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Precision Health Solutions, LLC

Direct Access & Physical Therapy Scope for Cash-Based Services

 

New York State Guidelines

 

What is Direct Access for Cash-Based Physical Therapy?

  • You can receive physical therapy evaluation and treatment without a physician’s referral or prescription for up to 10 visits or 30 calendar days, even when paying directly (cash-based services).

  • After this period, if continued care is needed, a referral from a licensed physician, dentist, or podiatrist is required under New York State law.

  • Cash-based physical therapy services are provided outside of insurance billing but follow the same legal scope of practice and patient protections.

  • Your physical therapist will inform you when this limit is reached and advise on next steps.

What Cash-Based Physical Therapy Is

  • Personalized evaluation, treatment, and prevention of physical dysfunction, injury, or pain using:

    • Therapeutic exercise

    • Manual therapy

    • Neuromuscular re-education

    • Physical agents and modalities (heat, cold, ultrasound, electrical stimulation)

    • Functional training and patient education

  • A professional service focused on restoring and enhancing movement and function.

  • Delivered by licensed physical therapists authorized by New York State.

  • Services paid directly by you without involving insurance companies, offering flexibility and privacy.

 

What Cash-Based Physical Therapy Is NOT

  • Medical diagnosis beyond the PT scope.

  • Prescribing medications or performing surgeries.

  • Treatment for urgent medical or surgical conditions without referral.

  • A substitute for emergency or comprehensive medical care.

  • Insurance-covered care (you receive a receipt which you may submit to insurance at your discretion, but reimbursement is not guaranteed).

 

Your Rights and Responsibilities

  • You have the right to informed consent, confidentiality, and quality care.

  • If your condition requires medical evaluation or exceeds direct access limits, you will be referred to an appropriate healthcare provider.

  • Your physical therapist will monitor your condition and communicate openly about your care plan.

 

Contact Us

Precision Health Solutions, LLC
Email: precisionhealthsolutions.llc@gmail.com

 

References

  • New York State Physical Therapy Practice Act, Article 136, Education Law

  • NYS Office of the Professions: Physical Therapy

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