-Language Pathologist

Eliza Gertlar is a speech-language pathologist who graduated from Portland State University with her M.S. in Speech and Hearing Sciences with a bilingual concentration in 2021. She grew up in Portland and attended all of her schooling in the Portland area, including both her Bachelors and Masters degrees. She received Bachelors degrees in Psychology and
Spanish. She moved to Meridian, Idaho with her husband and their beloved pup to begin her career as a speech-language pathologist and start their life together. She is passionate about working with all ages with strong interests in bilingualism, fluency and adult language disorders. She has been working at ATC since July of 2021, where she works primarily with children with speech and language disorders.

Brianna Clark

Brianna Clark
Therapy Aid

Brianna went to Utah State and graduated in 2021. She is in the process of applying to grad school for speech language pathology and she is very excited to continue the path to become a speech language pathologist. She received her CNA during her senior year of high school (2014) and worked in the school and nursing homes. She was able to see firsthand what speech language pathologists do and that’s where she fell in love with the profession. She loves watching the progress the children make. She loves seeing that light go off in them when they finally understand or feel like they can do something! Brianna loves working with them and building a relationship, and having them let her be a part of their journey to success. She loves meeting all the kids and finding out what makes them so unique and special. She loves hiking and exploring the outdoors. The outdoors is where she can find peace and be able to recharge. She loves playing soccer and will play it whenever she gets the chance (she played for 15 years, 8 of those years competitively). Brianna also loves spending time with her family, hammocking while reading a good book, and playing card games.