If getting to appointments feels harder than the therapy itself, you’re dealing with the wrong setup. Transportation shouldn’t be the barrier between you and better mobility.
Home-based physical therapy means your treatment happens in the space where you actually live. Your therapist sees the stairs you struggle with, the bathroom layout that’s risky, the furniture arrangement that’s causing problems. That context matters when you’re working on balance training or gait improvement.
Falls aren’t just scary—they’re expensive and dangerous. Research shows that multicomponent exercise programs, including balance and strength training, can reduce fall risk by 23% in older adults. You get that level of care without leaving your house. Your therapist builds a program around your actual daily movements, not generic gym equipment you’ll never use again.
Recovery from surgery, stroke, or injury doesn’t pause because you can’t drive. You need consistent care to regain strength and function. Home visits keep your rehab on track when getting out the door isn’t realistic.
We’ve been providing in-home physical and occupational therapy across Long Island since 2010. We’re not new to this. Our therapists are licensed professionals who understand that some people genuinely can’t make it to a clinic—and shouldn’t have to.
Peconic and the surrounding North Fork communities have a significant population of older adults who want to age in place. You’ve built a life here. Your home is set up the way you need it. Our job is to help you stay safe and functional in that environment.
We accept Medicare and most commercial insurance, which removes one of the biggest obstacles to getting care. Our team includes physical therapists trained in fall prevention, neurological rehabilitation, stroke recovery, and post-surgical care. We also coordinate with occupational therapists when you need help with daily tasks beyond just movement.
Your first appointment starts with an evaluation. Your physical therapist assesses your current mobility, strength, balance, and any specific limitations you’re dealing with. They’ll ask about your goals—whether that’s walking without assistance, recovering from knee replacement, or reducing your fall risk.
From there, they build a treatment plan specific to your situation. If you’re working on gait training, they’ll watch how you move through your home and identify what’s causing instability. If it’s post-surgery rehab, they’ll design exercises that progressively rebuild strength without overdoing it. For stroke rehabilitation or neurological conditions, the focus shifts to neuromuscular re-education and regaining functional movement patterns.
Each session typically lasts 45 minutes to an hour. Your therapist brings any necessary equipment and guides you through therapeutic exercises, resistance training, balance work, or manual therapy as needed. You’re not just doing reps—you’re learning how to move safely and effectively in your own space.
Progress gets tracked and adjusted as you improve. If something isn’t working, your therapist changes the approach. The goal is measurable improvement in your mobility, pain levels, and independence.
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Fall prevention is one of our most requested services in Peconic, and for good reason. More than one in four older adults fall each year, and many of those falls lead to serious injuries. Our therapists use evidence-based balance and proprioceptive training to reduce that risk. You’ll work on stability exercises, weight shifting, and real-world scenarios like navigating uneven surfaces or getting up from a chair safely.
Post-surgery rehabilitation covers joint replacements, orthopedic procedures, and injury recovery. Whether you’ve had a hip replacement or rotator cuff repair, your therapist designs a program that respects your healing timeline while pushing you toward full function. Resistance and strength training get incorporated as you’re ready.
Stroke rehabilitation and neurological rehab require specialized skills. Our therapists work on neuromuscular re-education, helping your brain and muscles reconnect after a stroke or neurological event. Gait training becomes critical here—you’re relearning how to walk with proper form and safety.
We also treat chronic joint pain, arthritis, and general deconditioning. If you’ve lost strength or mobility over time, therapeutic exercise can rebuild what’s been lost. The difference is that it happens at home, where you’ll actually use these skills every day.
Yes, Medicare Part B covers home-based physical therapy when it’s medically necessary and ordered by your doctor. You need to meet Medicare’s homebound criteria, which means leaving home requires considerable effort due to illness, injury, or disability.
We’re Medicare-certified, and we handle the billing and authorization process. You’ll typically be responsible for 20% of the Medicare-approved amount after you’ve met your Part B deductible. If you have a Medicare Supplement plan, that often covers the remaining 20%.
Most commercial insurance plans also cover home physical therapy, though coverage varies by plan. We verify your benefits before starting treatment so you know what to expect. The key is that your doctor prescribes the therapy and it’s deemed medically necessary for your condition.
Treatment frequency depends on your condition and what your doctor orders. Most patients start with two to three visits per week, especially right after surgery or a fall-related injury. As you improve, frequency often decreases to once or twice weekly.
Your therapist evaluates your progress at each visit and adjusts the schedule based on how you’re responding to treatment. If you’re recovering from a stroke or major surgery, you might need more intensive therapy initially. For chronic conditions or fall prevention, a less frequent schedule might be appropriate from the start.
The goal is always to get you to a point where you can maintain your progress independently. Your therapist will teach you exercises to do between visits and eventually transition you off regular therapy when you’ve met your goals. Total treatment duration varies widely—some people need a few weeks, others need several months.
Physical therapy focuses on movement, strength, balance, and mobility. Your PT works on getting you walking better, reducing pain, improving your gait, and building the physical capacity to move safely. If you’re recovering from surgery or trying to prevent falls, that’s typically PT territory.
Occupational therapy focuses on daily living activities—getting dressed, bathing, cooking, managing household tasks. Your OT helps you adapt your environment and teaches techniques to do these activities safely despite physical limitations. If you’re struggling to get in and out of the shower or can’t reach items in your kitchen, an OT addresses those specific challenges.
Many people benefit from both. After a stroke, you might need PT to regain walking ability and OT to relearn how to use your affected arm for daily tasks. We coordinate both services when needed, and often the therapists work together on your overall care plan. Insurance typically covers both when medically necessary.
Absolutely. Post-surgical rehabilitation is one of the most common reasons people use home physical therapy. After joint replacement surgery, you need consistent therapy to regain range of motion, rebuild strength, and learn to walk properly with your new joint.
Your orthopedic surgeon will prescribe PT as part of your discharge plan. Home therapy makes sense when you’re not comfortable driving yet or when getting in and out of a car is too painful or risky in those early weeks. Your therapist comes to you and guides you through the exercises and movements you need for proper recovery.
The program typically starts with gentle range-of-motion work and progresses to weight-bearing exercises, gait training with assistive devices, and eventually strength training. Your therapist monitors your incision healing, watches for complications, and adjusts your program based on your surgeon’s protocol. Most people transition to independent exercise within six to twelve weeks, though timelines vary.
That’s actually the best time to start fall prevention work. Waiting until after a fall means you’re recovering from an injury instead of preventing one. If you’re noticing balance issues, feeling unsteady on your feet, or avoiding certain movements because you don’t feel stable, those are signs that fall prevention therapy could help.
Your physical therapist will assess your balance, gait, strength, and home environment. They’ll identify specific risk factors—maybe your ankle strength is weak, your balance reactions are slow, or you have obstacles in your home that increase fall risk. Then they’ll build a program targeting those specific issues.
Evidence shows that balance and proprioceptive training significantly reduces fall risk in older adults. You’ll work on exercises that challenge your stability in controlled ways, building the strength and reflexes you need to catch yourself if you start to lose balance. Your therapist will also recommend home modifications if needed—grab bars, better lighting, removing tripping hazards. Prevention is always easier than recovery.
Yes, stroke rehabilitation is a core part of what we do. After a stroke, you’re often dealing with weakness on one side of your body, balance problems, difficulty walking, and challenges with coordination. Home-based therapy addresses these issues in the environment where you need to function.
Your physical therapist works on neuromuscular re-education, which helps your brain reestablish connections with affected muscles. You’ll do gait training to improve your walking pattern, balance exercises to reduce fall risk, and strength training to rebuild what the stroke affected. Progress can be slow, but consistent therapy makes a real difference.
Stroke recovery often requires both PT and OT. While your physical therapist focuses on mobility and strength, an occupational therapist can help with arm function, daily tasks, and adaptive strategies. We coordinate both services and work with your neurologist or primary care doctor to ensure your therapy aligns with your overall recovery plan. Many stroke survivors continue therapy for months because the gains keep coming with persistent work.
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