“Dr. Alexander is brilliant. As a competitive ultra runner, I’ve been fortunate to have trained with a couple of world class coaches and I’d place Caitlin at the very top. Her unique blend of academic pedigree, athletic accomplishments, and an individual approach to training make her the perfect fit for my goals as a professional runner”

– Josh Stevens

“Larry has a wealth of knowledge in bike fit, PT, and movement. That combination is extremely effective, and it really elevates the BUILD experience. This is just what I needed to keep me moving!

– Chris Smith

“Sue is superb physical therapist who really listens well and understands the spine really well. I’ve always received the best dry needling for my low back and cervical spine from her – better than I’ve ever had from any other PT. I highly recommend her! 

– Cathy Kerry

“Caitlin is extremely thorough in the bike fitting process. She took the time to identify the issues and root causes with the pain I was experiencing, and I never felt rushed through the process. The technology used is incredible…I only wish I came in sooner!

– Kevin Rice

“I have done a number of bike fits with different professional fitters over the years, and I recently did a fit with Dr. Larry Meyer. In a word, he was excellent. Larry takes a full-body approach to bike fitting, which is substantially different than what you will experience with most other bike fitters in the area. This is important if you have any physical issues that require special attention from a qualified professional, or if you are having any pain or numbness with your current set up. Regardless of whether you have such issues, having someone who is both a highly trained physical therapist and a very experienced bike fitter can make all the difference in obtaining a fit that allows you to maximize both your performance and comfort on the bike.

– Dave C


01 We are people that help people.
02 We love to innovate.
03 We strive to think outside of the box.
04 We are fascinated by the science of movement.
05 We believe in building a stronger you.


Get our patients back to doing what they love.


Bodies that move efficiently, powerfully, and gracefully.

Our Team

Larry Meyer, PT, DPT

Founder & Doctor of Physical Therapy

Larry attributes his biomechanics expertise to his commitment to education and 13 years of experience as an orthopedic and sports medicine physical therapist. Nine years ago, Larry began to develop his biomechanics expertise through formal medical bike fit training at the Boulder Center for Sports Medicine. In 2013, he continued to pursue his passion for movement analysis, by gaining advanced certification in lower extremity function and running gait analysis. By educating his clients and listening to their needs, Larry’s goal is to build a highly respected and science-based biomechanics practice specifically for cyclists and runners. With cutting-edge technology and years of experience, he is excited to provide biomechanical analysis and performance improvement solutions for cyclists and runners through his company Build Sports Performance Lab and Physical Therapy.

Bachelor of Science: Kinesiology, University of Minnesota, 1997
Doctor of Physical Therapy: Pacific University, Portland, OR, 2004 Certification: Advanced Biomechanics of the Lower Quarter (6-mo. program)
Level 2 Certification – Functional Dry Needling
Member: APTA, Sports & Orthopedic Section

Caitlin Alexander, PT, DPT, CAFS

Physical Therapist & Biomechanical Specialist

Caitlin is an avid triathlete and cyclist from Virginia. She graduated with her Doctorate of Physical Therapy from the University of Colorado Anschutz Medical Campus in 2019. Her clinical experience includes working heavily with sports and orthopedic populations, as well as in pediatrics and acute care.

She is passionate about sports medicine and has a particular interest in treating hip and pelvic disorders. Being an avid endurance athlete, she understands the importance of proper mechanics and movement patterns during training and competition to positively impact the longevity of both performance and health.

Caitlin started dancing at the age of three, which she feels is a large contributor to her lifelong fascination with the human body and how it moves. She took that interest in biomechanics into PT school, working as a research assistant in the Interdisciplinary Movement Science Lab. Caitlin has her Certification in Applied Functional Science from the Gray Institute and utilizes principles of 3D movement patterns to create individuated assessment, treatment, and training plans.

Caitlin is also a certified triathlon and running coach, helping athletes of all ages and ability levels achieve their goals. She is a competitive athlete herself, racing as a category 3 road cyclist and competing in Ironman-distance triathlons. She most recently qualified for the Ironman World Championships in Kona, HI.

Certifications: Level 1 and Level 2 Functional Dry Needling, Certification in Applied Functional Science, VDOT O2 Distance Run Coach, The Athlete Movement System, Run DNA Certified Running Gait Analysist, various advanced courses in running and cycling biomechanics
Doctor of Physical Therapy, University of Colorado Anschutz Medical Campus, 2019
Member: APTA, Sports & Orthopedic Sections

Sue Nakaoka, PT, AFDNS

Clinic Director & Physical Therapist

Sue has over 30 years of physical therapy experience with diverse patient populations. She has spent the past 20 years specializing in orthopedic, sports, and spine rehabilitation. Sue spent the last several years working at Boulder Center for Sports Medicine and most recently at CU Sports Medicine and Performance Center.

Sue is a skilled manual therapist with a passion for integrating Functional Dry Needling into her practice. She received her dry needling certification in 2006 and has been teaching for EIM/Kinetacore since 2009. She is currently a Lead Instructor and teaches FDN courses throughout the US and Canada. Sue has earned her Advanced Functional Dry Needling Specialist Certification in 2020. Sue completed a certification for Fascial Subcutaneous Dry Needling that she uses in conjunction with FDN. She feels strongly that dry needling is a strong neurophysiological reset to help her patients recover from injury and can facilitate performance. She is a sought-after expert in dry needling for patients with a wide range of diagnoses and injuries.

Sue has a strong commitment to learning and continues to evolve her skill set by taking PT courses that enrich her experience level. Her practice motto is to look at each clients’ individual full-body issues and assist them to reach their goals.

Sue is a Colorado native and enjoys hiking, biking, and snowshoeing.

Bachelor of Science in Physical Therapy, University of Colorado 1982
NDT Certification for Adult Stroke and Brain Injury 1985
Functional Dry Needle Certification: Level 1, Level 2, Clinical Integration, and Advanced Clinical integration 2006- 2015
Advanced Functional Dry Needling Specialist Certification 2020
Member: APTA, Orthopedic Section

Evan Culbert, PT, DPT

Physical Therapist & Biomechanics Specialist

Evan was born and raised in Iowa and graduated from the University of Missouri in 2018 with his Doctorate of Physical Therapy. He has been practicing in outpatient sports and orthopedics since then and is passionate about sports rehabilitation and performance.

Evan enjoys partnering with his patients through hands-on treatment, education, and focused exercise to improve function and performance. He takes an individualized approach to identifying dysfunctional movement patterns and addressing the underlying causes.

His athletic background is in swimming and triathlon, and when not in the clinic he is usually swimming, biking, or running. He is a certified USA triathlon coach and has several years’ experience as a swim and triathlon coach. He holds his elite license in triathlon and loves to compete.

When not training for triathlon, he enjoys hiking and camping, bike packing, coaching triathletes, eating pancakes, and cheering on the Green Bay Packers.

Certifications: Functional Dry Needling Level 2, USA Triathlon Level 1 Coach
Bachelor of Science in Health Science, University of Missouri 2016
Doctorate in Physical Therapy, University of Missouri, 2018
APTA member

Ryan Kohler

Human Performance Director & BUILD Cycling Academy MTB Team Coach

Ryan has spent his career working with a variety of athletes and has experienced a wealth of opportunities along the way in many sports performance roles. Most recently he was responsible for managing the sports performance department for CU Sports Medicine & Performance Center and Boulder Center for Sports Medicine, developing and implementing services and protocols in Sports Nutrition and testing in both team and individual testing, as well as developing pathways to success to integrate into improved clinical outcomes for student athletes and amateur athletes. Prior to this he traveled nationally and internationally while coaching with USA Cycling, leading a number of regional and national talent ID camps, and coaching groups of junior and U23 athletes at European race camps. He also had the pleasure of working with some of the top athletes in the United States through the BMC Mountain Bike Development Team as they claimed multiple national championship titles during this time. Ryan has a passion for cycling and coaching, particularly in competitive mountain biking. He is a USA Cycling Level 1 Coach and USAC Certified Skills Instructor. He supports athletes that strive to move well off the bike and promotes strength training for both performance and general health. To support this he has been certified through the NSCA and currently holds a certification through USA Weightlifting. Ryan is currently working on completing a second BS in Dietetics and has been published in numerous scientific and popular media outlets.

Bachelor of Science Exercise Science
Master of Science Sports Nutrition
USA Cycling Certified Coach Level 1

Jessica Johnson

Licensed Massage Therapist

Jessica graduated from CU Boulder with a degree in Integrative Physiology in 2009 before attending the Boulder College of Massage Therapy. She has worked the last 10 years building her massage practice, focusing on clients who have needs specific to improving mobility and decreasing pain related to recent and past injuries.

She has an athletic background that started in ballet and has evolved into triathlon, and uses her knowledge of kinesiology to help educate clients on how their bodies move and how some pain patterns emerge.

Jessica loves working with athletes of all levels, and helping them overcome pain obstacles that are keeping from enjoying their lives.


Early on in my career as a PT, I was very eager to find success with my treatment strategies that I learned while in PT school. The process seemed simple, apply knowledge and your patients will get better. As I soon found out, it didn’t quite work out that way.

Motivated to go beyond my graduate school education and basic physical therapy protocol, I began to look for advanced techniques to try and help my increasingly more athletic clientele. I wanted to see and grasp the bigger picture of the injury process, and find out why in most cases, a diagnosis could not explain the complete mechanism of injury. As well as, my athlete’s movement patterns perpetuating their chronic repetitive injuries.

Looking outside the box gave me a new perspective when analyzing my athletes, allowing me to see movement patterns that could be clinically reasoned to be contributing to an injury, but difficult to explain. I realized that along with wanting their injury to go away, athlete’s wanted to understand and trust my clinical decision making process. They wanted proof of the mechanism of injury as much as I did. I needed a way to show my analysis made sense, and be confident in my methods.

With more and more repetition, my method of interpreting movement as a whole-body system of cause-and-effect began to emerge as a valid clinical skill. Finally, my vision of a new way to practice began focus on eliminating the causes of injury versus treating an injury manifesting as an effect of the cause. Still, I wanted more education to put it all together. Over the course of the next few years, I enrolled myself in multiple advanced biomechanical analysis courses in cycling and running to refine my practice.

Earlier in my adult life I served in the Air Force and worked on advanced avionic systems. My familiarity with advanced technology drove me to look at the world of motion capture technology and its use at revealing how the body works to forces during movement. Due to the explosion of advancement in motion capture speed, I knew that this emerging technology could be the answer I was looking for, and to finally be able to clearly explain my analysis of my athlete’s movement. Our vision and the key to our future practice needed to be a combination of athlete’s trust in our clinical reasoning skills and advanced motion capture technology, but ultimately how the data is interpreted, integrated, and communicated to our athletes. Without making this data easily understood to the athlete, it would just be data creating an ineffective road block to their success.

So, this is where Build was developed. Build’s mission is meant to inspire patient knowledge and healing, and most importantly to build athlete movement performance, and to build athlete’s fortitude and confidence to outlast injury.

Analogous to building a house, athlete’s body’s deserve the same process. In order to build a house you must find a strong foundation on where to build. Additionally, through self-awareness and knowledge of one’s self strength, you must decide on how you will build, and with what fortitude needed to withstand all the forces of life. Finally, you need a group of highly trained professionals to bring it all together and inspire determination to build the home needed to improve a new way of life.

– Larry Meyer

Our Location

625 Main Street, Suite 1B
Louisville, CO 80027


Fine Print on Our Methodology.