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Meet the Rehab Team

Roelof Slagter, PT, MBA – Director of Rehabilitation

Roelof earned his Bachelor’s of Science in Physical Therapy from Noordelijke Hogeschool in the Netherlands, his home country, in 1989.  He later earned his Masters of Business Administration from Texas Woman’s University in 2006. 

After earning his physical therapy degree, Roelof came to Texas as soon as he could.  He worked as a physical therapist for the Center for Neuro Skills in Irving, Texas and the Presbyterian Hospital of Dallas.  He was the Clinical Coordinator for Baylor Medical Center in Irving, Texas and the Director of Rehabilitation for the Baylor Institute of Rehabilitation.  Roelof has greatly enjoyed serving as the Director of Rehabilitation at CTMC since 2011. 

When not at CTMC, Roelof enjoys spending time with his wife, Lisa, and his two children.  His favorite hobbies include tending to the yard, watching Formula racing and exploring the Hill Country in his antique Jeep.

Madeline Ragan Ratoza, PT, DPT, CSCS

Madeline earned her Bachelor’s Degree in psychology from Colby College in Waterville, Maine.  After returning to her hometown for graduate school, she earned her Doctorate in Physical Therapy from the University of California, San Francisco in 2015. 

Madeline moved to Texas to join her husband after graduation and has enjoyed living and working in Central Texas ever since. She has experience with pediatric and adult patients with orthopedic, neurologic and developmental conditions.  She is a certified strength and conditioning specialist and certified in myofascial decompression using traditional Chinese medicine cups. 

Madeline is a certified matwork Pilates instructor through the Australian Physiotherapy and Pilates Institute and loves incorporating Pilates principles and exercises into her treatment.

When she is not at work, Madeline enjoys spending time with her husband, Andrew, and her pup, Tucker.  She can often be found running trails, testing out recipes in the kitchen and planning upcoming adventures.

Nicholas Allen, PT, DPT, OCS

After completing his Doctor of Physical Therapy at the University of Kansas Medical Center in 2012, Nick knew his education was far from over, so he completed a residency in Orthopedic Physical Therapy with the Harris Health System in Houston. He became a Board-Certified Orthopedic Physical Therapist in 2017. By keeping up with current research, Nick is able to better serve his patients and colleagues and ensure that his career will be one of continual learning and growth. Nick is currently pursuing credentialing in the McKenzie Method of Mechanical Diagnosis and Therapy.

Nick has been eager to continue his growth as a clinician at Central Texas Medical Center, where he is surrounded by therapists and staff who are passionate about restoring people to health. Nick looks forward to helping people in this community achieve optimum health, eliminate pain, and improve their quality of life.

Nick and his wife were recently licensed as foster parents!  Additionally, Nick enjoys serving the communities he’s lived in through Church, and he is looking forward to finding new ways to serve the community in San Marcos. For fun, Nick enjoys spending time playing sports or enjoying the river with his wife and two children.

Melanie Caldwell, MSPT

Melanie holds a Bachelor’s Degree from University of Louisiana at Lafayette, a Master’s Degree in Sports Health from Texas Tech University and a Master’s of Physical Therapy from Texas State University.Before becoming a Physical Therapist, she was an athletic trainer at the high school and collegiate level and completed an internship at the Olympic Training Center in Lake Placid, N.Y.

Melanie has been a Physical Therapist since 1998 and with CTMC for over 15 years. As a Physical Therapist, she has provided care in a variety of settings, including inpatient rehabilitation, home health and currently in the outpatient clinic at CTMC. Melanie has experience working with patients with both orthopedic and neurological conditions; however, her area of specialization is in Vestibular Rehabilitation and Concussion Management. In 2016, she completed the Vestibular Competency Course from Emory University in Atlanta, Ga.

She is a member of the Bioethics Committee at CTMC and is the Creation Health Coach for her department. Her philosophy of Physical Therapy is to empower every individual with the tools needed to live a healthy, fulfilled life incorporating body, mind and soul.

Personally, she enjoys sharing time with her family and friends, traveling, hiking, kayaking and communing with nature.

Karen Orloff, OTR, CHT

Karen graduated from Texas Women’s University with a Bachelor’s of Science in Occupational Therapy. She has decided to specialize in both hand therapy and Lymphedema.

She completed the Evelyn J. Mackin Philadelphia Hand Fellowship in 2008, which is an exclusive fellowship that only takes two people from the top hand clinics in the country. At the time of her fellowship, Karen was the only one. She became a Certified Hand Therapist (CHT) in 2009.

In 2018, Karen became Lymphedema Certified through the Norton School of Lymphatic Therapy. She is looking forward to working with patients who have been affected by cancer as well as those affected by chronic venous issues to improve their quality of life.

In her spare time, Karen loves to swim, hike, dance (Salsa!), read, travel when able and keep up with her niece and nephew. 


Jordan Ingram, OTR

Jordan earned her Bachelor’s Degree of Exercise Science from Louisiana Tech University in her hometown of Ruston, La. in 2013.She moved to Texas to attend graduate school in Lubbock, Texas. In 2016, Jordan graduated with a Master’s degree in Occupational Therapy from Texas Tech University Health Sciences Center.

Jordan’s experience and interests focus on orthopedic conditions of the hand and upper extremity. She is currently working towards obtaining a specialty certification in hand therapy. Jordan, additionally, works with adults in the acute care hospital setting.

Recently, she has been trained to become the first therapist to work in CTMC’s neonatal intensive care unit (NICU), where she provides neuroprotective care and parent education to support development and success with feeding. Jordan enjoys the opportunity to grow in her clinical skills by practicing in a variety of settings to gain a holistic perspective throughout the continuum of patient care.

In her spare time, Jordan travels with friends and family, attends live sporting events and runs half marathons. In addition, Jordan enjoys providing respite care services for families with foster children. 


Laine Keller – Outpatient Scheduler Registration Representative

Laine has worked for CTMC for a total of eight years.  She worked as a tech and unit clerk for the Progressive Care Unit and the Labor and Delivery Department from 2003 to 2009. In 2009, Laine moved to Kerrville with her family.  There, she assisted in opening an ENT practice where she served as the office operations coordinator for two years.  She returned to San Marcos and happily rejoined CTMC in 2016.  Laine also has experience working as a CNA, EMT, EMT basic instructor, and CPR instructor. 

Laine loves working in outpatient rehab and helping patients navigate their therapy experience.  She works with patients to coordinate billing and insurance authorizations.  Laine enjoys helping patients to better understand their benefits, so that they can more easily focus on their recovery.

When not at work, Laine enjoys travelling to baseball tournaments across the state with her three children, spending time with family and enjoying time outside by the pool.


Angelica Adame – Outpatient Schedule Registration Representative

Angelica began her career as a patient access coordinator at University Hospital. She then worked at Urology San Antonio for 11 years and served as a surgery coordinator. In 2015, Angelica moved to San Marcos and was happy to join CTMC.

She can often be found smiling brightly to anyone that walks in the clinic doors and enjoys managing schedules for seven therapists across three disciplines. Angelica loves the comradery in the rehab department and CTMC’s emphasis on community engagement. She is also bilingual in English and Spanish!

When not at work, Angelica loves hanging out with her dog, Sugar. She spends the weekends with her family, exploring the five-mile damn, visiting friends in San Antonio and trying out local establishments.

Chris Terry- Clinic Operations Coordinator

Before moving to the San Marcos area, Chris enjoyed working as an account manager at a medical review office in Arlington, Texas.  In 2013, she joined CTMC when her family relocated to San Marcos. She started in the human resources department, but soon made the Rehabilitation Department her work home.

Chris oversees the daily operations of the front office as well as the administrative functions of the clinic. She maintains a patient-first philosophy and is always striving to find ways to improve clinic processes.

When not at work, Chris enjoys any activity that takes her outdoors--whether it be gardening, swimming or just hanging out her back porch with friends and family. She has two daughters and will soon have a new granddaughter!