Getting to a clinic three times a week isn’t realistic when you’re recovering from a stroke or dealing with balance issues. The drive itself becomes another obstacle. In-home physical therapy removes that barrier completely.
You get the same licensed care, the same evidence-based treatment, the same results—just in your own space where you’re most comfortable. Your therapist evaluates your actual environment, the stairs you need to climb, the bathroom you need to navigate. That’s not something you can replicate in a clinic.
Most of our Mastic patients are on Medicare, which covers in-home therapy when leaving home is difficult. You’re not paying out of pocket for something insurance already recognizes as medically necessary. The focus stays on your recovery, not your transportation.
We’ve been providing in-home care across Suffolk County since 2010. Our licensed physical and occupational therapists specialize in neurological and orthopedic conditions—the kinds of challenges that make getting to appointments nearly impossible.
Mastic has a growing population of residents over 65, and many are dealing with chronic conditions like arthritis, diabetes, or recovering from strokes. We’ve built our practice around meeting people where they are, literally. Every therapist on our team is New York State licensed and trained in fall prevention protocols, gait training, and post-surgery rehabilitation.
We’re not a franchise or a referral service. We’re local therapists who live and work on Long Island, and we’ve seen firsthand how much easier recovery becomes when you’re not exhausting yourself just to get treatment.
First, we verify your insurance and schedule an initial evaluation at your home. A licensed physical therapist assesses your mobility, strength, balance, and any specific limitations you’re facing. They’ll also look at your home setup—where you’re at risk for falls, what movements are hardest, what goals matter most to you.
From there, we build a treatment plan. If you’re recovering from a stroke, that might include neuromuscular re-education and gait training to help you walk more steadily. If you’ve had joint surgery, we focus on range of motion, strength training, and pain management. For fall prevention, we use balance and proprioceptive training based on proven protocols.
Sessions typically happen two to three times per week, depending on your needs and what your doctor recommends. Your therapist brings any equipment needed—resistance bands, balance tools, manual therapy techniques. You’ll get exercises to do between visits, and we adjust the plan as you improve. Everything is documented and shared with your physician so everyone stays on the same page.
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We treat a wide range of conditions, but the most common requests in Mastic involve stroke rehabilitation, fall prevention, and post-surgery recovery. Stroke rehab focuses on regaining motor control, improving balance, and retraining your gait cycle so walking feels natural again. It’s slow work, but it’s effective when done consistently.
Fall prevention is critical for older adults. In New York, one in four people over 65 will fall this year, and many of those falls lead to fractures or hospitalizations. We use Otago-based training—a research-backed program that combines strength exercises, balance activities, and home safety assessments. The goal is to reduce your fall risk before something happens.
For joint pain or post-surgery rehab, we use manual therapy, therapeutic exercise, and resistance training to restore function. Whether you’ve had a knee replacement or you’re dealing with chronic shoulder pain, the treatment is hands-on and specific to your body. Mastic residents also have access to occupational therapy for daily living skills—getting dressed, cooking, bathing—anything that’s become harder due to injury or illness.
Medicare Part B covers in-home therapy when it’s medically necessary and prescribed by your doctor. Most supplemental plans cover it too. We handle the billing and verification so you’re not navigating that alone.
Yes. Medicare Part B covers in-home physical therapy when your doctor certifies that leaving your home is difficult due to your medical condition. That includes people recovering from strokes, those with severe arthritis, balance disorders, or anyone whose mobility is limited enough that getting to a clinic creates a real hardship.
You’ll need a referral or prescription from your physician, and the therapy has to be considered medically necessary—not just convenient. We verify your coverage before the first visit so there are no surprises. Most patients pay nothing out of pocket if they’ve met their deductible, though co-pays can apply depending on your specific plan.
If you have a Medicare Advantage plan or a supplemental policy, coverage works similarly, but the details vary by insurer. We work with most major plans in Suffolk County and handle the claims process directly. You shouldn’t have to figure out billing codes or prior authorizations on your own.
We treat neurological conditions like stroke, Parkinson’s, and multiple sclerosis, along with orthopedic issues like joint replacements, fractures, arthritis, and chronic pain. A large portion of our Mastic patients are recovering from strokes or dealing with balance problems that put them at risk for falls.
Stroke rehabilitation focuses on regaining strength, improving coordination, and retraining movement patterns. Gait training helps you walk more safely and confidently. Balance and proprioceptive training reduces fall risk, which is especially important for older adults living alone.
We also work with people recovering from surgery—hip replacements, knee replacements, rotator cuff repairs. Post-surgery rehab involves restoring range of motion, building strength, and managing pain so you can return to normal activities. If you’re dealing with a chronic condition that limits your mobility, we create a long-term plan to maintain function and prevent decline.
Most patients start with two to three visits per week, depending on the severity of their condition and what their doctor recommends. Stroke recovery and post-surgery rehab typically require more frequent sessions early on, then taper as you improve.
Each session lasts about 45 minutes to an hour. Your therapist will spend that time doing hands-on treatment, guiding you through exercises, and adjusting your plan based on how you’re responding. Between visits, you’ll have a home exercise program to follow—usually 15 to 20 minutes a day.
As you get stronger and more independent, we reduce the frequency. Some patients transition to once a week, others graduate from therapy altogether once they’ve hit their goals. The timeline depends entirely on your condition, your progress, and what you’re working toward. We don’t drag out treatment longer than necessary.
Physical therapy focuses on movement—strength, balance, walking, pain relief. If you’re recovering from a stroke and need help walking again, that’s physical therapy. If you’ve had a knee replacement and need to rebuild strength, that’s physical therapy.
Occupational therapy focuses on daily living skills—getting dressed, bathing, cooking, using the bathroom safely. If a stroke has affected your ability to button a shirt or hold a fork, occupational therapy teaches you adaptive techniques. If arthritis makes it hard to open jars or get in and out of the shower, an occupational therapist finds solutions.
Many of our Mastic patients need both. Someone recovering from a stroke might work with a physical therapist on walking and balance, and an occupational therapist on using their affected arm for everyday tasks. We coordinate between both disciplines so your care is seamless. Insurance typically covers both when they’re medically necessary.
You qualify if leaving your home is difficult due to a medical condition and your doctor agrees that in-home therapy is necessary. Medicare uses the term “homebound,” but that doesn’t mean you can never leave. It means leaving requires significant effort—you need assistance, you’re at risk of falling, or the trip itself worsens your condition.
Examples include someone recovering from a stroke who can’t safely navigate stairs, an older adult with severe arthritis who can’t sit in a car for more than a few minutes, or someone with balance issues who’s at high risk of falling during transport. Your physician makes the final call, but if getting to appointments is genuinely hard, you likely qualify.
We handle the paperwork and work directly with your doctor’s office to get the necessary authorization. If you’re unsure whether you qualify, call us. We’ll ask a few questions about your mobility and insurance, and we can usually tell you right away whether in-home therapy makes sense for your situation.
The first visit is an evaluation. Your therapist will ask about your medical history, current symptoms, and what’s been difficult for you lately. They’ll assess your strength, balance, range of motion, and how you move around your home. If you’re recovering from a stroke, they’ll test coordination and motor control. If you’re dealing with joint pain, they’ll check flexibility and identify what movements trigger discomfort.
They’ll also walk through your home to spot fall risks—loose rugs, poor lighting, tricky stairs. This isn’t about judging your housekeeping. It’s about making sure your environment supports your recovery instead of working against it.
By the end of the visit, you’ll have a clear treatment plan. Your therapist will explain what they’re targeting, how often you’ll meet, and what kind of progress you can expect. You’ll start some light exercises or manual therapy during that first session, so it’s not just paperwork. Most evaluations take about an hour, and everything is billed directly to your insurance.
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