You shouldn’t have to choose between getting the care you need and staying comfortable at home. That’s the problem most people face after surgery, a fall, or a stroke—they need therapy, but getting to a clinic feels impossible.
In-home physical therapy removes that barrier completely. Your therapist works with you in the environment where you actually live, which means they can address the real challenges you face every day. Walking to your bathroom. Getting up from your chair. Moving safely through your kitchen.
Research shows that physical therapy reduces fall risk by 37% in older adults when it includes balance and strength training. But only if you can actually access it. That’s where home-based care makes the difference—you get professional treatment without the stress of travel, and your therapist sees exactly what your daily life looks like.
We’ve been providing in-home physical and occupational therapy across Suffolk and Nassau County for over a decade. We work with Medicare and most commercial insurance plans, so you’re not paying out of pocket for care you’re already covered for.
Our therapists are licensed professionals who specialize in treating people who can’t easily leave home—whether that’s due to mobility issues, post-surgical restrictions, or neurological conditions. We’re affiliated with Physical Therapy Associates of Smithtown and Speonk, which means you’re getting care from an established network, not a solo practitioner.
Mount Sinai has a significant aging population, and falls are the leading cause of injury for adults over 65 in this area. We’ve built our practice around addressing that reality with evidence-based fall prevention, balance training, and gait rehabilitation that happens where it matters most—in your home.
Your first session starts with a comprehensive evaluation. Your physical therapist assesses your mobility, strength, balance, and any specific limitations you’re dealing with. They’ll also look at your home environment to identify fall risks or obstacles that might be slowing your recovery.
From there, you get a personalized treatment plan. This isn’t a generic program—it’s built around your goals, whether that’s walking without assistance, regaining independence after a stroke, or preparing for surgery. Sessions typically happen 2-3 times per week, depending on your needs and what your insurance covers.
Each visit includes hands-on therapy, therapeutic exercises, and education on how to continue progress between sessions. Your therapist tracks your improvements and adjusts your plan as you get stronger. And because they’re coming to you, they can work with your actual furniture, stairs, and daily routines—not a clinic setup that doesn’t match your real life.
Most people see measurable progress within the first few weeks. The key is consistency, and home-based care makes that easier because you’re not canceling appointments due to transportation issues or bad weather.
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You’ll receive treatment for a range of conditions, all delivered in your Mount Sinai home. That includes fall prevention and balance training, which is critical given that over 25% of adults 65+ fall each year locally. We use evidence-based programs that combine strength and proprioceptive exercises to reduce your fall risk by up to 40%.
Stroke rehabilitation and neurological recovery are another focus. If you’re dealing with weakness, coordination issues, or mobility loss from a stroke or neurological condition, your therapist will work on neuromuscular re-education and functional movement patterns that help you regain independence.
Pre and post-surgery rehabilitation is common too. Whether you’re preparing for a joint replacement or recovering from one, you’ll get targeted exercises and manual therapy to reduce pain, restore range of motion, and speed up healing. Gait training helps you walk more safely and confidently, especially if you’ve been using a walker or cane.
We also treat chronic joint pain, injury rehabilitation, and general deconditioning. Occupational therapy is available if you need help with daily activities like dressing, bathing, or cooking. Everything is covered under Medicare and most commercial insurance plans, so you’re not navigating billing confusion on your own.
Yes, Medicare Part B covers in-home physical therapy if your doctor orders it and you meet the homebound criteria. Homebound doesn’t mean you can never leave your house—it means leaving requires significant effort or assistance, which applies to most people recovering from surgery, dealing with severe mobility issues, or at high risk for falls.
Medicare typically covers 80% of the approved amount after you’ve met your deductible. You’re responsible for the remaining 20%, though supplemental insurance often covers that portion. We accept Medicare assignment, which means we agree to Medicare’s approved rates and handle the billing directly.
The key is getting a physician’s order and meeting the homebound requirement. If you’re able to drive yourself to regular appointments without difficulty, Medicare may not cover home visits. But if getting to a clinic is a real barrier—whether due to pain, weakness, balance issues, or lack of transportation—you likely qualify.
Most patients receive therapy 2-3 times per week, depending on their condition and what their insurance authorizes. After your initial evaluation, your therapist will recommend a frequency based on your specific needs and goals.
For post-surgical recovery or acute injuries, you might start with three sessions per week and taper down as you improve. For chronic conditions or fall prevention, twice weekly might be sufficient. Each session typically lasts 45-60 minutes and includes hands-on treatment, exercises, and education.
Your therapist will also give you exercises to do between visits. Consistency matters more than session frequency—doing your home program on off days makes a significant difference in how quickly you progress. We adjust your schedule as you get stronger, and some patients eventually transition to once-weekly maintenance sessions or discharge once they’ve met their goals.
We treat a wide range of conditions, but the most common in Mount Sinai are fall prevention and balance disorders, post-surgical rehabilitation (especially joint replacements), stroke recovery, and neurological conditions like Parkinson’s or neuropathy.
If you’re dealing with chronic joint pain, arthritis, or general weakness that’s making daily activities harder, that’s something we address too. Gait training is common for people who’ve lost confidence in their walking or who are using assistive devices like walkers or canes. We also work with patients recovering from fractures, managing vertigo or dizziness, or dealing with deconditioning after a hospital stay.
Occupational therapy is available if your challenges are more related to daily tasks—getting dressed, preparing meals, bathing safely, or managing household activities. The key qualifier is that leaving home for treatment is difficult or unsafe for you. If that’s the case, and your doctor agrees you need therapy, we can likely help.
The biggest difference is context. In a clinic, your therapist works with you on generic equipment in a controlled environment. At home, they see exactly what you’re dealing with—your actual stairs, your bathroom layout, the chair you struggle to get out of, the uneven threshold that’s a tripping hazard.
That means treatment is more functional and relevant. If your goal is to walk safely to your mailbox, your therapist can practice that exact route with you. If you’re struggling to get in and out of your shower, they can assess the space and recommend modifications or techniques that actually work for your setup.
Home therapy also eliminates the transportation barrier, which is huge for people with limited mobility. You’re not exhausting yourself just to get to an appointment, and you’re not skipping sessions because you can’t find a ride. Research shows that home-based therapy has similar or better outcomes compared to clinic-based care, especially for older adults, because it’s more accessible and contextually relevant.
Your first visit is an evaluation. Your therapist will ask about your medical history, current symptoms, and what you’re hoping to achieve—whether that’s walking without a walker, reducing pain, preventing falls, or regaining independence after surgery or illness.
They’ll assess your strength, balance, range of motion, and how you move through basic tasks like standing up, walking, and turning. They’ll also evaluate your home for safety risks—loose rugs, poor lighting, lack of grab bars, or furniture placement that increases fall risk. This isn’t just about your body; it’s about how your environment supports or hinders your recovery.
By the end of the first session, you’ll have a clear treatment plan with specific goals and a recommended schedule. You’ll also start some initial exercises or techniques. Most people feel more confident just from understanding what’s going on and having a concrete plan. Follow-up sessions build on that foundation with progressive exercises, hands-on therapy, and adjustments based on your progress.
Yes, we accept nearly all commercial insurance plans in addition to Medicare. That includes most major carriers, Medicare Advantage plans, and supplemental policies. Each plan has different coverage rules, so we verify your benefits before starting treatment to make sure you understand what’s covered.
Some insurance plans require prior authorization for home health services, which we handle on your end. Others have visit limits or co-pay requirements. We’ll walk you through what your specific plan covers so there are no surprises when you get a bill.
If you’re unsure whether your insurance covers in-home physical therapy, call your provider and ask about “home health physical therapy services” with a physician’s order. Most plans cover it if you meet their homebound criteria and your doctor deems it medically necessary. We’re happy to help you navigate that process—it’s part of making sure you can actually access the care you need without financial stress.
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