Our Clinicians & Rehabilitation Associates


Our multi-disciplinary team of licensed and skilled clinicians including Physiotherapists, Chiropractors,  Massage Therapists, Podiatrist, Psychologist, Psychotherapist, Registered Nurse and others offer quality care for the relief of pain conditions and musculoskeletal injuries. Our facility is equipped with the latest equipment as well as diagnosis and assessment tools based on best practices.   Our standards of care are consistently delivered, so patients receive the best care possible.

SPINEgroup has a very competitive process when selecting our registered clinical rehabilitation team.  Upon selection, our rehab clinicians receive ongoing training and mentoring in our evidence based protocols.  Staff are audited and their performance evaluated to ensure use of best practices and compliance.  You will be case managed by both our clinical director and registered nurse. These measures ensures only the most qualified, experienced and skilled doctors and therapists are selected to provide your care.

Our approach is always individualized and highly patient focused. Our clinical management team has in-depth knowledge of  rehabilitative medicine with clinical skills to assess, diagnose and treat MSK injury or disability, with the goal of helping patients regain strength, function, movement and overall better quality of life.

SPINEgroup is  committed to excellence in clinical care and quality improvement to ensure we continue to provide quality services to clients and our community.

Clinical Director

Dr. Connie D’Astolfo, DC, PhD (candidate)

Clinical Manager

James D’Astolfo, BScN, RN

James is a registered nurse with a Bachelor of Science degree in nursing with honours from York University. James is also a certified coach practitioner from the Certified Coach’s Federation and certificate and holds advance foot care certification from St Clair College.  James provides rehab coaching to patients both in clinic and in the community. James also performs assessments such as in home assessments, attendant care assessments,  long term disability assessments, ergonomic assessments and case management. In 2012, James was recognized as a Top Nurse in the North York area by the International Nursing Association (INA) and was published in the renowned journal, Worldwide Leaders in Healthcare. James is also peer reviewer for the Canadian Nurses Association’s national magazine the Canadian Nurse and is a member of Registered Nurses Association of Ontario. You may reach James at the clinic at (905) 850-7746 x 67 or at james@spinegroup.ca.

Rehabilitation Associates:


Sandeep Sraw, RMT, MScPT,

Sandeep completed her Bachelor of Science in Physiotherapy and holds a dual license in Physiotherapy and Massage Therapy. Sandeep is in good standing with both College of Physiotherapy and the College of Massage Therapy of Ontario. Her treatment philosophy is based on evidence based practise, patient empowerment and patient self management. She strives to keep up to date on all the latest medical manual therapies, joint mobilization techniques, electrical modalities and exercise protocols. In her spare time, Sandeep enjoys yoga and keeping herself fit and healthy.

Varun Vasudeva, PT (resident)

Varun Vasudeva is a Resident Physiotherapist who graduated in 2004 from Guru Nanak Dev University with a Bachelor’s in Physiotherapy. Having worked in a variety of settings including hospital based physiotherapy, outpatient orthopaedic clinics, surgery, medicine, Pediatrics and Sports medicine, Varun brings a multifaceted perspective to treatment. He has experience of working with people with complex musculoskeletal conditions, athletes, post fracture, post surgery and spinal cord injuries.
Varun focus his treatment interventions on evidence based, patient centered approach. Varun consistently thrives to evolve his practice by merging the most current, evidence based literature with a holistic approach. He is passionate about his work and takes pride in connecting with his patients as they embark on their healing journeys.

Registered Massage Therapist

Kulwinder Saggi, BA, Msc PT, RMT

Kulwinder graduated from the Canadian College of Massage and Hydrotherapy in 2010 and has been practicing as an RMT for 8 years. Kulwinder has dedicated him-self within academia and pursued a Bachelors of Arts with Honours in health studies at York University in 2015. Following that, he completed his Masters of science in physiotherapy in 2018. Kulwinder highly focuses on patient assessment to gain a clinical impression that helps inform the best possible treatment for his patients. Kulwinder takes a patient-centred and evidence based approach in his treatments, which means tailored care plans to address individual needs and treatment goals. He incorporates a wide range of advanced techniques to help reduce pain, impairment and dysfunction. In his leisure time, Kulwinder enjoys outdoor activities, travelling and motor sports.

Registered Dietitian

Reza Nazem Boushehri, RD

Reza is a registered dietitian with over eight years experience in diverse health care settings, specializing in the prevention and management of chronic diseases. He is a member of the College of Dietitians of Ontario, Dietitians of Canada and Consulting Dietitians.

After completing a Bachelor of Science degree in Food and Nutrition, Reza worked at 600 bed hospital and assisted a lot of patients in the management of nutrition-related diseases. Then, as a corporate nutritionist, one of his role was providing nutritional intervention and counsellig to employees. As a result, he empowered 400 employees with hyperlipidemia to achieve an average reduction in blood Low-density Lipoprotein [LDL] levels by 10 % within a year.  Meanwhile, Reza worked with athletes, ranging from the recreational level to professional (National Gymnastics team of Iran) and empowered many of them to achieve their fitness and performance goals.

On his journey to update himself, he was graduated from Ryerson university, an International Dietetic Pre-Registration program. Then he worked at a private clinic in Newmarket and provided clients with an evidence-based information in nutrition for disease prevention and weight management. Now, it has been the second year that he enjoys serving older populations at Long-term care facilities in Toronto.

Reza provides nutrition counselling to adults and older adults with weight challenges, high cholesterol, high blood sugar level, high blood pressure, heart disease, gastrointestinal issues and etc. He believes in the prevention of coronary heart disease and most of cancers through life style modifications. Outside of his work, he is an advocate for Canadian Diabetes Association. He is also an avid swimmer and sports enthusiast.


Dr. Alan Silverstein, DPM

Dr. Silverstein was educated at State University of New York at Buffalo and New York College of Podiatric Medicine. He is licensed in Ontario, New York and California and has been in private practice in Toronto since 1973. He served as staff Podiatrist at Mount Sinai Hospital and Baycrest Hospital since 1973 and continues to be a member of The Ontario Podiatric Medical Association and the American Podiatric Medical Association.

Dr. Silverstein is available for orthotic fitting and casting for foot disorders including plantar fasciitis, pronation (flat feet), supination (high arches), ankle ligament instabilities and heel spurs.

Please note that the use of words “expert” and “specialty” on all SPINEgroup ® advertising does not specifically apply to physiotherapists or registered massage therapists or others providing care at our clinic; however, use of such terms, under some circumstances, is not inconsistent with Section 2 of the College of Chiropractors of Ontario (“CCO”) Standard of Practice “S-016- Advertising” when it comes to the design, implementation and evaluation of evidence-based programs of care or specialty programs of individualized care of Dr. Connie D’Astolfo which may or may not involve physiotherapists, registered massage therapists or others providing care.