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Frequently Asked Questions

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Helpful tips to better inform you about our practice.

Next Step Physical Therapy introduces answers to frequently asked questions about services, our facility, and pre/post visit information Click on a subject heading below to view questions and answers relating to your selection. Links throughout the answers will guide you to further information on our website or from other sources. Should you have any further questions, please consult our Contact Us page.


    1. What rehabilitation services do you provide?
    2. Why does water therapy make a difference?
    3. What if I don’t like being in a pool?
    4. How can you help me?
    5. What will I need to bring on my first visit?
    6. What should I expect on my first visit?
    7. What will happen throughout my rehabilitation?
    8. What will I need to bring for my therapy sessions?  
    9. What insurance companies do you accept?
    10. What forms of payment do you accept?
    11. Do I need a doctor’s prescription to come to your facility?
    12. How long is a typical appointment?
    13. How far in advance should I make my appointments?
    14. What is your policy on cancellations?
    15. Can I continue to use the facilities, after I am discharged?
    16. What is Concierge Service?
    17. How much do Concierge Services cost?
    18. Why do you provide Concierge services?
    19. What does the Concierge Service provide?










What rehabilitation services do you provide?

Direct manual therapies that are focused on relieving pain, improving motion and restoring function in both aquatic and land-based settings.

Our patients are assigned to one therapist, but benefit from the collective expertise of the team.

Being one of the very few facilities in the area with a pool and extensive knowledge of aquatic therapy, we help many people break the cycle of pain.

Having a technologically advanced automated monitoring and sanitizing system that helps to maintain optimum water chemistry at all times, makes us a SAFE place for patients, especially those with autoimmune issues.

 We are providers of aquatic services on behalf of larger clinics, hospitals and institutions.

Concierge to a wide range of supportive services that address peripheral issues, which impact the primary condition. Visit our concierge desk.

We provide a great place to work on your recovery.

“Our patients refer others to us because they trust they can.” 

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  Why does water therapy make a difference?

Aquatic PoolIn water you are significantly lighter than on land. You can move better and you can concentrate on addressing your condition without the stresses of your own body weight.


Working in water helps the therapist and patient to identify inappropriate muscle recruitment, [Tension] Paradoxical breathing, [Shallow breathing] and compensatory movement in response to pain [limping, hunching, etc].  Relaxation and stretching in warm water enables individuals to develop control over these issues with an improved mind set as the pain is usually buffered while in warm water, and shows the patient that movement does not always have to hurt.


       Arthritis and Muscle Tone
People are buoyant, and when up to our shoulders in water, we assume about 10% of our body weight. (A 200 lb person weighs 20Lbs in this scenario).  That gives anyone the opportunity to move better and longer, resulting in true initiation of cardio exercise, muscular development and range of motion therapy.  Water having accommodating properties means you can control resistance with speed, and being submersed in water lets one develop resistance patterns in natural range and function patterns.


    Balance Control and Gait Training
Water serves as the perfect tool for balance control training because we move slower in water with more deliberate movement and without the risk of falling and injuring ourselves. This translates to patient comfort, assistance with stability while submersed, and a means of safe recovery if stability is lost.  Gait training performed in water allows the patient to extend their gait without loosing stability while doing so.


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 What if I don’t like being in a pool?

Land Therapy AreaWe provide land-based therapies as well. The typical patient will soon learn that the more critical events may start in water, but invariably move to land-based therapies once the program is established in the decreased gravitational environment of water.  We have options for both environments and are proven to be effective either way.


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How can you help me?


We treat people for conditions related to:

Sports Injuries
Work and auto related injuries
Chronic Pain
Morbid Obesity
Autoimmune disease

People in need of rehabilitation and treatment of:

Balance / Vestibular disorders such as: BPPV, Etc
Back, neck, shoulder and arm injuries
Hip, knee, ankle and foot injuries
Spinal Cord injuries
Pre-Operative conditioning
Post-Operative rehabilitation
Total joint replacements
Rheumatoid Arthritis
And many other orthopedic and neurological disorders.


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 What will I need to bring on my first visit?


Know before you comeFirst Visit:

You may need a prescription and/or a referral from a physician depending on your insurance carrier and plan. This can be established when you call for your appointment.

Please have two forms of Identification. This is for your protection.

Insurance card/s and form of payment for co-pays or co-insurance.

Bring your calendar or planner if you have one. So you may set- up your schedule.

Wear comfortable clothes and shoes. If coming for a hip, knee or ankle injury please brings shorts.



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 What should I expect on my first visit?

If you haven’t downloaded and completed the intake forms via the web, you will be given them at time of arrival. If you are completing the intake forms when you arrive, we ask that you arrive 20 minutes early for your first appointment.

You will be introduced to the people who will assist you throughout the process.

You will be interviewed about your general health and the condition that has brought you to us.

You will undergo a physical / Clinical assessment of your condition. For those over the age of 55 this evaluation will include a balance test, unless there are reasons that prohibit this screening.

You will be apprised of the course of action and given an orientation package.

Your referring physician will receive a report explaining our findings and plan of action.


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What will happen throughout my rehabilitation?

You will be educated on the nature of your condition and be told why we are doing what.

You will be engaged in the plan that was set up for you and with you.

You will be given homework, or Home Exercise Program, which is nothing more than exercises that will help you to accelerate the process.

Your progress will be measured and communicated to you and your doctor.

You will be discharged when your physical therapy goals have been met. Your Home Exercise Program (HEP) will then be updated allowing you to continue the work done in therapy.

You will note that many of the exercises contained in the HEP will be familiar to you as your homework exercises; we drill them in, so they become second nature to you, enabling you to have a regimen which is familiar to you. In addition, you will have the option of continuing your exercise in our facility.



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What will I need to bring for my therapy sessions?

  1. Comfortable clothing and shoes.
  2. Bathing attire and two towels if applicable. Your therapist will tell you what will happen on your next visit, so to avoid carrying unnecessary items every time you come.
  3. A means of payment if applicable.
  4. Bring as much determination as you can carry.


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What insurance companies do you accept?

Medicare and supplemental insurance such as: BC/BC, AARP, Etc
Horizon Blue Cross/ Blue Shield, Corvell.

For a detailed list of insurance providers that are accepted, please visit our Front Office area under the topic Insurance - Click Here.

You can also call for additional insurance company information, as there are many plans within the many different insurance carriers. Our Front Desk will handle the inquisition and pre-certification process for you.


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What forms of payment do you accept?

We accept personal checks, Cash, Visa, MasterCard and Discover.


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Do I need a doctor’s prescription to come to your facility?

New Jersey is a direct access state. This means you can wake up with a backache, or pain in your shoulder, and come to our facility for treatment for up to six weeks without seeing your doctor. Insurance companies do not generally accept this method so you must be prepared to pay for treatment privately.  The technical answer is no you do not always need a prescription, however!

We do not recommend this method, as there can be many reasons for a backache, or a painful shoulder. Your doctor will examine those symptoms, perform various diagnostics, and address your condition from a medical perspective.

It is in your best interest to seek medical attention from a licensed physician, who will communicate his or her findings and recommendations.

Although we are qualified to treat pain, pain does not always originate from where you feel it. That is the sensible approach we recommend to everyone.

If you do not have a doctor, our referral network can find a doctor for you.  Please visit our referral network area at the concierge desk.


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How long is a typical appointment?

Be prepared to be here minimum one hour, maximum one and one half hours.


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How far in advance should I make my appointments?

As part of our customary practice, we try to get you evaluated within 24 hours of your initial call.  We then urge you to plan your treatment process by scheduling appointments a minimum of two consecutive weeks going forward.


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What is your policy on cancellations?

We require 24 hours notice for intentional cancellations. If an emergency disallows you to keep your appointment, we ask that you call when you can. If you do not come or call, we will automatically bill you 25 dollars.

If three consecutive appointments are missed and you do not call, we will offer you an alternative facility and send notice to your doctor and insurance company that you have been discharged for non-compliance. Our position is that there are many people who want help, whom should not be inconvenienced by those who don’t.


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Can I continue to use the facilities, after I am discharged?

Yes we are delighted to offer different programs for people to continue improving their condition, however there are guidelines.

  1. You can pay either monthly or per visit. The monthly plan is more economical for those who plan to continue on a regular basis. We recommend exercising a minimum of 3 times per week. We do not offer annual memberships.

  2. All activity is on an appointment basis, and those who are not prompt, cannot overflow into the next time frame. This is to maintain a schedule fair to all. A typical visit is one-hour exercise time

  3. You will not be working with a therapist however we will keep you current on additional techniques and exercises to remain progressive

  4. You must understand this is not a gym, but an affordable way for you to continue all you have learned while we worked with you.

  5. For aquatic activities, you must bring your own bath and floor towels.


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What is Concierge service?

The concierge desk is a service that we developed to help our patients with the peripheral issues associated with visiting our facility and in coping with their condition.


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How much does your Concierge Service cost?


There are no costs for use of the concierge service, however you must be a new, current or alumni patient of our organization to enjoy this benefit.



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Why do you provide Concierge Services?

The concierge desk exists because since our organization was established, we have helped arrange various services for some of our patients at one point or another. These were people who had all to do just dealing with their condition never the less, arrange transportation, find an item that can assist them or call an insurance company for pre-certification and hold for an hour.

Over time we realized how those little helpings made big differences in peoples lives.  It just made sense to make our good intentions and resources available to all our patients and raise the bar within our organization.


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What does Concierge Services provide?


The Concierge desk can:

  1. Find you a safe and trusted transportation company and arrange a schedule to and from our facility through our dispatch service.

  2. Pre-certify your care with your insurance carrier.

  3. Arrange your follow-up visit appointments to your referring physicians’ office if you wish to have us do that for you. “That is one less call to make”.

  4. We will call you to remind you of appointments with us.

  5. We can put you in touch with local support groups and workshops that focus on your particular ailment or assist you in starting your own.

  6. We can temporarily host a small support group that has no other home, such as a start-up group or one that has been displaced.

  7. We will be happy to locate and obtain devices that aid in you in daily life.  Those items include books, exercise equipment, personal aids, braces, orthotics, driving aids such as hand controls, etc.  We locate these items on your behalf without charging any administration fees for doing so, however, you will be responsible for the costs of any items we help you to locate.

  8. Working with local pharmacies, we can arrange that your pharmaceutical items be delivered to our facility while you are in session. This saves you time and energy. “ That is one less stop to make”.

  9. We arrange for equipment specialists to come to our facility, in order to properly communicate your needs in concert with your therapist. This method saves time, energy and gets it done rite the first time.

  10. We can proudly refer you to healthcare professionals who are proven leaders in their professions and have established a trusted history with our organization through our own experiences and the recommendation of our patients. Please visit the referral network area for the interesting details.

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