FREQUENTLY ASKED QUESTIONS
Straight answers before your first home visit.
Learn about one-on-one mobile physical therapy, fitness & wellness for adults, referrals, insurance, home exercises, scheduling and where I visit. I bring care to your home. If your situation is different, call or text and I’ll help you sort out the next step.
Care and visits
Do I need a doctor’s referral to start physical therapy?
You may be able to start without one. Dr. Leonid “Lenny” Klichinsky is direct-access certified in Pennsylvania. For eligible patients, Pennsylvania permits treatment without a referral for up to 30 calendar days from the first treatment. A referral is required to continue beyond that period, and some medical conditions require consultation with a medical provider before treatment.
Direct access and insurance coverage are separate. Your insurance plan may require a referral or authorization. Medicare Part B also has physician or qualified medical-provider involvement and plan-of-care certification requirements. Contact Lenny to review your situation and any required paperwork before your first visit.
What services do you offer?
I offer private fitness and wellness sessions, private-pay physical therapy, and eligible insurance-based physical therapy in clients’ homes. Visits may focus on strength, flexibility, mobility, balance, walking, or rehabilitation, depending on your goals and the service that fits.
Do you come to my home?
Yes. This is a mobile practice. I bring equipment for one-on-one visits, and the plan can take your real home environment into account.
Will I work directly with Dr. Lenny?
Yes. I am the owner and the person who provides the visits described on this site.
Do I have to finish physical therapy before starting fitness or wellness?
No. Private fitness and general wellness can be a starting point on their own. If your needs call for physical therapy, we can discuss that separately.
How do I know whether I need fitness or physical therapy?
Call to describe what you want to work on. Fitness and wellness focus on your activity goals. Physical therapy involves assessment and treatment of a health condition, pain, injury, or recovery need. The right service depends on your situation.
Do you offer hands-on stretching or manual therapy?
Private fitness and wellness sessions can include guided, hands-on stretching when appropriate. Physical therapy may include manual care, exercise, and movement training based on an individual assessment. These are parts of a personalized visit, not promises of a particular technique for every person.
What can a first visit involve?
We discuss your goals, current activity and relevant concerns, then look at how you move and what your home setting offers. A physical therapy visit includes an appropriate clinical assessment; a fitness visit starts with your goals and starting point. Call to discuss what is suitable before scheduling.
Do you bring equipment?
Yes. I bring equipment for visits. For physical therapy, I can bring a portable treatment table when it is appropriate.
Home exercises and online resources
Do you provide a home exercise app?
Yes. I use Medbridge to provide a personal home exercise program with video demonstrations and clear instructions. The Medbridge GO app also lets you set reminders and log completed exercises. Your program is chosen around your goals, abilities, and response to exercise.
How do I open my home exercises?
Your individualized home exercise program is delivered through MedBridge using the access code from the handout, email or text I provided. Use the dedicated Home Exercise Program doorway → to open MedBridge and enter your access code. General exercise and client resources remain available separately for education.
Do I need to download an app?
You can use the Medbridge patient portal in a web browser, or use the Medbridge GO app on your phone or tablet. Choose whichever is easier for you. If you need help accessing your program, ask me to walk you through it.
What if I lose my access code or have a question about an exercise?
Contact me at 267-647-9097 for help finding your program or reviewing an instruction. We can discuss changes to your home program during your care. Exercise logging does not mean that I am watching your activity continuously.
Where can I find articles, exercise information, and videos?
Visit Client Resources for links to the Blog, Conditions & Mobility Guide, Exercise & Fitness Guide, and movement videos. These provide general education and examples of care; follow your personal program for exercise instructions.
Insurance & Benefits
Is fitness or wellness covered by insurance?
Fitness and general wellness services are private-pay and are separate from insurance-based physical therapy.
Do you accept insurance for physical therapy?
I accept Medicare Part B and Blue Cross Blue Shield PPO for eligible outpatient physical therapy at home. Medicare requires medically necessary care and an appropriately certified plan of care. Benefits, cost-sharing, and appointment availability are confirmed for your situation.
Can you help me check my insurance benefits?
Yes. We offer complimentary insurance benefit verification to help you understand your coverage and estimated out-of-pocket costs before your first visit. Call 267-647-9097 to get started. Verification is an estimate, not a guarantee of payment; final coverage is determined by your insurance plan.
Can I pay privately for physical therapy?
Private-pay physical therapy may be an option depending on your coverage and the services needed. Medicare-covered physical therapy follows Medicare billing rules; it is not converted to cash-pay fitness or wellness. Eligible out-of-network services may qualify for a superbill. Ask about your situation before booking.
Payments, Deductibles & Billing
What might I owe with Medicare?
With Original Medicare, the Part B deductible applies, followed by 20% of the Medicare-approved amount. Supplemental insurance may affect what you owe. Medicare Advantage plans have their own benefits, network rules, and cost-sharing; confirm your specific plan before scheduling.
What do visits cost and how long are they?
The visit type and plan depend on your goals and needs. Call me for current pricing, length, and availability; I do not want to give a one-size-fits-all quote here.
Is there a travel fee?
For private-pay services, any additional travel pricing is discussed before booking. Insurance-based physical therapy follows the applicable billing rules, so farther-area availability is considered individually. See the service-area and travel explanation →
Why am I being asked to pay upfront if I have insurance?
Having insurance can still mean paying part of the cost of your visit. If your deductible has not been met and applies to your physical therapy visit, your plan may assign that cost to you. I collect an estimated payment at the start of your visit toward your expected out-of-pocket responsibility.
How is the upfront amount calculated?
For a covered, in-network visit, the estimate is based on the negotiated rate with your insurance plan—not my full private-pay rate—and your remaining deductible or other applicable cost-sharing. I’m happy to explain the estimate before your visit.
What happens after my visit?
I submit a claim to your insurance company. Once it is processed, your Explanation of Benefits (EOB) shows the allowed amount, what insurance pays, and your final responsibility, including any amount applied to your deductible. The EOB is not a bill. Your upfront payment is applied toward that responsibility; any difference between the estimate and the processed claim is reviewed so your balance reflects the final amount.
Hours & Scheduling
What are your usual appointment hours?
Regular hours: Monday–Friday, 9 a.m.–5 p.m. Occasional appointments outside regular hours may be arranged for concierge clients, subject to availability. Call or text Dr. Lenny to discuss preferred times and current availability.
How does scheduling work?
Appointments are coordinated directly with Dr. Lenny based on your location, current availability, and the type of visit you need. We will confirm the planned day and time so you know when to expect me.
How do I get started?
Call Dr. Lenny at 267-647-9097 or send a text. Tell me what you want to improve and your town so I can confirm visit options and travel availability.
Where I visit
Where are you based?
I am based in Ivyland, near Warminster, in Bucks County.
What nearby towns do you prioritize?
I prioritize Ivyland, Warminster, Richboro, Southampton, Holland, Hatboro, Feasterville and nearby communities, with additional visits across Bucks County and surrounding areas when scheduling and travel allow. Availability depends on your location and schedule.
Do you travel farther?
Yes, sometimes. Farther visits depend on location, scheduling, travel time and the type of service. Private-pay concierge PT, fitness or wellness may make some longer trips practical; insurance-based physical therapy has different billing constraints. See where I visit and how travel affects availability →
Ready to talk? Call Dr. Lenny at 267-647-9097 to discuss your goals and whether a private fitness, wellness, or physical therapy visit fits.
