Dependent on the type of visit, time varies. For outpatient evaluations and follow up appointment treatments are approximately 1 hour which includes scheduling and check out of the visit. This ensures each patient will be taken on time for their session. Dry needling only sessions are 20-25 minutes and dry needling with associated soft tissue work is 30 minutes.

Equestrian biomechanics assessments are 75-90 minutes in length with follow ups for 60 minutes and telehealth follow ups for exercise progression for 30 minutes.

Vital Strength Physical Therapy LLC is Physical Therapist owned and operated; we provide one on care with a Doctor of Physical Therapy. Our care is centered around the patients’ needs and each treatment plan is individualized. We provide equestrian rider specific Physical Therapy as well as generalized outpatient services.

Fortunetly, we do not accept insurance at this time. This allows us to work for the patient and not have limitations to number of visits provided or what needs to be achieved in each visit in order to continue. Patients can have access to maintenance care and allows you to be in control of discharge from care and no limitations to body parts assessed.

Superbills can be provided for outpatient physical therapy evaluations and follow up sessions. The patient can submit this to their insurance for reimbursement. Superbills are not a guarantee of reimbursement and reimbursement is dependent on your insurance plan. Superbills cannot be provided for Medicare wellness services, dry needling or equine services.

At this time, Vital Strength Physical Therapy LLC is not a Medicare provider. We are able to accept Medicare patients for services that are not covered by Medicare such as wellness and dry needling sessions. Patients will not be able to submit for insurance reimbursement for these services. Please call or email if you have any further questions.

In the state of NH, physical therapy is direct access which means you do not need a referral. Referrals are often required for insurance purposes.

We ask that you please fill out your paperwork before arriving so we can maximize the time we have together. Paperwork will be emailed to you prior to the session, or you can pick it up during office hours. Wear comfortable clothing and a dry pair of shoes if it is raining or snowing out in order to keep the facility clean.

Wear something that is comfortable and easy for you to move in. Dependent on the body part being evaluated please wear something that allows access to this region for treatment and visual assessment.

I accept cash, check, credit cards and HSA/FSA cards. All card transactions are subject to a 3% processing fee.

Currently, I am licensed in Massachusetts and New Hampshire. Travel fee may occur dependent on location. Please contact me for more information.

Absolutely! Recovery sessions are designed to help day of competition whether before or after your ride. However, the issue you are seeking recovery for may need to be further assessed. As long as you are located in NH or MA, follow up assessments are performed at your barn or at Kilter Fitness in Bristol, NH. Telehealth follow ups are also available to review exercise programs.