telehealth physical therapy article with jobs

Telehealth Physical Therapy (PT) – Your Guide

(Last Updated: Friday, 5/1/2020)Telehealth physical therapy: it’s on everyone’s mind right now. The novel coronavirus has flung our world onto its side—but, it has one silver lining: it is serving as the kick in the pants we’ve needed for our profession to get serious about telehealth PT.

Now, more than ever, people are reaching out to ask me questions like:

– “What is telehealth vs. an e-visit?”
– “Can I practice as a telehealth physical therapist or assistant?”

– “How do I start a telehealth PT business?”
– “What telehealth PT companies are out there and are they hiring?”
– “Does Medicare reimburse for telehealth PT?”

telehealth physical therapy guide for pinterest

True to these unpredictable times, the answers to your questions are changing daily. I am doing my best to keep this article current and reflective of the latest information about telehealth physical therapy.

Let’s start with the basics and go from there.


What is telehealth physical therapy (PT)?

What is telehealth physical therapy?

Simply put, “telehealth physical therapy” (or “virtual physical therapy”) refers to physical therapy services that are provided over a technology platform, rather than by in-person means.

Other phrases referring to telehealth physical therapy might include (depending on your specific role):
telemedicine physical therapy | telePT | teletherapy | telerehab | telemedicine physical therapy | online physical therapy virtual physical therapy | remote physical therapy


How is telehealth physical therapy delivered?

There are four ways to deliver telehealth PT services (source):

  1. Live video. This is also referred to as “synchronous” format, and uses live interaction between two parties over video. It’s also sometimes called “real-time.” This type of delivery is ideal for evaluations and treatments. 
  2. Store-and-forward. This is sometimes called “asynchronous” format. This involves the transfer of health history and/or medical records over secure electronic means. This type of delivery is best for sending x-rays, progress notes, etc. This delivery is scalable, and can also be used for subscription model delivery of services.
  3. Remote patient monitoring (RPM): This involves the remote monitoring of patients’ health and medical data over secure electronic means. This type of delivery is ideal for monitoring patients’ blood pressure and/or blood glucose measurements, steps per day, etc.
  4. Mobile health (mHealth): This involves healthcare services, education, and public health notifications being delivered over cellphones, tablets, and other electronic devices. This type of delivery is ideal for alerting patients to updates to their HEP, as well as the closure of roads near a clinic, a possible disease outbreak, etc. Examples of this are WebPT’s HEP software and MedBridge’s HEP program.

Why should PTs use virtual physical therapy?

Right now, we’re facing unprecedented times. With “social distancing” becoming the norm, each state is facing the difficult decision of whether or not physical therapy is considered “essential.” And, as we all know, “essential” is a loaded term. Nobody would argue that PTs are essential to triaging musculoskeletal injuries and ensuring safe discharge planning—which keeps our hospitals streamlined and best prepared to face the onslaught of COVID-19 patients.

However, most of us can probably agree that a mild ankle sprain won’t exactly require immediate in-person attention from an outpatient orthopedic physical therapist.

Then, there’s that gray area of our vulnerable post-CVA patients whose homes need evaluating. After all, the last thing they need right now is a fall, sending them right back into the COVID-19 hot zone.

Frankly, we’re at a crossroads, and it’s the ideal time—albeit under terrible circumstances—to get our act together as a profession, and to serve patients to our best ability with the primary intent of, first and foremost, doing no harm.

Telehealth physical therapy as tool for education.

patient education physical therapy telehealth
Patient education is a primary component of physical therapy telehealth.

While manual therapy is still an important component to our treatments, it’s certainly not the be-all-end-all. In fact, many of us can attest to the fact that too much manual therapy makes our patients dependent upon us, when what they really need is to be up and moving. As patient education and pain science are increasingly influencing our treatment choices—and ineffective treatment modalities are falling out of favor—we PTs are finding that our role as movement experts relies less and less on patients being physically in the clinic for treatments.

Our primary duty as PTs, aside from doing no harm to our patients, is to educate them. Teletherapy is the perfect way to educate patients who otherwise couldn’t access care. Whether they’re under shelter-in-place orders or simply unable to make it to appointments under normal circumstances, there are tons of options to use telehealth PT as an educational tool.

Teletherapy as a method of convenience.

People on Cellphones
People are attached to technology more than ever before.

We live in an on-demand society. People want what they want, when they want it. Even before COVID-19 began dominating our daily lives, people were changing how they approached life. Patients are trending toward wanting immediate care, and they don’t want to wait weeks for an appointment, especially if they only need exercise prescription and general education/guidance.

Many other medical providers, including radiologists, psychiatrists, and dermatologists, have recognized this fact, and have been providing telemedicine for years. And, since the novel coronavirus has truly begun dominating our lives, even more medical providers have stepped into the role of telemedicine providers.

Telehealth PT as a solution for access.

Frankly, these days, convenience is a fairly moot point. At this point, we really need to think about how we can serve our patients best during these challenging times. And that means providing them the best possible access to care they might not otherwise get.

With so many clinics closed or using reduced hours, we have to remember that people are still having strokes. They are still falling. They still need to know how to keep their homes safe to prevent future falls. We must ask ourselves: can post-CVA and post-fall patients still access therapists and assistants so they can ask safety-related questions? Will lack of access land many of these patients right back in the hot zone of the hospital, where they’re MORE at risk?

We NEED to be leaning into telehealth now.

Here are a few common use cases:

  • Prevention of readmission through home safety evals and mobility screens
  • Post-discharge checkups and safety screens
  • Advanced intake of subjective history
  • Wellness and preventative services to avoid hospitalizations
  • Consulting with other practitioners (think McKenzie screens, CrossFit/yoga instructors, or pelvic floor consults)
  • Post-surgical monitoring and rehabilitation
  • Q and A to prevent hospital readmissions and future injuries

All this aside, let’s assume life resumes to its normal clip within a few months. There’s STILL what Ellen Morello, PT, DPT, Clinical Program Manager at Physera, calls “a PT desert.” And, by that, she means wide swaths of land where patients have very little access to skilled PT.

The following image, produced by Dan Merl (head of data science at Physera), shows how many PTs there are per 1000 people.

physical therapy desert

What does the evidence say about telehealth PT?

What’s in favor vs. what isn’t doesn’t always matter if the evidence argues otherwise. It turns out that our magical healing hands may only be a small part of the puzzle.

  • A UC Irvine School of Medicine study recently revealed that telehealth PT was as effective as in-clinic therapy for improving upper extremity motor control post-CVA. (source)
  • According to Mani et al., there is a high level of agreement between an in-clinic PT diagnosis and a diagnosis obtained via telehealth using a remote diagnosis and a functional movement screen (FMS) (source)
  • A review of 75 systematic reviews and 71 Cochrane reviews revealed that the most effective interventions for low back pain (LBP) are patient self management, psychosocial interventions, and therapeutic exercise (source)

Is telehealth PT legal?

YES, telehealth physical therapy is completely legal. However, every state is different, so you can visit the Center for Connected Health Policy to learn your own state’s rules and regulations, as well as get a better understanding of your state’s parity laws*, if applicable. Plus, standards of practice still hold when you practice telehealth, including:

  • Informed consent
  • Abiding by HIPAA
  • Protecting patient privacy

*Some states have parity laws, which require payers to reimburse for teletherapy at the same rate they would for in-person care. Be sure to know if your state does.


How to become a telehealth PT or PTA

If you’re a licensed PT (or PTA), you can practice telehealth. You can join one of the emerging telehealth provider practices as a therapy provider, or you can launch your own telehealth PT practice by using telehealth software and doing your own marketing. Here’s how to get started, either way:

1. Decide whether you want to fly solo or join a company.

This is a big decision based on your own life goals. There are pros and cons to each approach.

2. Get licensed where you intend to practice.

In any case, you’ll need a license to treat your patient(s) where they live. This might sound like a deal-breaker, but a PT compact has been established for this reason. The PT compact is an agreement between member states to enable eligible PTs to work in multiple states under a single agreement.

…If you’re joining an existing practice

…Explore the telehealth PT companies that are hiring

Here are some companies I know of that offer telehealth physical therapy jobs. I update this list frequently, so you might see it changing as companies shift, change names/practices, etc. If you come across any others, please let me know in the comments below*!

*Please note, there are additional companies like Hinge Health and The Joint Academy, which do hire PTs, but do not necessarily use them to the full extent of licensure.

…Create a telehealth resume and telehealth cover letter

You’ll want to really beef up any clinical experience you have, as well as any experience using technology, educating patients/mentoring SPTs, etc. Ensure your resume and cover letter are free from typos, as you’ll be relying on e-communications more than ever as a telehealth PT. You’d better make yourself look good. 🙂

Telehealth resume for PT, OT, and SLP professionals

Telehealth telemedicine job seeker starter pack with resume and cover letter
ATS-compliant, professional, and editable! Save hours on creating your application materials!

Telehealth-friendly keywords to include in your resume include:

  • Deliver
  • Communicate
  • Collaborate
  • Interpret
  • Demonstrate
  • Remote
  • Technology

If you’re experienced in SFMA, McKenzie Method, or any other functional movement screens or specialized training, definitely highlight that on your resume. Specific ther-ex, vestibular, and/or differential diagnosis con-ed training will also help.

…If you’re starting your own practice:

…Pick a good telehealth PT platform

Some of the following organizations offer software solutions for PTs*:

*Please note, there are enterprise-level companies offering telehealth platforms that cater to larger organizations, including Health Recovery Solutions, Force Therapeutics, MedBridge Education’s telehealth solution, etc..

Determine whether you want to be cash-based or collect insurance

Until recently, it was easier to be cash-based, unless you really understood insurance rules and parity laws. These days, the COVID-19 crisis has led many third-party payers to begin reimbursing for teletherapy.

Also, many states have dictated that teletherapy PTs can get reimbursed for telePT delivered to Medicaid patients. You’ll need to check with your specific state for details.

Billing nuances to consider for telehealth PT

  1. Private insurance rules and reimbursement rates vary, and they also vary across state lines. I have linked to resources at the end of the article to help you learn more. Unfortunately, there is currently no comprehensive list of third-party insurances that reimburse for physical therapy telehealth services, and such a list would be nearly impossible to keep current at this time.
  2. Private insurers often want a written explanation of why telehealth was used. Always keep a record of the services you perform and your rationale for using telehealth vs. in-person visits.
  3. Currently, there are no CPT codes specific to billing for telehealth physical therapy. Many CPT codes require direct one-on-one patient contact, so telehealth services may not be covered unless there is an agreement with the payer. However, again, check with your insurance partners to know how things are being handled during the coronavirus crisis.
    These are changing quickly, so check the resource documents at the end of the article for latest info!
  4. Understand billing terminology and nuances. An addendum is often required to be added to the CPT code to denote service was provided through telehealth. Be sure to check your own insurers’ guidelines.
    >>> Use correct terminology for sites.
    The originating site is where the patient is located.
    The distance site is where you are located.
    >>> Use Place of Service (POS) codes appropriately
    “02” for actual telehealth services
    “11” for e-visit services from an office (including phone visits from an office)
    “12” for e-visit services from your home (including phone visits from your home)
    >>> Use modifiers properly.
    95 = services were delivered synchronously (or in real time for telephone visits, but not e-visits)
    GQ = services were delivered asynchronously (this is mostly a form of telehealth getting phased out)
    CR = services were catastrophe- or disaster-related (must use this modifier for Medicare’s new e-visit codes)
    The above codes are subject to change, so check the resource documents at the end of the article for latest info!
    Much of this came from the WebPT webinar; cheers and thanks for the info, WebPT!

Does Medicare reimburse for telehealth PT?

Glory be…it has finally happened! As of 4/29/2020, Medicare announced that PT, OT, and SLP are covered services in the time of COVID-19. Now, this could change. It might not. Just keep in mind that everything is changing on a near-daily basis at this point!

Keep in mind that these changes also impact outpatient billing of Medicare Part B, but we’re not quire sure how this update will affect inpatient or hospital outpatient providers. So, more hurry up and wait 🙂 Here is a reference sheet with the codes you’d need to use for billing.

Things are changing on a near-daily basis, so please check the resources section at the end of this article for the latest info!

…Develop a viable business plan

Right now, patients are a bit of a captive audience. With so much social distancing, some telehealth PTs can probably get away with being …less than strategic…with their business plans if they act quickly. That said, I always recommend any business owner think long-term. At some point, we will resume to our normal, pathogen-passing lifestyles, and telehealth PTs with poor initial business plans might flounder. Here are some tips:

  • Niche down. Going at a niche seems to be the best initial strategy. A niche allows you to create a very specific type of patient base that you can target with your marketing efforts. This works much better than tossing lots of money at marketing to a broad swath of patients, and hoping that you run across a few who decide to take a chance.
    Patient niches include: dancers, runners, cyclists, gymnasts, young moms, patients with chronic CVAs, etc.
    Speciality niches include: ortho, neuro, injury-specific, etc.
  • Nail down your patient acquisition strategy. Will you be building a therapy blog to attract patients? Will you be marketing via YouTube videos?
  • Determine your UVP. Your unique value proposition (UVP) will set you apart from the competition. Determine what makes you special and worth working with. Extensive education? Friendly, discreet care? Convenient access?

…Consult with a telehealth PT compliance professional

Because of the nuances involved with adopting telehealth so early in the game, it is always a good idea to consult with a telehealth physical therapy expert—notably, one who understands legal and internet technology (IT) considerations.

Nancy Beckley, MBA, CHC recommends a platform that is HIPAA complaint—with evidence that the platform has complied with HIPAA Privacy, Security and Breach Notification Rules—and a set process for offering a Business Associate Agreement (BAA) as appropriate. 


Rules, regulations, and legal considerations of teletherapy

One of the things I’m most asked is: “Is telehealth PT legal?” Again, the answer is yes. And, while we’ve covered quite a few of the rules and regulations above, it’s always good to have an attorney weigh in!

I was able to speak about teletherapy with attorney Erin Jackson, Managing Partner of Jackson LLP Healthcare Lawyers. She is extremely passionate about providing this alternative practice setting for PTs, and was eager to weigh in. Here are her thoughts:

  • Insurance companies may have requirements—distinct from legal requirements—concerning the frequency, duration, and type of visits that can be conducted via telehealth.
  • It’s crucial that providers using telehealth have an up-to-date HIPAA privacy policies and procedures manual. The greater a provider’s reliance on technology, the greater the risk of breach.
  • Some states have legislation or regulations which speak to telehealth issues. (This is likely changing every day with COVID-19.)
  • Always check your state legislation regarding direct access considerations.
  • Many states have an in-person visit requirement for telehealth-based provider-patient relationships, meaning that it may not be possible to operate a fully telehealth-based practice.
  • A PT is still held to the same scope of practice and duty of care. If you can’t offer the same caliber of treatment, the same attention to detail, and the same assessments of functionality as you offer to in-office patients, then telehealth isn’t appropriate for that patient.

The laws surrounding telehealth often lag behind technology, patient demands, and provider capabilities.That’s why it’s essential to stay on top of legal compliance.


Telehealth PT CEUs and continuing education

additional education for telehealth pts

Technically, you don’t need any additional education to become a telehealth PT—but, certain skills will make you a much more effective remote therapist.

Examples of helpful training include:

Many companies look for therapists who can demonstrate a commitment to evidence-based care. Basic educational strategies and treatment with exercise prescription can help many patients feel better.

Telehealth PT CEUs on MedBridge and PhysicalTherapy.com

Many organizations are releasing continuing education courses for PTs, which is nice because you can learn the ropes of telehealth and earn CEUs at the same time. Two of my favorite providers are MedBridge and PhysicalTherapy.com, due to their ease of use and affordability. By using my affiliate discount codes for these platforms, you save money and help support the free content at TNCPT. Thank you for your support!

medbridge discount code

What does telehealth PT delivery look like?

osler quote about medicine
source: http://www.azquotes.com/quote/1058291

The evaluation

  • Past medical history (PMH) + subjective 
  • Screen for red flags and note tests that require in-person attention
  • Functional movement screen

The treatment

  • Patient education
  • Therapeutic exercise
  • In-office treatments as indicated

What’s it like to be a telehealth PT?

Many of you are probably wondering whether you’ll even enjoy being a telehealth provider. It’s wise to consider the pros and cons when weighing this decision.

Pros

  • Flexibility. Can you imagine how nice it’d be to treat patients from anywhere that had an internet connection?!
  • Predictable hours. Generally speaking, you can still have predictable hours when you know you’ll be working vs. not working.
  • Using your degree. One of the hardest parts of leaving direct patient care is feeling like you’re not really using your degree. As a telehealth PT, you’re using your degree to its fullest!
  • Work from home.  Enough said 🙂

Cons

  • Difficult patient acquisition. As mentioned above, getting patients is the hardest part. Just like many PTs are disinterested in teletherapy because they don’t understand it, plenty of patients shy away from telehealth PT because they don’t understand it, or don’t even know it exists as an option.
  • Lots of sitting. The nice part is that you’re also up and about to demonstrate exercises, so you’re not quite as sedentary as you’d be at other jobs.
  • Confusing and rapidly changing rules and reimbursements. This would drive anyone a bit bonkers.
  • Uncertainty. It’s a new form of therapy, and there aren’t set, established practices yet. It’s a bit like the wild west, which can be considered a pro, since there is a lot of opportunity! It’s also hard to find full-time, benefited roles in teletherapy…at least so far.

What does a successful telehealth physical therapist look like?

telehealth physical therapy professional at computer
  • Enjoys patient education – You don’t have those magic hands as your secret weapon to get patients better, so you’ll be relying on your communication and education skills.
  • Does not rely on manual therapy alone – For this reason, having sound evaluation and assessment skills, as well as strong patient-education skills, will help you succeed at telehealth.
  • Is articulate – When you deliver care remotely, it’s essential to be clear with communications.
  • Is licensed in the state(s) in which they plan to provide therapy – PTs and PTAs can treat as they normally do per a state practice act (with PTAs treating with oversight by a PT). The same goes for OTs and COTAs and SLPs. But if you’re planning to treat a patient in Missouri, you need to have a clinical license (PT, PTA, OT, COTA, SLP, etc.) to practice in Missouri.
  • Enjoys patient care – While telehealth PT is incredibly flexible and rewarding, it’s still patient care, so it’s not exactly non-clinical; it can be considered more of an alternative career for physical therapists. You’ll be providing physical therapy services remotely, so if you truly do not enjoy patient care, you might want to consider something else.
  • Has a niche – Whether it’s running, pediatrics, cardiopulmonary, yoga, CrossFit, vestibular, or cycling, patients will be more likely to use your services if you’re considered an an expert in your niche.

What is a typical telehealth physical therapy salary?

How much do telehealth PTs get paid

Most teletherapists do not get a salary, but are paid an hourly wage. That’s because most remote care is delivered on a PRN basis. However, now that many clinics are incorporating telehealth into their existing practice models, this could change soon. If that’s the case, you can likely expect pay to align with what a staff therapist would make. However, keep in mind that if your patient load is primarily Medicare-based, you will likely be swapping out e-visits for in-person visits, at least until Medicare reimburses actual telehealth visits. So, you might make less than a staff therapist.

Experienced PRN telehealth physical therapists typically can earn about $50-75/hour. However, with the coronavirus dramatically shaking up the market, these rates could easily change!


Career paths for the telehealth PT professional

Because telehealth PT is such a new career niche, only time will tell us what common career paths will be.

Here are just a few that we’re seeing:

  • Telehealth PT/A → lead telehealth PT → virtual rehab manager (which likely includes a customer success angle)
  • Telehealth PT/A with niche focus → solo telehealth PT with niche independent practice → sell clinic to larger clinic
  • Telehealth PT/A → telehealth consultant→ program manager
  • Telehealth PT/A → clinical trainer → training manager
  • Telehealth PT/A → clinical trainer → sales specialist → sales manager

Another thought is to parlay that tech experience into entrepreneurial endeavors, or work for a digital health company as a clinical trainer or implementation specialist.


Telehealth physical therapy in larger systems

telehealth pt in hospitals

For those of you working in larger hospital systems, the novel coronavirus might have sped up the process of incorporating telehealth into your care delivery. However, the larger the system, the more challenging it can be to make this move.

Devra Sheldon, PT, MSPT, NCS works at Schwab Rehabilitation Hospital (part of Sinai Health System) in Chicago, which serves many low-income patients who have a tough time getting to appointments. Sheldon has done extensive research into telehealth as a tool for better management of low income populations who have numerous barriers to care, but these barriers can often include lack of the smartphones and tablets used to deliver the very care we wish to provide. So far, this has precluded telehealth from being integrated into their delivery model.

Sheldon is hopeful that hospitals will eventually negotiate with payers and get the ball rolling on insurance reimbursing telehealth for therapy. As an employee of a low-income hospital, she spends a lot of time on the phone and emailing with patients. This time is not reimbursed, even though it’s valuable care. “I believe Telehealth could be very valuable with not just low-income patients, but all patients with persistent pain by evaluating flare ups, reviewing self management strategies, pacing and more,” she explains.

Top resources for teletherapy

Still want more information about telehealth physical therapy? Here are some great resources for continued learning!

This article was updated last on 5/21/2020. Please reach out with questions or corrections. This is a rapidly evolving topic, and I appreciate any help I can get!

Online physical therapy treatment might be the future of PT!

One thing is for sure: the pandemic has thrust us all into the position of looking much more closely at how online physical therapy will play a role in the future of PT. Whether it’s our main delivery model or an ancillary option to our current models, there is no doubt that online PT treatments are here to stay. I am eager to hear from you if you have received this type of treatment and/or if you have delivered telehealth. Please comment and let us all know about your experiences!

74 thoughts on “Telehealth Physical Therapy (PT) – Your Guide”

  1. This is very helpful and exciting information. May make my dream of living abroad while still practicing some PT a much more realistic option!

    1. Meredith Castin

      Hi Nicole! I want to live vicariously through you…please let me know if you do telehealth PT from abroad! I would love to feature you in a spotlight, too 😉

      1. When you spoke about companies like Joint Academy and their therapist not using their skills to the full extent could you please explain?

        1. Some patients use therapists in consultative roles, meaning other health professionals (personal trainers, etc.) will develop exercise plans based on protocols used by the company, and then you are called in for specific questions. Some like that model, and others don’t. Keep in mind pay varies a lot, too. It’s quite low at some of the companies, and quite high at others!

    2. Hi Nicole! That is also my goal! I like to travel and possibly live abroad but still continue to practice as PT. How has it been for you? Have you started yet?
      -Rozel

  2. Great article, Meredith! I’m so excited about the developments in telehealth. I’ve had the privilege of connecting with Rob Vining recently and he told me about the PT compact and his vision. I’m a huge supporter of telehealth and every day I”m working hard to play a big role in the innovation process!

    1. Meredith Castin

      Thanks, Mark! Rob is the best! I’m so glad that you’re working with him, and that you’re in telehealth on the ground floor. It’s going to be huge!

  3. Thank you for this very helpful article! I was just wondering if you had heard of doxy.me? This is a telehealth platform that was recommended to me on a therapy social media page. It is free, which is appealing to me as I’m just getting started with my own women’s health business and I need to keep costs down. I’d like to start off with a good trusted company however so if you have any thoughts on them please let me know!

    1. Hi Cassandra! Thanks for the kind words! I just did a little digging, and it looks like doxy.me is used by a few PT clinics out there, so I’m adding them to the list. As far as whether they’re good or not, I have no idea! There are a few telehealth PT groups on Facebook, so that’d be a good place to ask around to find out more about people’s experiences. I hope this helps!

      1. Cassandra Sharp

        Thank you! That’s great! I’ve had at least 2 people say good things. I’ll check those groups out!

  4. TeleMOVEMENT is doing some really amazing work via telehealth and focusing along the movement continuum with immediate and practical application at solo practice level and readily scaling to enterprise solutions. All supported and driven by the American Physical Therapy Orthopedic Section Guidleines!

    Enhances my client experience and improves outcomes! Allows for a deeper and more meaningful relationship between provider and patient. Every PT should have a personal practice and make their knowledge and skills available via telehealth! http://Www.jamesglinn.com

    1. Awesome, James!!! Thanks for commenting. That’s so great to hear about telehealth improving the lives of patients and providers alike. Super excited to hear it!!

  5. Telehealth, like “biopsychosocial model of health”, “client-centred” therapy, “neuroscience pain education”, etc., are examples of the trendy sound bytes that PT grabs onto that never become actualized but invariably get replaced by the next shiny object. Telehealth will not save the profession from itself. It will expose the profession as overly credentialed with an overlapping skill set that many others can do for far less money. Fix your house first!

    1. Thanks for sharing your opinion, David! I respectfully disagree. There are companies creating telehealth solutions that will significantly improve our ability to reach patients who would otherwise not receive the care they need. Be part of the solution!

      1. Not everyone lives in the US, and while I agree with many points, if it was so great, people wouldn’t leave the profession at the high rate that they do. The problems facing the profession include a profound lack of identity, without which there is nothing unique that it can offer that others do for far less cost, often with greater expertise. Telehealth is not a panacea, yet it is the latest bangle that it adorns itself with. Why does it require a PT to offer this when the content offered within the face to face setting is so limited in effectiveness? This is a very poorly thought through strategy that demonstrates how difficult critical thinking is for the profession of PT.

  6. Thank you so much for giving me additional ideas to support a concierge PT/Personal Training business I am in the beginning stages of creating! I am a licensed PTA, but fear for my future due to recent Medicare reimbursement changes and lack of sound business practices my current OP clinic struggles with. I live in Florida and see a lot of retirees, so I would be interested to see what devices I could have my clients/patients use under the umbrella of Telehealth to qualify as a service provider of this healthcare technology. Some Grandmas like Iphones, some do not!

    1. Hi Shirley! Thank you so much for your comment. I totally agree, and am seeing more grandmas with iPhones every day…it’s so cool! Very excited to see a PTA taking this route, and would love to hear your experiences. Please keep in touch!

  7. Joint Academy is a Swedish based company that has started a telehealth program in California focusing on osteoarthritis care. This program was implemented in Sweden and now they are spreading one state at a time in USA. I have 29 years of physical therapy experience and am excited to start telehealth physical therapy as I truly enjoy educating patients. Also 90% of the time I have a diagnosis in the first 15 minutes spent listening to a patient., so I think this will be a good fit for me. I am also considering McKenzie certification to assist.

    Kathleen

    1. Hi Kathleen! That’s so cool! Yes, McKenzie certification is looked upon favorably in the telehealth world, due to its focus on hands-off treatments and education-based approach. Please keep us posted! I’m excited for you to pursue this path!! – Meredith 🙂

    2. Hi Kathleen – Very interesting and thanks for sharing! I work for a rehabilitative device startup based in Southern California and would love to hear more about the progress you have made in Telehealth. I think there are opportunities for synergy I’d like to explore. Feel free to email me at brian@recoverx.io!

      Thanks!
      Brian

  8. Absolutely fantastic! Very thorough and a great introduction to the landscape. Excited to keep track of it all and see how it unfolds!

  9. Meredith,
    Thank you so much for this article! I have an interview with trainer Rx, which is not a company you referenced but one that appears to be actively recruiting PTs at this time! My MDT cert has allowed me to feel comfortable providing quality patient care without needing manual PT!

    1. Hey Amanda! Thanks for the kind words, and congrats on your upcoming interview! I’m so excited to learn more about this new company! Once you find out a bit more, please do reach out so I can add them to the list 🙂 – Meredith

  10. Great article and very helpful information! Thank you very much, Meredith! Looking forward for more articles from you about Telehealth PT!

  11. Great blog! I have been trying to coordinate my travel and clinical life for years! Telehealth could be the answer.

    Just wondering, are you aware of any international Telehealth organisations? I’m registered to practice in Ireland, UK, New Zealand and Australia. I don’t have the time to set up my own clinic, but would be really keen to work for one that facilitates Telehealth!

    Thanks for all the great information!

    1. Hi Jeff! Thank you so much for the nice words! That is such a great question. I don’t know of any international telehealth organizations offhand, but a quick Google search shows that lots of medical (physician) telehealth organizations are moving into the global space. This tells me that physical therapy probably won’t be too far behind 🙂 It will be so exciting to see where we go with remote therapy! I hope this helps you realize your dreams of traveling while still treating clinically! Please keep me posted; cheers!

  12. Hi, question for USA PT’s doing telepath –> Do you need a PT license on that State where your client is physically located inorder to do consulting? (e.g. Client in NY and you have california PT license) . Thank you!

    1. Hi Alena! I believe so…if you are treating a NY client and you’re in CA with a CA PT license, you would need a NY license to treat that patient. Hope this helps! Thanks for posting!

  13. Thank you for great info. More and more healthcare reimbursements are decreasing it’s getting lot more tougher survival in therapy field. Do you think patients trend is changing and are willing to pay cash?, i feel telePT has lot of scope to grow but patients paying out of pocket can be a big question to further expand in this new arena.

    1. Hi Ven!
      I agree that relying on reimbursements for telehealth is rough because of the uncertain payment landscape. At this point, I look at telehealth as a form of cash-based practice, or as an addendum to traditional care. Whether someone is willing to pay out of pocket for services really depends on the value you can bring, AND whether you can translate that value into the language your target market speaks. If you’re offering them faster recovery, more convenience, more sport-specific rehab, etc., they’d be more likely to pay cash vs. if you’re just saying “Hey, I’m a PT!” I hope this helps! Thanks for your comment, and let me know if you have additional questions 🙂 – Meredith

  14. Thanks for a great article, I’ve been wanting to do some kind of online business for several years and as I get closer to that dream I realize how limited I am to working in just my state. The Compact is great but it’s not big enough yet and my state isn’t in it so I can’t even apply. Sitting and waiting for legislation to catch up to all of our great ideas! Thanks for keeping us in the loop!

    1. Hey Heather! Thanks for taking the time to comment, and I hear ya! It’s very “hurry up and wait” in certain states! The compact has expanded its reach since I wrote this article, but it’s still frustrating how few states belong. Here’s to hoping things take off in the next few years, and that all the states join the compact!

    1. Hey Jeffrey! I’m not sure, but you can reach out to your state board for additional resources. Also, you can get in touch with individual insurance providers to learn what their policies are on telerehab. I suspect that, given the current climate, things will be changing quickly in the next few months. Stay well!

  15. Meredith
    Thanks for all the info. Much appreciated. I was wondering if you would be able to help connect me with current PT’s who are already doing this and have experience with the different platforms and such. My interests are personal, but given the circumstances at present, the Company I currently work for may be asked to see if telehealth is a viable option so I’d like to inquire a bit on a practical as well as an implementation level. I can send you my contact info.

    Thanks for your consideration and Be Well.

    1. Hi David! Thank you for the kind words. I will be updating this article soon to include more resources, as I have been getting inundated with requests for companies hiring, etc. As for specific folks using teletherapy, there are a few Facebook groups where you can connect directly with people! I would definitely start there b/c the groups are HUGE and have lots of people who can answer specific questions. Cheers and stay well!

  16. Hi! Thank you so much for this post! I wanted to reach out and possibly connect with those who are interested in starting in telehealth. Please contact me at sierra@develoPTpeds.com or on Facebook as develoPT Pediatrics. I also have started a group called the Telehealth Troopers. Hope to see you all there to collaborate! Thanks 🙂

  17. If you are a healthcare provider and looking to get started with a Telehealth platform to consult with patients for Coronavirus symptoms or prevention, we can get you started. Contact us for more information. Visit our website for more information https://www.drcare247.com/

  18. Hi Meredith,

    Thank you for the great article! I was contacted by a company called Onsite physio and wanted to know if you or anyone you know has heard of this company? Thank you!

  19. Hi Meredith, this article was extremely helpful! I’m thinking about starting my own telehealth PT company for myself but have lots of questions. This article answered a lot of them. I’m doing travel PT right now but if that dries up it would be nice to have my own company started. Thank you

  20. Great resources, thank you so much for putting this together. I’m in an outpatient Functional Medicine clinic and we stopped all in-person visits 2 weeks ago. I am working on a blog post to educate our clients about why on earth they would do Physical Therapy via telesehealth, and this article was very helpful. Thanks for doing what you do!

    1. Hey Jessie, thank you so much for the feedback and kind words! I’m so glad that you are able to use some of the content to help inform your clients. You rock! Keep me posted on how things go, and please stay well!

  21. Thanks for the great article, Meredith.

    My team put together a teletherapy marktetplace over the weekend at a pandemic response virtual hackathon. We’re hoping therapists can use this to connect with new patients via telehealth, and vice versa.

    We would love feedback and for anyone reading this to join our network! Learn more at https://www.netic.health

  22. The physiotherapy profession it seems, has one again demonstrated that ethics gets tossed to the wind when the next shiny object grabs its attention. Such a shallow profession that still hasn’t reconciled its severe attrition/burnout rate. You think telerehab is going to save PT from itself?

  23. Hello,
    I am a PT with 5 years experience in home care (currently doing) and about 3 years prior in outpatient PT. I have recently been very intrigued and doing a lot of research on Telehealth. First off, thanks for this wonderful information. Truly helpful. I was hoping to hear if companies are willing to hire if you have to Telehealth experience? I would love to know any other recommendations to land a Telehealth job without that particular experience. Thanks so much, Jennifer

    1. Hey Jennifer!
      Thanks for the kind words about the article! To answer your question, yes! Many are! There are companies that are currently scaling up their staffing b/c they’re in growth phases (given the changes from coronavirus), and I recently spoke with the head of one. He told me that they are aggressively hiring soon, and that the most important thing they care about is competent clinicians. It will help if you can show you’re tech savvy (like if you’re the EMR “super user” at your facility, or if you’ve done an inservice or two on telehealth (or belong to the APTA’s tech SIG, etc.). Not needed, but those things do look good on the resume. Best of luck! Please keep me posted on things! – Meredith

      1. Thank you so much Meredith. This information is extremely helpful! And I will definitely use these tips! Out of curiosity, can you say which company he is head of? 😊

  24. Incredibly informative post! Thank you for spelling things out in such detail. It certainly gives me a bit of hope as I start to foray into the telehealth PT world. I also really appreciate the updates as everything is constantly changing due to COVID. Thanks for the information and inspiration!

    1. Hi Annika! Thanks for the kind words! Messages like yours inspire me to continue pushing to update the articles and put out more content! Thanks again, and best of luck with your telehealth journey 🙂

  25. Thanks for the great post! I am a physio from Hong Kong. It is informative and encouraging me to try tele-medicine especially during the pandemic. Yet I still hesitate and wonder how to perform differential diagnosis when we can only ask the client to do functional movement without any special test. I am sure we can give advice on the entire managment and share exercise via video chat. But are we going to rely too much on the subjective examination rather than objective assessment part? Do you have any advice?

    1. Hey Ivan!
      Thanks for the nice note. I definitely understand your concern with telehealth. The way I see it, it’s a new frontier. We’re figuring out which cases and scenarios can be safely and effectively managed remotely, and which ones really do need in-person visits. My feeling is that it’s usually possible to get a very thorough history via telehealth, and that can be used to with some visual assessments to sort of triage people. If it seems a patient really does need in-person care, they can be referred out accordingly. Conversely, if the patient presents with something like a simple ankle sprain or shoulder impingement, it’s likely possible to be managed through telehealth. I hope this is helpful! Best of luck in your endeavors!

  26. Dear Meredith,

    Thank you for this super helpful article. Are you aware of any additional telehealth PT companies that are hiring physical therapists beyond the ones you listed? In other words, in the months since you posted the article, have you heard of any more companies hiring telehealth PTs, especially in Oregon?

    Thanks again,
    Richard

    1. Hey Richard!
      I’m so glad you found the article helpful. I haven’t heard of any new telehealth PT companies since I last updated the article, but if you come across any and would like me to add them, please reach out!

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