I came to Nick with sudden onset knee and hip pain. My orthopedic doctor keeps pushing surgery but I don't feel it's necessary as I'm very physically active and usually function quite well. Something I was doing in the gym seems to have set off this flare up of pain and dysfunction on the right side of my body. I did some research and chose to work with Rech Physio. I'm a very enthusiastic strength and functional trainer who needed someone with knowledge and experience in this area. Besides being a physical therapist, Nick has an athletic training background. I was looking for someone who would not throw the usual grandma exercises at me just because I'm over 50. After careful evaluation Nick was able to do some traction and teach me exercises to perform to help relieve hip impingement and weakness. This also relieved my knee pain! The PT was performed in a gym environment, where I was very comfortable, and he was able to accurately assess my abilities and limitations. I'm super happy with the outcome and can't recommend Rech Physio enough. Why on earth would I choose surgery when a little PT would do the trick?
-Alena Freeman
Nick was great to work with, helping me with exercises that quelled my knee pain and allowed me to move freely. I would highly recommend him!
-Susan Nickerson
Nick is an incredible human! He truly has your health and well-being in mind at every appointment. I never felt like just another patient. After my first elbow surgery, I didn't see much improvement in strength and mobility while under the care of another physical therapist. After the second surgery, I gave Nick a call to set up a consultation. It was so quick and easy to make an appointment. He is incredibly friendly and encouraging. It didn't take long for me to see improvements! Each session I not only worked to strengthen my muscles but he also gave me 'homework' to keep the process moving! I can confidently say I'm back to full health with my elbow thanks to Nick! I couldn't have asked for a better experience!
-Brittnnii Spiehs
I got referred to Nick by my chiropractor. I had been seeing another physical therapist for 3 months and did not see any improvements in my condition, and the therapist still didn't understand the cause of my pain. I visited Nick once, and he immediately diagnosed the problem correctly and prescribed a treatment regimen. At the time I visited him first, I could not take a 10 minute stroll and not experience extreme pain. 2 weeks of doing the exercises he prescribed for me made it possible for me to take a 5 mile hike and not experience any pain at all. I highly recommend Nick to anyone.
-Eryn Zerr
I started seeing Dr.Rech for a Sciatic Nerve issue. With a very physical job, it was very painful to go to work every day let alone get through the daily routine. We started with simple, effective, and easy to do stretches throughout the day to relieve pain and pressure. Within days I was feeling better, and after a few weeks back to my normal self. I highly recommend his services and appreciate what he has done for me.
-Jared Hoffman
I have been having hip pain (forever) and some lower back pain (recently). I would need to pop my hips 3-4 times a day and most definitely before I could fall asleep; and even then, the discomfort would wake me up in the middle of the night forcing me to roll over to the other side to sleep, and then that process would repeat itself multiple times throughout the night. After explaining everything to NIck, he gave me multiple exercises to do--all very simple and easy to do. Now I very rarely have any pain of discomfort in my hips, and I don't wake up in the night from a "soreness" in my hips which allows me to sleep so much better. Overall, it was such a great experience--I would HIGHLY recommend Rech Physio.
-Katie Beiermann
Welcome to Rech Physio
Move Better. Live Stronger.




























What We Offer
Find the right program for your goals, pace, and lifestyle.
Physical Therapy

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Recover faster with expert-guided rehabilitation and pain relief.
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Avoid surgery, reduce pain, and move with confidence in your daily life.
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We create personalized plans that fit your goals — whether you're an athlete or just want to walk without pain.
Older Adult Physical Therapy

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Stay active, steady, and independent as you age.
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Our expert team helps you reduce joint pain, improve balance, and feel confident moving again.
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You can come to us — or we’ll come to you.
Fitness Physical Therapy
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Get out of pain without missing workouts.
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Dial in your mobility and strength deficits and lifestyle factors — to fix the root cause.
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Ideal for those wanting to take control of their fitness.
Personal Training

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Busy? Tired? Out of shape? We've got you.
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Our coaching meets you where you are — helping you build strength and confidence without injury.
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Great for busy parents or anyone returning to fitness after a break.
24/7 Gym Access

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Work out on your schedule in a clean, uncrowded gym.
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You’ll get weekly programming and full flexibility to train when it works best for you.
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Ideal for those who want to stay strong and resilient — without rearranging their day.
Here’s who we’ve helped
Here’s how we help
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We Listen to You First
Your story matters. We meet you where you are.
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We assess your movement, strength, and balance to understand what your body needs.
A Plan That Fits You
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A Clear, Thoughtful Evaluation
We identify what to work on and guide you through the right steps to improve.
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We help your body get more balanced and resilient — with guidance and practice.
We Guide You Through It
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You Keep Getting Stronger
We progress your plan as you improve, and adjust it if we hit a bump in the road.
Meet Nick – The Heart Behind Rech Physio
Helping You Move Better, Live Stronger.
Nick Rech, PT, DPT, founded Rech Physio to help people move better, live pain-free, and stay active through every stage of life. With years of experience in physical therapy and strength training, Nick believes in personalized care that fits your goals not a one-size-fits-all plan.
9+
Years of Experience
350+
Clients Helped
95%
Return to activity rate

Dr. Nicholas Rech, PT, DPT, CSCS, CF-L1
Let's Connect
Location:
307 W 3rd St
Grand Island, NE 68801, USA
📞 : 308-380-3544
✉️ : nick@rech.physio