Frequently Asked Questions

 

What is Physical Therapy?

Physical therapists are licensed healthcare professionals who specialize in the evaluation and treatment of physical injury and dysfunction.  They are movement specialists with extensive training in anatomy, physiology, and biomechanics.  Physical therapists are also skilled in injury prevention, wellness training, and physical performance enhancement.  They are the doctors of movement and function.

Physical therapy is the evaluation, treatment, and/or prevention of disability and injury through exercise, manual therapy, and modalities.  Physical therapists provide treatment with the goals of increasing comfort, function, and activity tolerance.

 

Am I a candidate for Physical Therapy?

Do you have difficulty doing everyday activities or moving around in your day-to-day life because of physical limitations?  Do you have aches and pains that are holding you back from doing what you want to do?  If you answered yes, you may be a candidate for Physical Therapy.  The following is a far from exhaustive list of issues commonly addressed in Physical Therapy:

  • Back Pain
  • Neck Pain
  • Fractures
  • Sprains & Strains
  • Sports Injuries
  • Rotator Cuff Injuries
  • Patellofemoral Pain Syndrome
  • Pre-hab (pre-surgical preparation)
  • Post-Surgical Rehabilitation (i.e. ACL reconstruction, Achilles tendon repair, ORIF fractures, meniscus repair, labral repair in the shoulder, bicep tenodesis)

If you simply want to move better, feel better, and perform better, you may benefit from Individualized Training Services.

 

What is Concierge Physical Therapy?

Concierge Physical Therapy is Physical Therapy service that comes directly to you in the location of your choice, be it your home, office, gym, or worksite.  This is a departure from the traditional model of Physical Therapy that requires a patient/client go to a hospital or clinic for services.  As New Yorkers, we recognize that time is tight and getting to a clinic for a session in the middle of business hours can be inhibitory to attaining consistent care and results.  We are also used to services and goods coming directly to us.  Concierge Physical Therapy is a higher level of service and convenience in the delivery of healthcare geared to the busy New Yorker.

 

Do you take insurance?

I am an out-of-network provider which means I do not have direct contracts with insurance companies for service reimbursement.  As a result, I do not take insurance.  I charge a flat fee to my patients and clients due at time of service (credit card or check) and will then generate a receipt of services, called a superbill, that you may provide to your insurance company for reimbursement according to the rules of the insurance policy that you have.  Superbills include patient and provider details as well as all the codes required by insurance companies for billing and payment purposes.  Your insurance company will reimburse you directly in accordance with the rules of your plan.

 

Why are you an out-of-network provider?

Being an out-of-network provider allows me to utilize my years of clinical experience and education to the fullest.  I am able to provide 60 minutes of one-on-one care in the location of your choice.  I am able to perform thorough evaluation and regular re-evaluation, take the time to utilize manual hands-on-techniques to their fullest, teach the “whys” and “hows” of what is going on and how we are addressing it, and provide full attention to your program design and progression through the full continuum of care. 

 

How do I know what / if my insurance company will reimburse me?

There is a customer service number on the back of your insurance card.  You will want to call your insurance company to speak to them directly.  Tell them you are seeking physical therapy services from an out-of-network provider.  You need to know if they reimburse for out-of-network physical therapy services.  If they do: what are their policies re: out-of-network reimbursement?  What is their reimbursement rate?  Do they require additional paperwork for reimbursement?  Is a referral necessary prior to treatment by an our-of-network provider?  Companies and policies vary tremendously in their reimbursement practices.   Some companies will pick up a percentage of the bill immediately, and others may require your deductible to be met before picking up a percentage. 

Do I need a prescription / referral before my first session of Physical Therapy?

No.  New York State Law permits Physical Therapists (with a minimum of three years of clinical experience) to evaluate and treat patients without a valid prescription/referral for 30 days or 10 visits, whichever comes first.  This patient right has been termed Direct Access.  After 30 days, or 10 visits, whichever comes first, a valid prescription/referral is required by law for continuation of Physical Therapy treatment services.  A valid prescription/referral for Physical Therapy is one made by a physician, dentist, podiatrist, or nurse practitioner.  Following verbal or email consultation with you, I may ask that you obtain a referral before being seen as there are some conditions that are of sufficient complexity and /or severity as to warrant MD consideration prior to beginning Physical Therapy care.  I may also ask to be able to speak to your physician in order to establish seamless continuity of communication and highest level of care for you.