Professional Physical Therapy ClinicQueens VillageComplete this short form and our patient care coordinators will reach out to schedule an appointment at your convenience.Request an Appointment Name* First Last Email* Phone*GenderGenderMaleFemaleNon-BinaryPatient TypePatient TypeNew PatientCurrent PatientPrior PatientDate of BirthBirth Month123456789101112Birth Day12345678910111213141516171819202122232425262728293031Birth Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Preferred Day of WeekPreferred Day of WeekFirst AvailableMondayTuesdayWednesdayThursdayFridaySaturdayPreferred TimePreferred TimeFirst AvailableEarly AMLate AMEarly PMLate PMPreferred Appointment TypePreferred Appointment TypeIn-ClinicTelehealthDoctor Referral/RXDoctor Referral/RXYesNoInsurance Carrier (Optional)Insurance Carrier (Optional)New York, New Jersey, ConnecticutAetna (NY, NJ, CT)AmeriHealth (NJ)Anthem BCBS (CT)Cigna/ASH (NY, NJ, CT)ClearComp (NY/NJ)Comp X (Workers Compensation: NJ)ConnectiCare (CT)Department of Labor (NY, NJ, CT)Empire BCBS (Individual Providers In Network – NY)Empire Plan MPN (UHC – NY, NJ)First MCO (Workers Compensation: NJ)GHI (Emblem Health – NY, NJ, CT)HIP (Emblem Health – NY)Homelink (NY, NJ, CT)Horizon BCBS (NJ)Medicare (NY, NJ, CT)MedRisk (Workers’ Compensation – NY, NJ, CT)MultiPlan (NY, NJ, CT)New Jersey Manufacturers (NJM – NJ)No Fault (Various Carriers)Northwell Health Clinical Integration Network IPA (NY)OccuNet (NJ)One Call (NY, NJ)Oscar Health Plan (NY)Oxford (NY, NJ, CT)Providers Edge Scheduling Group/PESG (WC)QualCare (NJ)Qual-Lynx (Workers' Comp. - NJ)SPNET (Workers' Comp - NY, NJ, CT)Streamline (NJ)Therapy Direct (Workers Compensation: NY, NJ, CT)TRICARE (NY, NJ, CT)United Health Care (NY, NJ, CT)Veterans Choice (NY, NJ, CT)Veterans Administration (NY, NJ, CT)WellCare (NJ)Workers’ Compensation (Various Carriers)Connecticut, Massachusetts, New HampshireAetna (NH, MA)Aetna (Orthonet – CT)AllWays (formerly Neighborhood Health Plan – MA)Ambetter/NH Healthy Families (NH)Amerihealth Caritas (effective date 4/27/2020 - NH)Anthem Blue Cross Blue Shield (NH)Anthem Blue Cross Blue Shield (CT)BCBS Massachusetts (MA)BMC (Boston Medical Center – MA)CeltiCare (MA)Cigna (ASH - MA, NH, Farmington, CT)Commonwealth Care Alliance (MA)ConnectiCare (CT)Fallon Health (MA)Harvard Pilgrim Health Care (NH, MA, CT)Health New England (MA)Homelink (MA, NH, Farmington, CT)Martin’s Point Health Care (NH)Massachusetts Health (Medicaid – MA)Medicaid (MA, NH, Farmington, CT)Medicare (NH, MA, CT)Med Risk (Workers Compensation: MA)No Fault (Various Carriers)One Call (Workers Compensation: MA, NH)SPNET (Workers' Comp - MA, NH, Farmington, CT)Therapy Direct (Workers Compensation: MA, NH, CT)TRICARE (NH, MA, CT)Tufts Health Plan (NH, MA, CT)Tufts Public (Medicaid – MA)UniCare (NH, MA)United Health Care (Optum – NH, MA, CT)WellSense (NH)Workers’ Compensation (Various Carriers)Additional Comments (Optional) Contact InfoPhone: (718) 400-8330Fax: (732) 853-8543 Address220-05 Hillside Ave (Inside Blink Fitness) Queens Village, NY 11427 Get Directions Office HoursMonday, Wednesday, Friday 7:00 am – 6:00 pmTuesday, Thursday 7:00 am – 7:00 pm Hear from our patientsProfessional Physical Therapy5.0Based on 7 reviewsWrite a reviewNicholas P.Great staff they guide you through the whole process of getting betterRoy F.Cassandra P.Sam provides amazing support and is helping me tremendously. The entire staff absolutely wonderful!Isaac C.Leon is great, very helpful and attentive to my recovery. Thank you so much.Patrick R.Moe N.Great staff, excellent care! Tour our physical therapy clinic Previous Next Physical Therapist StaffSamantha Hernandez, PT, DPTClinical DirectorEducationDoctoral Degree, Physical Therapy, University of the SciencesBachelor's Degree, Health Science, University of the SciencesCertificationsCredentialed Clinical InstructorMembershipsAPTAClinical InterestsOrthopedicsPediatrics Contact our physical therapists todayWe will work in an effective way to manage your pain during and after therapy. SCHEDULE AN APPOINTMENT
