You’re not looking for therapy because you want a hobby. You need it because something changed—balance isn’t what it was, stairs feel risky, or a surgery left you weaker than expected.
In-home physical therapy means you get one-on-one attention in the environment that matters most: yours. Your therapist sees the actual stairs you climb, the bathroom you use, the kitchen you navigate. That’s not something a clinic can replicate.
The goal isn’t just to check boxes. It’s to help you move through your day with less pain, better balance, and more confidence. Whether you’re recovering from a stroke, managing joint pain, or preventing your next fall, the work happens where your life happens.
Most sessions are covered by Medicare. You don’t need to arrange rides or sit in a waiting room. You just need to be home.
We’ve been providing in-home physical and occupational therapy across Nassau and Suffolk Counties for over a decade. That includes Old Brookville and the surrounding North Shore communities where mobility challenges and fall risks are common among older adults.
We’re not a staffing agency. Our therapists are licensed professionals who coordinate with your doctors, understand Medicare requirements, and build treatment plans based on what you actually need—not what fits a template.
Old Brookville has a median age over 50, and many residents face the same issues: balance problems, post-surgical recovery, neurological conditions, or simply the wear that comes with aging. We work with people who want to stay in their homes and maintain independence without taking unnecessary risks.
It starts with a call. We confirm your insurance, talk through what’s going on, and schedule an evaluation at your home.
During that first visit, your therapist assesses your movement, strength, balance, and any pain or limitations you’re dealing with. They’ll also look at your home setup—flooring, furniture, lighting—to spot fall risks or barriers to safe movement.
From there, you get a personalized treatment plan. That might include gait training to improve how you walk, therapeutic exercise to rebuild strength, balance training to reduce fall risk, or neuromuscular re-education if you’re recovering from a stroke or neurological condition.
Sessions typically happen one to three times per week, depending on your needs and your doctor’s orders. Each visit is focused, hands-on, and built around measurable progress. You’re not just going through motions—you’re working toward specific goals like walking without assistance, getting in and out of the car safely, or returning to activities you’ve had to avoid.
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Your treatment depends on what you need, but most plans include a combination of therapeutic exercise, manual therapy, balance and proprioceptive training, and functional movement work. If you’re recovering from surgery—especially joint replacement—you’ll also get pre and post surgery rehabilitation designed to improve outcomes and speed up recovery.
For stroke survivors or anyone dealing with neurological issues like Parkinson’s or MS, stroke rehabilitation and neurological rehabilitation focus on retraining your brain and body to work together again. That includes coordination drills, gait training, and exercises that target specific deficits.
Fall prevention is a major focus in Old Brookville, where one in four adults over 65 falls each year. We use evidence-based balance training, strength work, and home safety assessments to reduce that risk. Research shows this kind of training can save over $2,000 in medical costs, lost time, and injury-related expenses.
If you’re dealing with joint pain from arthritis or overuse, treatment might involve resistance and strength training, pain management techniques, and movement modifications. Occupational therapy is also available for those who need help with daily tasks like dressing, cooking, or bathing.
Yes. Medicare Part B covers outpatient physical therapy and occupational therapy when it’s medically necessary and ordered by your doctor. That includes therapy provided in your home.
You’ll typically be responsible for 20% of the Medicare-approved amount after you meet your deductible. If you have a Medicare Supplement plan, that may cover the remaining cost.
To qualify, you need a physician’s referral and a treatment plan that shows therapy is helping you improve or prevent decline. We handle the paperwork and coordinate directly with Medicare, so you’re not navigating the system alone.
In-home therapy happens in the space where you actually live. Your therapist sees the stairs you struggle with, the bathroom layout that’s hard to navigate, the uneven flooring that increases fall risk. That context matters.
Clinic-based therapy can be effective, but it doesn’t account for your real environment. If you have trouble getting to appointments because of transportation limits, mobility issues, or weather concerns, in-home therapy removes that barrier entirely.
You also get more focused attention. There’s no waiting room, no rotating between multiple patients. It’s one therapist working with you for the full session, adjusting exercises and techniques based on what they observe in real time.
Most people notice some improvement within two to four weeks, but that depends on your condition, your baseline function, and how consistently you do the work between sessions.
If you’re recovering from surgery, the timeline is often tied to standard healing phases—early mobility in the first few weeks, strength building over the next month or two, and return to normal activity within three to six months. Stroke recovery and neurological rehabilitation take longer, sometimes several months to a year, because you’re retraining neural pathways.
Fall prevention and balance training can show results faster. Many patients report feeling steadier and more confident after just a few weeks of targeted exercises. The key is sticking with the program and doing your home exercises as prescribed.
It’s not overstated. Research shows that balance training and strength exercises can reduce fall risk by 20% to 40% in older adults, especially when combined with home safety modifications.
Falls happen for specific reasons: weak legs, poor balance, slow reaction time, vision problems, medication side effects, or environmental hazards like loose rugs and bad lighting. Physical therapy addresses the movement-related factors directly.
Your therapist will work on exercises that challenge your balance in controlled ways, strengthen the muscles that keep you upright, and improve your ability to catch yourself if you start to stumble. They’ll also assess your home for trip hazards and recommend changes. It’s not a guarantee—nothing is—but it’s one of the most effective interventions available.
Your therapist will start by asking about your medical history, current symptoms, medications, and what you’re hoping to achieve. Then they’ll assess your movement—how you walk, your range of motion, your strength, your balance, and any pain or limitations.
They’ll also evaluate your home environment, looking for fall risks, accessibility issues, or anything that might interfere with your recovery. This isn’t a quick check-in. Expect the evaluation to take 45 to 60 minutes.
At the end, you’ll get a clear explanation of what they found, what the treatment plan will involve, and how often you’ll need sessions. If something doesn’t make sense or you have concerns, that’s the time to ask. Good therapy starts with a solid understanding on both sides.
In New York, you can see a physical therapist without a referral for up to 10 visits or 30 days, whichever comes first. After that, you need a physician’s order to continue treatment.
For Medicare coverage, you’ll need a doctor’s order from the start. Medicare won’t pay for therapy unless it’s deemed medically necessary and prescribed by a physician. Most primary care doctors are familiar with the process and can provide a referral quickly.
If you’re unsure whether you need therapy or what type would help, call us. We can talk through your situation and help you figure out the next step, whether that’s scheduling an evaluation or connecting with your doctor first.
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