Answers to the questions we get asked the most.
Don't see what you're looking for? Ask us directly. We respond within one business day.
Getting started
Do I need a referral from my doctor?
No. You can call us directly and we'll get started without waiting on a physician referral. We'll handle the coordination with your provider.
That said, if you already have a referral or a prescription, have it available. It helps us coordinate with your medical team.
Do I have to be homebound? Are you home health?
No, and no. Home health and outpatient therapy are different things. We are outpatient neurologic therapy delivered in your home: one therapist for the whole session, 55 to 90 minutes, two to four times a week, with no homebound requirement.
You also do not have to choose. If you are already receiving home health, we can work alongside it.
How quickly can I get started?
We respond within one business day, and we can often see you within 24 to 48 hours. How fast depends mostly on how quickly we can gather your information.
Coming home from the hospital or working with a new diagnosis moves to the front of the line. If the timing is urgent, say so when you call.
What conditions do you treat?
Adult neurologic conditions, across the board. Stroke, Parkinson's disease, atypical parkinsonism, multiple sclerosis, brain injury and concussion, dementia and Alzheimer's, spinal cord injury, ALS, and dizziness and vertigo.
We also see people with balance problems and a history of falls where no neurologic diagnosis has been made yet. See all conditions.
It's been months or years since the stroke. Is it too late?
No. We work with people at every stage, from a few weeks out to many years out. The brain keeps adapting, and so does the rest of the body.
Being told you have plateaued usually means a particular episode of care ended, not that progress has stopped being possible. If something has changed, or you have a goal nobody has worked on with you yet, that is worth an evaluation.
I'm not sure if I need therapy. Can we just talk?
Yes. A private consultation is a one-time visit where we assess the situation and give you a clear picture of what's possible. There's no commitment to ongoing care.
It's especially useful after a new diagnosis, before a major surgery, or if a loved one's function has changed and you're not sure what to do.
Insurance & cost
Do you take insurance?
We bill Original Medicare Part B directly and are in network, in both North Carolina and Florida. We are out of network with Medicare Advantage plans, though we will bill on your behalf for PPO plans. We do not participate in commercial insurance networks. For commercial plans we provide a superbill you can submit for possible reimbursement.
Private pay is available for physical therapy and occupational therapy, so you can be seen whatever your coverage looks like. Our wellness services (private fitness, group fitness, group education) are self-pay.
Which insurance plans do you accept?
Original Medicare Part B, billed directly and in network, in both North Carolina and Florida.
Medicare Advantage plans are out of network. For Advantage PPO plans we will bill on your behalf. For Advantage HMO plans, care is private pay.
We do not participate in commercial insurance networks. If you have a commercial plan we provide a superbill you can submit to your insurer for possible reimbursement. Call us with your card handy and we will walk you through exactly what your situation looks like before anything is scheduled.
Will I have a copay?
It depends on your plan. We verify benefits before your first visit so there are no surprises. If there's a copay or deductible, you'll know about it up front.
What does it cost if I pay privately?
In-home one-to-one physical or occupational therapy is $250 per session, with a discount for packages paid in full. Our online exercise programs are $49.99 a month with a seven-day free trial, and there is no contract.
We will tell you the cost before anything is scheduled. No surprise billing, ever.
What if I don't have insurance? Or I've used up my visits?
No problem. We offer private pay for in-home physical therapy and occupational therapy, so you can keep getting skilled care even without insurance or after you've used up your covered visits.
Our wellness services are also self-pay and built for people who want to keep working on their function for the long arc of recovery. Options include in-home private fitness, virtual private fitness, group fitness classes, and our online exercise programs.
What to expect
What happens in the first visit?
A comprehensive evaluation. Your clinician will spend time understanding your history, your diagnosis, what you can do, what you want to do, and what's getting in the way. They'll assess strength, balance, gait, and functional mobility.
By the end, you'll have a clear plan and answers to your questions.
How long are sessions and how often will we meet?
Sessions usually run 55 to 60 minutes, and up to 90 when the plan calls for it. One therapist stays with you for the whole session.
Most people are seen twice a week. After a new stroke, a new diagnosis, or a hospital discharge we may recommend up to four times a week, while the higher dose matters most.
We do not cap the number of visits. How long we stay is a clinical decision we make with you, not a number set in advance.
Do you offer occupational therapy as well as physical therapy?
Yes, both, from one practice. Physical therapy covers walking, balance, strength, and getting around safely. Occupational therapy covers dressing, bathing, cooking, and the rest of what fills a day.
After a stroke or with a progressive condition, those two sides of recovery are hard to separate, which is why we do not make you find them separately.
Who will be treating me?
A licensed physical or occupational therapist, and the same one each visit wherever we can manage it. Several of our clinicians are board-certified neurologic clinical specialists, and several hold LSVT BIG or PWR!Moves certification.
Neurologic care is the whole practice, not one service line inside a general agency. Meet the team.
Do you coordinate with my doctor or neurologist?
Yes. We send evaluations and progress notes to your physician or neurologist, and we'll reach out directly when something comes up that your medical team should know about.
You don't have to carry messages between us. That's our job.
How will we know whether it's working?
We set goals with you at the evaluation and measure against them. Walking speed, balance scores, how far you can go, and the specific tasks you told us mattered.
We review progress with you as we go. If something isn't moving, we say so and change the plan.
Do I need to prepare anything in my home?
Just a chair you can sit in and stand from, and enough open space to take a few steps. We bring everything else we need. We'll work with whatever space you have.
Can my caregiver or family be involved?
Absolutely encouraged. Caregiver education is built into our care. They'll learn how to safely assist, what to watch for, and how to keep the gains going between sessions.
I live out of state. Can I stay involved in my parent's care?
Yes, and a lot of the families we work with are in exactly that position. With your parent's permission we'll keep you in the loop on the plan and how things are going, and you're welcome to join a session by phone or video.
If you're the one arranging care from a distance, you can call us directly to get started.
Area & logistics
Where do you serve?
The Triangle, NC area and the Jacksonville, FL area. In North Carolina that includes Wake, Durham, Orange, and Chatham counties: Raleigh, Durham, Chapel Hill, Cary, Carrboro, Hillsborough, Apex, Morrisville, Pittsboro, and the surrounding communities. In Florida we serve Duval and St. Johns counties: Jacksonville, the Beaches, Ponte Vedra, Ponte Vedra Beach, and Nocatee. Availability in St. Augustine is limited right now, so call and ask. See the full list of areas.
If you're outside those areas, ask. We make exceptions when we can. Or look into our online exercise programs and virtual fitness sessions, which work nationwide.
Do you visit assisted living, independent living, and memory care facilities?
Yes. We visit assisted living facilities, independent living communities, and memory care. Our care is supplemental in those settings. We coordinate with facility staff and complement the care your loved one already receives.
What if I'm not in the Triangle or Jacksonville?
Our online exercise programs and virtual private fitness sessions are available anywhere. Many of the people we work with outside North Carolina use these as their primary connection to neurologic-specific exercise.
We'd rather you ask than guess.
Send us a quick message and we'll get back to you within one business day. No question is too small.