For the woman who has watched someone she loves lose their independence — and is determined to write a different ending for herself.
Loss of mobility, bladder control issues, and cognitive decline are the top three reasons women end up in a nursing home. They’re also the most preventable. The problem isn’t age — it’s that nobody addresses them until after they’ve already taken something away.
Cape Concierge Longevity Coaching is built around the things that quietly decide how long you stay independent — how you move, how your body manages itself, and how sharp your mind stays. Kara McKeown, PT, leads your movement, balance, and strength; Kayleigh Little-Parks leads your pelvic and bladder health; and Laura Zanfes, Psychiatric NP, addresses the cognitive and emotional piece — mood, focus, and mental sharpness. Together, they build a plan aimed at the decades ahead of you, not just the year in front of you.
Led by Kara McKeown, PT, Certified Menopause Coach, and Kayleigh Little-Parks, Pelvic Health Occupational Therapist.
Every plan starts with the same three appointments — movement, pelvic and bladder health, and a consultation with Laura — each provider builds their piece of your plan, and Kara follows up six weeks later to make sure it’s working. From there, you can add strength training or nutrition coaching based on how much support you want.
Every Longevity plan starts with Foundation — all three specialists are included automatically, given how closely mobility, bladder health, and mood are tied to long-term independence.
Stacks onto either tier above.
6 telemedicine sessions and 12 virtual check-ins with Stephanie Tarbell, RN & Certified Nutrition Coach.
Your Movement Physical includes an in-clinic body composition scan, tracking skeletal muscle mass and bone mass as a baseline. If you haven’t had a DEXA scan — the diagnostic standard for osteoporosis — we’ll point you to where you can get one.
With over 23 years of experience across acute rehabilitation, home care, and outpatient private practice, Kara now offers concierge PT — practicing without insurance constraints and treating clients holistically, as whole individuals rather than just a body part. Her clinical focus includes vestibular care, neuro-rehabilitation, and athletics/orthopedics. She’s a proud wife and mother of two boys and two dogs, and you’ll find her at the gym, at sporting events, running, outdoors, or boating with her family in her free time.
A Cape Cod native with a Master’s in Occupational Therapy, bringing evidence-based, individualized care to pelvic floor and bladder health — one of the strongest predictors of long-term independence.
Specializes in anxiety, depression, and ADHD, offering psychiatric assessment, medication management, and psychotherapy with a strong focus on helping you understand your options. In this program, her work covers the cognitive and emotional side of long-term brain health — mood, focus, and mental sharpness. Included in every Foundation plan.
B.S. in Athletic Training from UNH, with eleven years across outpatient and inpatient PT settings — working with athletes, orthopedic cases, and the geriatric population alike. Leads the strength training that protects muscle and bone as you age.
Owner of Steel Anchor Strength & Nutrition in Plymouth. Brings a critical-care nursing background and years as a competitive athlete and coach — nutrition coaching built around your lifestyle, recovery, and stress, not just your goals.
Mobility, bladder health, and cognitive decline are the three strongest predictors of long-term independence. We’d rather every client start with the full picture — including a consultation with Laura on the cognitive and emotional side — than wait for a red flag to bring one of these up.
You can add either — or both — at any point after your Foundation follow-up with Kara.
We’re intentionally out-of-network with insurance across Cape Concierge — that’s what gives your team the time to treat you as a whole person, and to build your plan around your goals rather than what a claims adjuster will approve. HSA and FSA funds can be used toward your program.
Your Movement Physical includes an in-clinic body composition scan that tracks skeletal muscle mass and bone mass over time. If you haven’t had a DEXA scan — the diagnostic standard for osteoporosis — we’ll point you to where you can get one.
Start with your Foundation appointments — Kara, Kayleigh, and Laura will each build their piece of your plan.
