Tony Bruni, Physiotherapist

I am a physiotherapist and the owner of Generations Sport & Spine Physiotherapy Centre Inc. I graduated from the University of Western Ontario in 2000 with a degree in Medical Biophysics and I completed my Masters in Physical Therapy and Doctorate in Physical Therapy at D'Youville College in Buffalo, NY in 2003 and 2006 respectively.

During my time as a practicing physiotherapist, I have continued to expand my knowledge and clinical skills in various areas. I have completed my Spinal Manipulation Certification through the Spinal Manipulation Institute, became Graston Technique certified and I perform Contemporary Medical Acupuncture, a skill acquired through the Acupuncture Foundation of Canada. I have extensive training in a wide variety of treatment techniques which allows me to choose the best intervention for each patient.

I work with patients individually and focus on a "hands-on" approach to patient care with additional modalities including laser and ultrasound. In my opinion, physiotherapy has been an underrated service in this area and I am determined to educate the community on the benefits of physiotherapy by providing individualized treatment unparalleled by other services in the area. Here at Generations Sport and Spine, we take great pride in helping people feel better and strive to improve your ability to function to your maximum potential.

We are truly passionate about what we do and care about your quality of life. After 15 years of experience in the field, I realize how frustrating pain or loss of function can be and how this affects your ability to do the simple daily tasks we take for granted. We provide the care you need and one visit to Generations Sport and Spine will have you convinced that this is the place to help you feel better, restore function and have you feeling confident that you are in the right hands.

Jackie Kellie, Physiotherapist

I am a Physiotherapist at Generations Sport and Spine Physiotherapy in Welland. I graduated with a Bachelor of Science Honours Kinesiology degree from the University of Waterloo in 2007 and a Masters of Science Physiotherapy degree in 2010 from McMaster University. After my formal education, I have obtained my Level 1 Manual Therapy Certificate and began training for my Spinal Manipulation Certificate through the Spinal Manipulation Institute. I strive to provide one-on-one quality care that is key to a patient reaching their recovery goals. I enjoy every aspect of being a Physiotherapist from meeting new patients and understanding the cause of their pain and discomfort, to providing the most effective individualized treatment plans. My main goal is to make the patient feel that every visit will bring them one step closer to their recovery.

Charlotte Czepek, Physiotherapist

I am a physiotherapist at Generations Sport and Spine Physiotherapy in Welland. I graduated with a Bachelor of Science in Kinesiology from Brock University in 2015 and went on to graduate with a Master of Science in Physical Therapy degree from the University of Toronto in 2017. Throughout my educational career I have had many opportunities to be an active volunteer in the Niagara and GTA regions, giving me a sense of community values and an appreciation of the importance of building connections and understanding my community.

During my formal physiotherapy degree I have had opportunities to complete supplementary courses to further develop my professional career including becoming a K-Taping Therapist, sport physiotherapy taping, soft tissue release, athletic movement analysis, and most recently began pursuing the Bobath concept for neurological clients as well as the Advanced Orthopaedic Manual and Manipulative Physiotherapy Levels - Level 1.

I am passionate about all areas of physiotherapy and truly believe in the power of client education and empowerment as integral components of physiotherapy treatment as well as manual therapy and therapeutic exercise to help clients reach their personal goals. I look forward to working with you to assist in your return to work, function, or play.

Stojan Mirkovic, DPT, HBA, Cert. SMT, Registered Physiotherapist

Stojan obtained his Doctorate in Physiotherapy at D'Youville College, Buffalo, in 2016 after having completed his Bachelor of Arts with Honours in Kinesiology and Health Science at York University in 2012. His interest in physiotherapy sparked in 2009 after a knee injury, which led to surgery and subsequent course of rehabilitation.

Stojan is dedicated to his work, which entails an emphasis on manual therapy in addition to therapeutic exercise. He believes that as evidence-based medicine evolves, it is important not to lose the art of skilled hands-on therapy. He is a big proponent of functional strength, pain management, patient education and getting you back to doing the things you want to do.

Stojan obtained his certification in Spinal Manipulation through the American Academy of Manipulative Therapists and integrates these techniques into his daily practice. He has experience in treating all musculoskeletal conditions with a particular interest in spinal dysfunctions, sports injuries and chronic headaches. His goal is to help you achieve your goals through a detailed assessment and plan of care tailored to your needs.

Tayler Cimek, Physiotherapist Resident

I am a Resident Physiotherapist at Generations Sport & Spine Physiotherapy and am currently at both the Welland and Niagara Falls locations. I graduated from Brock University in 2017 with a Bachelor of Science in Kinesiology and obtained my Masters of Science in Physiotherapy at McMaster University in 2020. I am fortunate enough to have become a recently published author in BMJ Open Sport & Exercise Medicine in 2020 as well.

I have been fortunate enough to have gained some incredible experience in the Niagara Region through volunteering and various placements in settings such as oncology, neurological and orthopedic rehabilitation. Following the opportunity to take an advanced orthopedics course through McMaster, I developed a passion for musculoskeletal rehabilitation. I strive to create treatment plans based on each unique client through the development of shared goals. I am so excited to have joined the Generations team and look forward to continuing to advance my career through courses such as spinal manipulation.


  1. Rathbone T, Truong C, Haldenby H, Riazi S, Kendall M, Cimek T et al. Sex and gender considerations in low back pain clinical practice guidelines: a scoping review. BMJ Open Sport & Exercise Medicine 2020; doi: 10.1136/bmjsem-2020-000972

Nicole Last, BSc (Hons), MSc, CPT, R.Kin

I have been involved in the health and fitness industry for 10+ years. After graduating from Niagara College and obtaining a Diploma in Fitness and Health Promotion and a designation as a Certified Personal Trainer through CSEP (Canadian Society for Exercise Physiology), I then attended the University of Guelph-Humber and obtained an Honours Bachelor of Science in Kinesiology degree. After a couple of years working in various settings (fitness facility, residential therapy, private healthcare), I then completed my Master's in Rehabilitation Science at McMaster University, conducting research in the stroke rehabilitation sector. I have a passion for helping people to better their health, both mentally and physically. I enjoy the outdoors, practicing yoga and mindfulness meditation, boxing, and volunteering with the dogs at a local Humane Society. In addition, I am registered with the College of Kinesiologists of Ontario as a Registered Kinesiologist (inactive) and have sat on both the Inquiries, Reports, and Complaints Committee and the Item Writing Committee with the College. I work part-time at Generations and also work for McMaster University in Education and Research.


  1. Last, N., Tufts, E., & Auger, L. (2017). The effects of meditation on grey matter atrophy and neurodegeneration: A systematic review. J Alzheimers Dis, 56(1): 275-286.
  2. Last N, Packham T, Gewurtz R, Letts L, & Harris JE. Looking beyond the scales of participation: Exploring patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation [submitted for publication; under review].
  3. Last N, Packham T, Gewurtz R, Letts L, & Harris J. Still inactive and alone: A call for action on behalf of hospitalized stroke rehabilitation patients [in preparation].
  4. Galway S, Last N, Parker O, & Gammage K. Tone it down or tune it out? The focus of instructor cues on body image, enjoyment and intentions to return during a group exercise class in older adults [in preparation].

Sarah Krowchuk, Physiotherapist Assistant

I am a Physiotherapy Assistant at Generations Sport and Spine Physiotherapy. At an early age, I knew I wanted to help people but I was not sure how, until one day a hockey injury landed me in the Generations waiting room. From my first appointment on, I knew this was the field I wanted to work in. I graduated from Niagara College in 2018 as an Occupational Therapy & Physiotherapy Assistant and have had the pleasure of working with Tony and the Generations team since 2018.

Stephanie Fisher, Physiotherapist Assistant

Bio and Photo Coming Soon...

Karli Carey, Registered Massage Therapist

Bio Coming Soon...

Mark Mammarella, Bach of Kinesiology, Certified Personal Trainer

As an owner/operator of a sports nutrition and health food store for 12 years, being a nationally qualified body builder and having been in the business over 20 years, I bring knowledge and hands-on experience to help anyone achieve his or her goals. I believe in hard work and discipline. No Gimmicks! No short cuts!

Kyle Camposarcone. Certified Exercise Physiologist

I have been part of the Generations staff since 2015 and it's been a very memorable and enjoyable experience working here. Before I started working at Generations, I was a full-time student at Brock University where I graduated in the field of Physical Education/ Kinesiology. After completing my Bachelor's degree from Brock, I attended a post-graduate program at Niagara College in Exercise Science for Health and Performance. I then completed my certification exam and am a Registered Exercise Physiologist. I love working in a physiotherapy clinic where I can help patients improve their physical well-being.

Tina Ketler, Kinesiologist

Bio and Photo Coming Soon...

Shelby Bruni, Office Management

Over 6 years ago, I ventured into Office Management with Generations Sport and Spine Physiotherapy with little knowledge about organizing the daily operations of a health care centre. I have learned so much over the years with the support of great staff and good friends/colleagues. I thoroughly enjoy working with each staff member to ensure that we create a happy and healthy work environment in which we can provide the highest quality of care to our clients.

Linda Masi, Office Management

Bio Coming Soon...

Monica D'Amico, Reception/Medical Billing

Before assuming the Reception position in 2013, I was a patient at Generations Sport & Spine Physiotherapy! I know firsthand the benefits of hands-on physiotherapy treatment in rectifying an issue that occurred from working at a previous desk job. I have recently transitioned to more behind the scenes work to help keep our great staff at these two busy clinics on track. Good physiotherapy has become part of my life to help keep me active and able to keep up with the grandchildren!

Krissy Wincott, Reception

Bio Coming Soon...

Jamie Monroe, Bookkeeping/Medical Billing

With over 10 years experience in finance, I had the pleasure of joining the Generations Sport and Spine team over 5 years ago to do Medical Billing. I thoroughly enjoy the family dynamic that has been created within the business.

I look forward to continuing to be a part of a team that works so well together to help others.

Jennifer Santostefano - Office Management

Annette Santostefano, Reception/Medical Billing

Bio Coming Soon...

Alex Nazartchyk, Pedorthist

I am a Canadian Certified Pedorthist at Generations Sport and Spine Physiotherapy in Welland and Niagara Falls. I graduated with a Bachelor of Kinesiology degree with honours from Brock University in 2016. After graduating, I was able to join the Generations team for 3 years, where I decided to enhance my education by going back to university. I graduated from the University of Western Ontario with a diploma in Pedorthics in 2019. During the completion of my diploma, I had many practical experiences where I worked closely with other Canadian Certified Pedorthists, allowing me to obtain knowledge in different areas of my profession. As a Pedorthist I strive to provide high quality patient care where the goal is to alleviate pain and improve quality of life.

Jared Burke, Kinesiologist

I am a Registered Kinesiologist at Generations Sport and Spine Physiotherapy. I graduated from Lakehead University in Thunder Bay, Ontario, with an Honours Bachelor of Kinesiology degree in 2018. Wanting to further my education, I pursued a postgraduate Diploma Program at Lakehead while completing a placement program at Generations Sport and Spine Physiotherapy. As a Registered Kinesiologist, I plan to further my knowledge and clinical expertise in the realm of concussion treatment and testing, injury prevention and management, as well as athletic sports and conditioning programming.

Karley Gatta

Bio Coming Soon...

Meghan Deprez

Bio Coming Soon...

Laurissa Durham

Before joining the Generations team I was a patient for four years. While I was on maternity leave I decided to switch career paths and took the plunge to do something I thoroughly enjoy. While on maternity leave I completed my personal training and shallow & deep h2o instructor certification! Having always been a fitness enthusiast this was always a goal of mine! I am so excited to join the Generations team, help you reach your goals, and offer support in any way!