Within our practice, you will find a team of friendly, informative and knowledgeable staff, all whom are here to make your experience with us as comfortable, reassuring and efficient as possible. As for our expertise, our treatment staff is comprised of both physical and occupational therapists who are either certified hand therapists or on track to obtain their certification.

Here’s a who’s who of our practice:

Karen Nugent, PT, CHT, IMT, C
“When it comes to something as integral to our daily lives as our hands, the secret to successful healing is personalized care. We work with our patients to develop a treatment program that will combine the latest in proven techniques with all our years of experience in hands–on, skilled treatment to improve and sustain their quality of life.”

Karen Nugent, President and Founder.

In addition to having founded The Hand & Physical Therapy Center of Marin in 1989 I have over 25 years of advanced training and am a Licensed Physical Therapist, Certified Hand Therapist and Certified Integrative Manual Therapist. I have also developed ergonomic training programs and conducted individual workstation assessments for high profile corporate clients throughout the Bay Area.

I have served as an instructor for the Neuroorthopedic Institute and Dialogues in Contemporary Rehabilitation and am a nationally recognized speaker for the American Physical Therapy Association and American Society of Hand Therapists.

I have served on the board of the Hand Rehabilitation Section of the American Physical Therapy Association and have had my work published in the Journal of Hand Surgery, Orthopaedic Physical Therapy Clinics of North America and the Atlas of Clinical Reconstructive Microsurgery. I am an alumni of the San Francisco Symphony Chorus and in my spare time I am an active singer. In addition to my work with humans, I’ve expanded my interest to working in canine and equine rehabilitation.


Jilda Hellinga, PTA, IMT, C

Jilda Hellinga, PTA is a Physical Therapist Assistant and Certified Integrative Manual Therapist, who has worked in the practice since 1991. Jilda has a B.S, in physical education, an A.A. in the physical therapist assistant program and a M.P.A. with a focus on organizational change and development from California State University, Hayward. Jilda is currently enrolled in the Pacific Academy of Homeopathy and will graduate in 2011. Beyond work, Jilda has studied with a metal smith, gone to Zimbabwe to learn stone sculpting and taken classes on working with glass, jewelry and cement sculpture. She says her job is never boring and working with a diversity of people is both challenging and rewarding.

Please contact us to get all your questions answered


Lynda RolandLynda Roland, Office Manager

Lynda knows that a happy customer is always the top priority in any business, so she maintains that as her primary focus in the office.  She brings 20 years of experience managing medical offices to the Center, so that patients can expect to receive prompt, personalized and professional service. Lynda is a San Francisco native who lives in Marin.



Katie and Jake

Katie and Jake are Jack Russell terriers who run the clinic and belong to owner, Karen Nugent .Jake has been hanging out at the clinic since he was adopted at 6 weeks old. He is a sensitive dog who loves soft toys, Karen’s lap and gentle petting. Katie joined the family after being rescued from The Katrina Hurricane. She was adopted from the Marin Humane Society and has grown into a very sweet, friendly and loving companion, though she is still afraid of other dogs. Heaven, according to Katie consists of a beach, a ball thrower and a tennis ball.

Please contact us to get all your questions answered