Physical Therapy

Massage Therapy





1537- D Penman Rd.

Jacksonville Beach, FL 32250


About Us

At In Balance, we specialize in providing individualized attention to all clients & only offer small group, private or semi-private classes. All of our therapists are licensed by the state and our instructors are all certified.  

We were THE FIRST Fully Equipped Pilates - Based Physical Therapy facility in Jacksonville Beach. We have grown and expanded to now offer Yoga, Massage Therapy and will soon be offering Women's Health Physical Therapy. 

In Balance specializes in providing you with a unique approach to help you reach your rehabilitation and wellness goals.

Amy McIver, PT, DPT, Certified Pilates Instructor

A classically trained ballet dancer and licensed physical therapist, Amy has been practicing Pilates for 15+ years and has been a certified Pilates instructor since 2004.  She founded In Balance Physical Therapy in 2006 in Wilmington, NC maintaining a focus on Pilates-based rehabilitation.  

Amy graduated with a bachelor of science degree in Kinesiotherapy from the University of Southern Mississippi in 2001 and Doctor of Physical Therapy degree from the University of St. Augustine for Health Sciences in 2004. Amy underwent an intensive traditional based Pilates Certification in 2004 and has completed multiple other Pilates training courses through PHI, Polestar and Balanced Body.

She has attended multiple continuing education courses, and has practiced a wide variety of physical therapy techniques including, but not limited to manual, orthopedic, sport related, vestibular, neurological and pediatric therapies. As a result, Dr. McIver is knowledgeable of a wide range of diagnoses and conditions and can tailor each evaluation and treatment to meet the client's needs.

Michelle Rosenbaum, PT, Certified Pilates Instructor

Michelle is originally from New Jersey, raised just east of Philadelphia. She migrated south to attend Florida State University in 2000, where she earned her BS in Exercise Science. After recognizing her love for sunny Florida, she chose to remain in the state and attended University of Florida, where she graduated with her Masters in Physical Therapy. 

Michelle was raised in a family where exercise and an active lifestyle were routine. With many of her family being in the healthcare field, she recognized early on the  importance of mobility and the impact it has on someone's quality of life. Because of that, physical health has been a vital part of Michelle's way of life.

Michelle actively practices Physical Therapy and Pilates, enjoying them both individually and blended together. The combination of a Physical Therapist's training and the fundamentals of Pilates, creates a powerful mind and body work out. Michelle looks forward to helping any individual looking to improve their flexibility, strength, core stability and/or balance!

Certifications:  BS in Exercise Science, Masters of Physical Therapy, Certified Healthcare Coach, Certified Pilates Instructor, Certified Senior Strength Trainer.

Leigh Caruso, PT, DPT

Leigh Caruso is a licensed Physical Therapist with primary focus in orthopedics, Pilates rehabilitation, manual therapy, and dance medicine. A native of Huntsville, AL, Leigh completed her undergraduate degree at Vanderbilt University in Nashville, TN graduating with a Bachelor of Science in Psychology and Philosophy in 2007. A classically trained dancer, she served as the Director of Dance Education for a nonprofit performing arts venue early in her career where she developed a dance outreach program in conjunction with physical therapists to provide dance education to children with special needs. Leigh also trained professionally in New York City and Italy, but suffered an injury while dancing that eventually led her to Pilates-based rehabilitation where she soon found her calling. She then returned to school to pursue a career in physical therapy knowing that she ultimately wanted Pilates to be a central part of her practice.

She received her Doctor of Physical Therapy degree from the University of St. Augustine for Health Sciences in 2016 graduating with Honors and a focus in orthopedic manual therapy. She completed her Comprehensive Pilates for Rehabilitation training on all apparatus through Polestar® Pilates in 2017.

Dr. Caruso is also an Assistant Lab Instructor at the University of St. Augustine in the Flex Program. She is an active member of the American Physical Therapy Association (APTA), International Association for Dance Medicine & Science (IADMS), Performing Arts Medicine Association (PAMA), and the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT). She is currently working toward her Manual Therapy Certification (MTC) through the University of St. Augustine with anticipated certification in Fall 2018.

Leigh has a passion for integrating physical therapy, Pilates, and manual therapy to provide a holistic and individualized approach to treatment. She loves working with clients to encourage mind body awareness and to promote conscious and safe movement. She has a special interest in dancer rehabilitation, as well as the prevention of dance related injuries, especially among young dancers.

Hilary Libman, BS, Certified Pilates Instructor

Hilary Libman is passionate about sharing her voice through movement and helping others to do the same. She received her Pilates certification through Balanced Body and has been teaching group classes and working with private clients since 2011.

Hilary is a professional dancer with Jacksonville Dance Theatre and also teaches dance workshops at various schools, companies and studios throughout the state of Florida, New York and California.  She served as artistic director of the non profit organization Braided Light Dance Project from 2011 to 2014 specializing in artistic collaboration, community outreach and site specific choreographic projects.  As a professional dancer, she has appeared with such companies as the Illinois Ballet, Sarasota Ballet, and West Florida Ballet also setting original choreography for the Illinois Ballet & West Florida Ballet. She received her training from Alvin Ailey American Dance Theater, Sarasota Ballet, West Florida Ballet, Royal Academy of Dance, Pinellas County Center for the Arts at Gibbs High School, Dance New Amsterdam and Balance Body University.

Hilary graduated from Jacksonville University cum laude with a bachelors degree in dance. While at JU she was awarded the Choreography & Composition Award and her choreography was chosen to represent Jacksonville University at the American College Dance Festival. In her free time Hilary enjoys traveling the world with her husband, Jared, and their two children.

Alma Largey, RYT 500

Alma Largey has been teaching yoga for the past seventeen years, with a style that combines compassion and grace with spirit and breath. She teaches a vigorous, playful, and spirited flow-style Vinyasa classes, which emphasizes breath awareness, mindfulness and alignment. Alma encourages her students to observe their breath and practice on and off the mat to uncover their innate truth, gentleness and beauty. Classes are mixed level, and challenge students to develop their physical practice while widen their mental and spiritual path. 

She has been certified by OM Yoga Center in New York City (200-hour) as a Vinyasa teacher and by the Himalayan Institute (500-hour) with a Hatha Yoga Certification. In addition, she is certified as a Prenatal Yoga teacher by Janice Clairfield.  Alma's additional yoga studies have been with Rodney Yee (Advanced Teacher Training) and François Raoult. She has completed an in-depth program of meditation practice at The Shambhala Meditation Center, in New York. Since 2009, she is a student of the ancient teachings of the Bon tradition of Tibet, under Genyen Tempa Dukte Lama. 

She has been frequently, interviewed and featured in a series of articles for the American Baby Magazine and consulted by Robin Aronson for the Whole Pregnancy Handbook. In November 2008, she published "Children on the Spectrum: A Journey" a book and DVD on Yoga and Autism.  More information:

Kristen Huth, RYT 200

Kristen is a 200Hr Certified Yoga Instructor with her 500Hr+ in progress with Yoga Medicine. She is a surfer, traveler and health guru. With almost 10 years of practice and 3 years of teaching experience, Kristen's style of teaching is anatomy oriented with the limitations of the body in mind. Her classes are strengthening as her taste for inversions & fun energetic vibes collide. She brings her love of life kind of spirit into her classes. You can also find Kristen teaching surf and stand up paddle board lessons at Jax Surf and Paddle. Kristen Huth was looking for a way to bring the theraputic affects of a yoga practice to the community with the intention to encourage beginners to try yoga at least once.

Roxanne Walker, LMT

Mandy Fitzwater, RYT 200

Mandy discovered yoga in 2012 during pregnancy with her first son. After taking a break for postpartum, she turned to vinyasa as her first means of exercise and relaxation. She immediately fell in love with the connection and balance of movement and breath. Mandy decided after 2 years of daily asana practice to leave her full time job to pursue teaching yoga. She received her 200hr RYT in 2014 and has been teaching all around Jacksonville since. She leads classes for every body & has a background in restorative, yin, vinyasa, power & prenatal yoga. In her spare time you can find Mandy in her garden, the kitchen or out in nature. Her hobbies include all forms of exercise, travel, music festivals & cooking.