You’re not dealing with the stress of getting to appointments anymore. No coordinating rides, no rushing through traffic, no sitting in a crowded clinic wondering if you’ll make it home before you’re exhausted.
Your physical therapist shows up at your door with everything needed to work on what’s actually limiting you—whether that’s balance issues making you nervous in your own hallway, joint pain that’s kept you from walking around the block, or weakness after surgery that’s stolen your independence. Treatment happens in the space where you actually live, which means your therapist sees the real challenges: the stairs you avoid, the bathroom setup that’s risky, the furniture layout that’s become an obstacle course.
You get one-on-one attention for the full session. Not 15 minutes of actual hands-on work squeezed between other patients. Your therapist focuses entirely on your gait training, therapeutic exercise, or neuromuscular re-education without splitting attention across a busy clinic floor. And because you’re in your own space, recovery often moves faster—you’re more relaxed, more willing to push through exercises, and better able to practice what you’re learning in the environment where it actually matters.
We’ve been bringing physical therapy and occupational therapy directly to Long Island homes since 2010. We work throughout Suffolk County and parts of Nassau County, including Barnum Island, because we know how many people in this area struggle with the logistics of getting to a clinic—especially when mobility is already compromised.
Our team is made up of licensed physical therapists who accept Medicare and most major insurance plans. Every therapist on our staff is trained in fall prevention, stroke rehabilitation, pre and post surgery rehabilitation, and injury rehabilitation. We’re not a revolving door of contractors. We’re a consistent team that understands the specific needs of older adults and post-surgical patients in this community.
Barnum Island residents deal with unique challenges—limited public transit options, narrow streets that make parking difficult for family members helping with transportation, and a higher-than-average senior population that deserves care without the burden of travel. We’ve built our entire service model around eliminating those barriers.
It starts with a phone call. You tell us what’s going on—maybe you’re recovering from hip surgery, dealing with chronic joint pain, or you’ve had a fall that’s made you afraid to move around your house. We verify your insurance coverage, usually Medicare, and schedule your first evaluation at a time that works for you.
Your physical therapist arrives at your home with all necessary equipment. During that first visit, they assess your current mobility, strength, balance, and any pain or limitations you’re experiencing. They also evaluate your home environment—looking at stairs, bathroom access, floor surfaces, and anything else that might affect your safety or recovery. You’ll talk through your goals. Maybe it’s being able to walk to the mailbox again, or getting in and out of the shower safely, or building enough strength to visit family without needing a wheelchair.
From there, your therapist designs a treatment plan specific to your situation. Sessions typically happen one to three times per week, depending on your needs and what your insurance covers. Each visit includes hands-on treatment—joint mobilization, therapeutic exercise, gait training, balance and proprioceptive training, or resistance and strength training. Your therapist teaches you exercises to do between sessions and adjusts your plan as you improve. You’re not working toward some generic recovery timeline. You’re working toward the specific activities that matter to your daily life, measured against progress you can actually see and feel.
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Every session is built around what you need, not a one-size-fits-all protocol. If you’re recovering from a stroke, your treatment focuses on neurological rehabilitation—retraining movement patterns, improving coordination, and rebuilding strength on the affected side. If you’ve had knee or hip surgery, you’re working through pre and post surgery rehabilitation with controlled exercises that restore range of motion and load-bearing capacity without risking your surgical repair.
Fall prevention is a major focus for many Barnum Island residents, and for good reason. More than one in four adults over 65 falls each year, and physical therapy has been shown to reduce fall incidents by up to 37%. Your therapist will work on balance and proprioceptive training, teaching your body to react quickly when you start to lose stability. You’ll also do gait training to improve how you walk—adjusting stride length, foot placement, and weight distribution to reduce fall risk in real-world situations like uneven sidewalks or wet floors.
If chronic pain is the issue—arthritis, back problems, old injuries that never fully healed—your treatment might include joint pain treatment through manual therapy, therapeutic exercise to strengthen supporting muscles, and neuromuscular re-education to change compensation patterns that are making the pain worse. For patients dealing with long-term conditions, we also provide occupational therapy to help you adapt daily tasks and maintain independence as your needs change. Everything is covered by Medicare or your insurance plan at the same cost as clinic-based care, but you’re getting three to four times more direct attention from your therapist per session.
Yes. Medicare Part B covers outpatient physical therapy in your home as long as it’s provided by a licensed therapist and deemed medically necessary by your doctor. You’ll pay the same copay or coinsurance you’d pay at a clinic—there’s no extra cost for the convenience of home-based care.
We accept Medicare and work directly with your physician to ensure all documentation and authorization requirements are met. Most patients are referred by their doctor after surgery, a hospitalization, or a decline in mobility that’s affecting daily function. If you’re not sure whether your situation qualifies, call us. We’ll verify your coverage and let you know exactly what’s covered before your first appointment.
The key requirement is that therapy must be skilled and necessary—meaning you need the expertise of a licensed physical therapist to improve your condition, and you’re making measurable progress. As long as those criteria are met, Medicare continues to cover your sessions. We handle the billing and communicate with Medicare on your behalf so you’re not stuck navigating the paperwork.
We treat a wide range of conditions, but the most common in Barnum Island are recovery from orthopedic surgery (hip replacement, knee replacement, spinal surgery), stroke rehabilitation, balance disorders that increase fall risk, chronic joint pain from arthritis, and general weakness or mobility decline in older adults.
If you’ve had a neurological event—stroke, Parkinson’s disease progression, or another condition affecting movement and coordination—we provide neurological rehabilitation focused on regaining functional movement and independence. For injury rehabilitation, whether it’s a fracture, torn ligament, or soft tissue damage, we design a program that moves you from initial healing through full strength and mobility. We also work with patients before planned surgeries to build strength and prepare the body for a smoother recovery afterward.
The unifying factor is this: if your condition is limiting your ability to move safely and independently, and a physical therapist can help you improve, we can treat it in your home. Your therapist will evaluate your specific situation during the first visit and build a plan around your goals, your limitations, and what’s realistic given your overall health.
The biggest difference is time and attention. In a clinic, your therapist is usually managing multiple patients at once. You might get 15 to 20 minutes of hands-on treatment, then you’re sent to do exercises on your own while they work with someone else. At home, your therapist is with you for the entire session—45 minutes to an hour of focused, one-on-one care.
You also get treatment in the environment where you actually need to function. Your therapist sees the stairs you’re struggling with, the bathroom setup that’s unsafe, the distance from your bedroom to the kitchen that’s become exhausting. They can address those real-world challenges directly instead of simulating them in a clinic. That makes the therapy more relevant and often more effective.
And there’s no logistics burden. You’re not arranging transportation, sitting in traffic, or wearing yourself out before therapy even starts. For many older adults and post-surgical patients in Barnum Island, that elimination of travel stress is the difference between being able to do therapy consistently or skipping sessions because it’s just too much. Consistency is what drives results, and home therapy removes the barriers that get in the way.
It depends entirely on your condition and goals. Some patients need just a few weeks of therapy after a minor surgery or injury—maybe six to eight sessions to regain strength and mobility. Others, especially those recovering from major orthopedic surgery or a stroke, might need several months of consistent treatment to reach their functional goals.
Your therapist evaluates your progress regularly and adjusts the plan as you improve. Medicare and insurance companies require documentation showing that you’re making measurable gains. As long as you’re improving and therapy is helping you reach a higher level of function, coverage continues. Once you’ve plateaued—meaning you’ve reached the maximum benefit from skilled therapy—treatment ends, though your therapist will give you a home exercise program to maintain your progress.
Most patients we see in Barnum Island are working toward specific milestones: walking without a walker, climbing stairs independently, getting in and out of the car safely, or reducing pain enough to return to activities they’ve been avoiding. Once you hit those goals, therapy wraps up. If you have a setback later or a new issue arises, you can always restart with a new physician’s order.
Your first visit is an evaluation. Your physical therapist will spend about an hour talking with you and assessing your current condition. They’ll ask about your medical history, what led to the need for therapy, what symptoms you’re dealing with, and what you’re hoping to accomplish. Be ready to talk about your daily routine—what’s hard right now, what you’re avoiding because it feels unsafe, and what you want to be able to do again.
The physical assessment includes checking your strength, range of motion, balance, and how you move through basic tasks like standing up from a chair, walking, and navigating stairs if you have them. Your therapist will also look around your home for fall hazards or environmental factors that might be affecting your mobility and safety. They’re not judging your housekeeping—they’re identifying risks like loose rugs, poor lighting, or furniture placement that could cause a fall.
At the end of the evaluation, your therapist will explain what they found, outline a treatment plan, and tell you how many sessions per week they’re recommending. You’ll do some initial exercises or hands-on treatment during that first visit, so you leave with a clear sense of what ongoing therapy will look like. If you have questions about coverage, scheduling, or what to expect as you progress, that’s the time to ask. Your therapist is there to make sure you understand the plan and feel confident moving forward.
Yes. Fall prevention is one of the most important services we provide, especially given that falls are the leading cause of injury among older adults in New York. If you’ve already had a fall, or if you’re feeling unsteady and afraid of falling, physical therapy can significantly reduce your risk—studies show up to a 37% reduction in fall incidents with the right intervention.
Fall prevention therapy focuses on improving your balance, strengthening the muscles that keep you stable, and retraining your body’s automatic reactions when you start to lose your footing. Your therapist will work on balance and proprioceptive training, which teaches your body to sense where it is in space and adjust quickly. You’ll also do gait training to improve how you walk—your step length, weight shifting, and foot placement all affect fall risk, and small adjustments can make a big difference.
We also address environmental factors. Your therapist will point out hazards in your home and suggest modifications—better lighting, grab bars, removing tripping hazards, rearranging furniture to create clearer pathways. The goal is to make you stronger and more stable while also making your home safer. For many Barnum Island seniors, that combination restores confidence and independence that’s been lost due to fear of falling.
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