You shouldn’t have to choose between quality care and convenience. When you’re recovering from surgery, managing chronic pain, or rebuilding strength after a stroke, the last thing you need is another trip across town to sit in a waiting room.
In-home physical therapy means your treatment happens in your space, on your schedule. You work with a licensed physical therapist who brings the equipment, the expertise, and a personalized plan built around your goals. Not a generic protocol—your actual life.
Whether it’s regaining balance after a fall, reducing joint pain that’s been limiting your day, or preparing your body for an upcoming procedure, the focus stays on measurable progress. You’re not just going through exercises. You’re rebuilding confidence, independence, and the ability to move through your home and community without second-guessing every step.
We’ve been providing in-home physical therapy across Long Island since 2010. We’re affiliated with Physical Therapy Associates of Smithtown and Speonk Physical Therapy, which means you’re working with a network that’s been around, not a startup figuring things out as they go.
North Valley Stream has one of the highest rates of health insurance coverage on Long Island, and nearly everyone here is already dealing with a provider they trust. We accept Medicare and nearly all commercial insurance plans, so you’re not stuck paying out of pocket or navigating confusing billing on your own.
Our team knows this area. We understand the housing stock, the aging population, the mobility challenges that come with multi-level homes and busy streets. That local knowledge shapes how we approach fall prevention, gait training, and neurological rehabilitation for residents who want to stay independent in their own community.
It starts with a phone call. You tell us what’s going on—whether it’s post-surgery rehab, balance issues, chronic pain, or something else. We verify your insurance, confirm Medicare coverage if applicable, and schedule your first session at a time that works for you.
During that first visit, your physical therapist conducts a full evaluation in your home. They assess your movement, strength, balance, and any environmental factors that might be affecting your recovery. Then they build a treatment plan with clear goals and a realistic timeline.
Each session after that is hands-on. You’re doing therapeutic exercises, resistance and strength training, neuromuscular re-education, or whatever your plan calls for. Your therapist adjusts the program as you progress, and they’re tracking outcomes the whole way—not just how you feel, but how you’re actually moving.
Most patients see us two to three times a week for several weeks, though it depends on your condition and goals. Some people are managing a short-term injury. Others are working through stroke rehabilitation or neurological conditions that require a longer timeline. Either way, you know what to expect before you start.
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We treat the conditions that are most common in North Valley Stream. Fall prevention and balance training are huge here—over 17% of the population is over 64, and falls are one of the leading causes of injury and loss of independence in that age group. We also handle gait training for people who’ve lost confidence in their walking or need to rebuild proper movement patterns after an injury.
Joint pain treatment covers everything from arthritis to post-operative recovery. If you’ve had a knee replacement, hip surgery, or you’re dealing with chronic shoulder or back pain, we design programs that reduce pain and restore function. Stroke rehabilitation and neurological rehabilitation are also core services, especially for patients dealing with mobility loss, muscle weakness, or coordination issues after a neurological event.
Pre and post surgery rehabilitation helps you go into procedures stronger and recover faster on the other side. Injury rehabilitation covers sports injuries, workplace accidents, and anything else that’s disrupted your normal movement. And occupational rehabilitation gets you back to the physical demands of your job, whether that’s lifting, standing, or repetitive motion.
Yes. Medicare Part B covers outpatient physical therapy when it’s medically necessary and provided by a licensed physical therapist. That includes in-home therapy if your doctor orders it and you meet the criteria—usually meaning you have a condition that limits your ability to leave home safely or easily.
You’ll need a referral or prescription from your physician, and the therapy has to be part of a treatment plan aimed at improving a specific condition. Medicare doesn’t cover maintenance therapy or general fitness, but it does cover rehabilitation after surgery, injury, stroke, or other medical events that affect your mobility or function.
We handle the verification and billing directly with Medicare, so you’re not stuck navigating the paperwork on your own. Most patients pay a copay or coinsurance depending on their plan, and we’ll let you know what to expect before we start.
Physical therapy focuses on movement—strength, balance, mobility, pain reduction, and restoring your ability to walk, stand, and perform physical activities. If you’re recovering from surgery, dealing with joint pain, or rebuilding after a stroke, you’re usually working with a physical therapist.
Occupational therapy focuses on daily living activities—getting dressed, cooking, bathing, and other tasks that require fine motor skills and cognitive function. It’s more about adapting to limitations and finding new ways to do things when your abilities have changed.
There’s overlap, and some patients benefit from both. We offer both services, and in many cases, your therapist will coordinate with other providers to make sure you’re getting the full support you need. If you’re not sure which one applies to your situation, we’ll help you figure that out during the initial evaluation.
It depends on what you’re treating. A straightforward post-surgery rehab program might run six to eight weeks with two or three sessions per week. Something more complex—like stroke rehabilitation or neurological conditions—can take several months and may involve ongoing maintenance after the initial recovery phase.
Your therapist will give you a realistic timeline during your evaluation, and they’ll adjust it as you progress. Some people recover faster than expected. Others hit plateaus and need more time or a different approach. The goal is measurable improvement, not just running out the clock on a preset number of visits.
Insurance coverage also plays a role. Medicare and most commercial plans have limits on how many visits they’ll cover in a given period, though exceptions exist for medically necessary care. We track your progress and work with your doctor to make sure you’re getting the coverage you need without unnecessary delays or denials.
Your first session is an evaluation. Your physical therapist will ask about your medical history, current symptoms, and what you’re hoping to achieve. Then they’ll assess your movement—how you walk, your balance, your strength, your range of motion, and any pain or limitations you’re experiencing.
They’ll also look at your home environment. Are there stairs? Loose rugs? Poor lighting? Narrow doorways? These factors matter, especially if fall prevention or mobility training is part of your plan. Your therapist will note anything that could affect your safety or recovery and may suggest modifications.
After the evaluation, you’ll get a treatment plan. It’ll include specific goals, a timeline, and the types of exercises or interventions you’ll be doing. Most first sessions last about an hour, and you’ll usually start some light exercises or movements right away if you’re able. You’re not just talking—you’re beginning the work.
Yes. Most in-home physical therapy doesn’t require a lot of room or special equipment. Your therapist brings resistance bands, small weights, balance tools, and anything else needed for your program. A living room, bedroom, or even a hallway is usually enough space to work.
If you’re doing gait training, your therapist will use whatever space you have—even if that’s just walking back and forth in a hallway or practicing stairs if you have them. The point is to train you in the environment where you actually live, not in some idealized clinic setting that doesn’t match your daily reality.
Limited space can actually be an advantage. Your therapist can identify the specific challenges you face in your home and build exercises that address them directly. If you’re struggling to get in and out of your bathroom or navigate a narrow kitchen, those become part of the therapy. You’re not just getting stronger in the abstract—you’re solving the actual problems that are limiting your independence.
That happens, and it’s usually for one of a few reasons. The program wasn’t specific enough to your condition. You didn’t do it long enough to see results. The therapist didn’t adjust the plan when you hit a plateau. Or the setting—like a busy clinic with rotating therapists—didn’t give you the consistency and attention you needed.
In-home therapy solves some of those problems automatically. You’re working one-on-one with the same therapist in your own environment, which means the program is tailored to your actual life and limitations. There’s no guessing about whether an exercise will work in your home—you’re doing it in your home.
If you’ve tried therapy before and didn’t get results, tell us that upfront. We’ll review what you did, what didn’t work, and why. Then we’ll build something different. Sometimes it’s a matter of intensity, frequency, or exercise selection. Other times it’s about addressing underlying issues that weren’t caught the first time. Either way, past failure doesn’t mean therapy won’t work—it just means the approach needs to change.
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