direct access.

What is Direct Access?

Direct Access is an important philosophy at Professional Physical Therapy, and it’s relatively simple. It means that patients have direct access to physical therapy services, with a prescription to receive physical therapy services. When patients have direct access to their physical therapists, they are able to reap a variety of benefits that aren’t as easy to come by when referrals are required.

In our experience, Direct Access improves the relationship between both patients and therapists, and makes collaboration with other healthcare providers much smoother and easier. Also, since early physical therapy has many proven benefits, Direct Access makes it easier to receive care in a timely fashion, reducing the risks associated with prolonging treatment of your condition. Since referrals require a physician’s visit, which often come with a co-pay, Direct Access saves both you and your insurance company money. By eliminating the unnecessary step of procuring a referral, we are also eliminating frustrating barriers that get in the way of the therapy you need.

You can begin treatment right away!

You may come directly to your Physical Therapist and receive an evaluation and treatment for any musculoskeletal injury. Your “Professional” Physical Therapists can treat that acute or chronic shoulder, elbow, wrist, hand, neck, back, hip, knee, ankle, or foot injury right now!

Upon completion of your Physical Therapy evaluation, we will determine your treatment plan. If further diagnostic tools (e.g., x-ray, MRI, etc.) are needed to ensure proper care, Professional will communicate our findings with the physician of your choice.

We will work in an effective way to get you back on your feet, focused on your wellness during and after therapy.

New York

Direct Access in New York allows evaluation and treatment for up to 10 visits within 30 days without a prescription* and is covered by many insurances and physical therapists.

In 2006, Congress passed legislation that allows patients in New York State who need Physical Therapy to go directly to their Physical Therapist to receive an evaluation and treatment. A prescription will not be required to receive Physical Therapy treatment.

Note: This is an extension of legislation that allows Physical Therapists to evaluate any injury.

*Some exceptions apply.

New Jersey

Direct Access in New Jersey allows Evaluation and Treatment without a prescription* and is covered by many insurances and physical therapists. Since 2003, under the Public Laws of New Jersey, in most cases a referral will not be required to start your Physical Therapy care.

Now you can have your injuries evaluated and treated immediately by a NJ licensed Physical Therapist.

*Some exceptions apply.

Connecticut

Direct Access in Connecticut allows Evaluation and Treatment for up to 6 visits within 30 days without a prescription* and is covered by many insurances and physical therapists.

*Some exceptions apply.

Who is eligible to be seen via Direct Access?

Any person in New York, New Jersey, or Connecticut is eligible to be seen directly by a Physical Therapist.

Should I use Direct Access, or see my Physician first?

Our goal is to help ensure that each of our patients receives the highest quality of Physical Therapy care available. Direct Access enables you to receive treatment right away. If for any reason, you feel that you require an evaluation by your doctor first, Professional encourages you to do so.

Does Insurance cover my Physical Therapy through Direct Access?

It depends on your insurance provider and coverage. Professional Physical Therapy will be happy to verify your benefits for you. Just call any one of our offices and speak to a representative.

Insurances We Accept

Below is a condensed list of insurances we participate with throughout our network of physical therapy clinics.  Find your particular provider below based on your area.
For a complete listing of all insurance providers and individual plans by name: CLICK HERE FOR OUR FULL INSURANCE PAGE.

*CLICK TO EXPAND REGIONS

New York, New Jersey, Connecticut

  • Aetna (NY, NJ, CT)
  • AmeriHealth (NJ)
  • Anthem (CT)
  • Clover Health - Medicare Advantage Plan (NJ)
  • ConnectiCare (CT)
  • Department of Labor (NY, NJ, CT)
  • Empire BCBS (Individual Providers In Network – NY)
  • Empire Plan MPN (UHC – NY, NJ)
  • First MCO (NJ)
  • GHI (Emblem Health – NY, NJ, CT)
  • HIP (Emblem Health – NY)
  • Horizon BCBS (NJ)
  • Magna Comp Casualty (Workers' Compensation/NO Fault - NY, 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 Clinial Integration Network IPA (NY)
  • OccuNet (NJ)
  • One Call (NY, NJ)
  • Oscar Health Plan (NY)
  • Oxford (NY, NJ, CT)
  • TRICARE (NY, NJ, CT)
  • UHC Community Plan (NY)
  • 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 Hampshire

  • Aetna (NH, MA)
  • Aetna (Orthonet – CT)
  • AllWays (formerly Neighborhood Health Plan – MA)
  • Ambetter (NH)
  • Anthem Blue Cross Blue Shield (NH)
  • Anthem Blue Cross Blue Shield (CT)
  • ASH (Cigna – NH, MA, CT)
  • BCBS Massachusetts (MA)
  • BMC (Boston Medical Center – MA)
  • CeltiCare (MA)
  • Commonwealth Care Alliance (MA)
  • ConnectiCare (CT)
  • Fallon Health (MA)
  • Harvard Pilgrim Health Care (NH, MA, CT)
  • Health New England (MA)
  • Martin’s Point Health Care (NH)
  • Massachusetts Health (Medicaid – MA)
  • Medicaid (NH, MA, CT)
  • Medicare (NH, MA, CT)
  • No Fault (Various Carriers)
  • Prime Health Services (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)

do you have pain?

Patient focused physical therapy services

Complete this short form and our patient care coordinators will reach out to schedule an appointment at your convenience. We will work in effective way to get you back on your feet, focused on your wellness before, during and after therapy.