Neurological physical therapy
Neurological Physical Therapy at Home
One-on-one physical therapy for Parkinson’s disease, stroke recovery, multiple sclerosis, and peripheral neuropathy, with a Doctor of Physical Therapy who comes to you. Walking, balance, strength, and everyday tasks are worked on in the home where they matter.
Prefer to talk? Call or text (574) 686-7313 (South Bend & Michiana) or (239) 399-5023 (Naples & Southwest Florida).
Serving South Bend & Michiana, Southwest Michigan, and Naples & Southwest Florida. Private-pay physical therapy.
Neurological care at home
Why Neurological Rehab Works Well at Home
Freezing in a doorway, catching a foot on a rug, running out of energy halfway through the day: neurological symptoms show up in the places you live. That’s where your care happens.
Practice Where It Counts
Hallways, doorways, turns, stairs, the bathroom, and the bed are where problems show up, so that’s where we work on them.
Energy for Therapy, Not Travel
The drive, the parking lot, and the waiting room can use up energy that should go to therapy. Your Doctor of Physical Therapy comes to you.
Family Can Be Part of It
Family members are welcome at visits and can learn how to help safely with walking, transfers, and the home routine.
What we treat
Neurological Conditions We Commonly Treat
Your evaluation helps determine whether physical therapy is appropriate and what to focus on first. Have a different neurological diagnosis? Call or text and ask.
Parkinson’s Disease
- Smaller, slower steps or shuffling
- Freezing in doorways, tight spaces, or turns
- Trouble getting up from a chair or turning in bed
- Balance changes, near-falls, or falls
Stroke Recovery
- Walking and balance after a stroke
- Using a weaker arm or leg in everyday tasks
- Continuing progress after hospital, inpatient, or home health rehab ends
- Getting back to stairs, the car, and time out of the house
Multiple Sclerosis
- Fatigue that limits walking and activity
- Leg weakness and balance changes
- Stiffness or spasms in the legs
- Symptoms that change with heat or a long day
Peripheral Neuropathy
- Numbness or tingling in the feet
- Unsteadiness in the dark or on uneven ground
- Weakness at the ankles and feet
- Worry about falling (see balance & fall prevention)
Call 911 for stroke warning signs
Sudden face drooping, arm or leg weakness, trouble speaking, vision loss, loss of balance, or a sudden severe headache can be signs of a stroke. Call 911 right away; don’t wait for a therapy visit. With any neurological condition, new or quickly worsening symptoms should be checked by your doctor.
Your first visit
What to Expect From Your Evaluation
Your first visit is a 60-minute, one-on-one evaluation and treatment session with a Doctor of Physical Therapy, in your home.
- Your history and goals. Your diagnosis, how symptoms affect your day, falls or near-falls, medications and how their timing affects you, and what you want to be able to do.
- Standard tests. Depending on your condition, tests such as walking speed, the Timed Up and Go, a timed sit-to-stand, standing balance, and walking while doing a second task, so progress can be measured.
- Strength, coordination, and endurance. How your arms and legs work, sensation, stiffness, and how quickly you tire.
- How you move at home. Getting in and out of bed and chairs, the bathroom, stairs, and the doorways and turns where problems show up.
- A plan before we leave. When appropriate, treatment starts the same visit, and you leave with clear next steps.
Family members are welcome to be there. Have your medication list and any recent neurology or hospital notes handy.
Treatment
Treatment Built Around What We Find
Your plan is chosen from your evaluation and your goals, matched to your energy, and adjusted as your condition and abilities change.
Walking & Gait Training
Step length, speed, turning, and walking with or without a cane or walker, practiced indoors and out.
Balance & Fall Risk
Standing and walking balance challenges, safe recovery steps, and practice getting up from the floor when appropriate.
Strength & Endurance
Exercise matched to your energy level, with rest built in, and progressed as you’re ready.
Movement Practice for Parkinson’s
Larger, faster movement practice and cueing strategies for freezing, built into the tasks you do every day.
Using a Weaker Arm or Leg
After a stroke, repeated practice using the affected side in real tasks around the house.
Transfers & Daily Tasks
Bed, chair, toilet, shower, and car transfers, with guidance for family members who help.
Your plan is based on your goals and how you respond, not on a set number of visits. If dizziness is part of the picture, see dizziness & vertigo physical therapy. For a loved one with memory loss, see Living Well with Dementia.
Your care team
Working With Your Neurologist and Your Family
When a physician refers you, they receive an evaluation summary after your first visit, progress updates, and a discharge summary.
Family members are welcome at visits. With your permission, we’ll keep them updated on what we find and the plan, whether they live nearby or out of town.
Visits can take place at a private home or a senior living residence.
“Matt provides in-house physical therapy for my elderly and disabled mother in Naples. His level of service is excellent … I have been very impressed in his manner and patience when interacting with my mother whose aphasia can be at times difficult. He is very dependable in providing a regimented weekly schedule as well as being flexible when necessary. Highly recommended.”
Payment
Private Pay, Explained Up Front
ECPT is a private-pay practice, and payment is due at the time of service. We'll go over cost with you before your first visit, so there are no surprises.
Commercial Insurance
We provide an itemized invoice (often called a superbill) for patients with commercial insurance who wish to seek reimbursement through out-of-network benefits.
Medicare
ECPT is a private-pay practice and does not bill Medicare.
HSA and FSA
HSA and FSA cards can't be used for ECPT visits.
Questions
Questions About Neurological Physical Therapy
Will you work with my neurologist?
Yes. When a physician refers you, they receive an evaluation summary after your first visit, progress updates, and a discharge summary. If your symptoms change in a way that needs medical attention, we’ll tell you and recommend contacting your doctor.
Is this the same as home health care?
No. Home health is usually arranged through Medicare or insurance for people who are homebound. ECPT is private-pay, one-on-one physical therapy with a Doctor of Physical Therapy who comes to you, whether or not you’re homebound.
When should someone with Parkinson’s start physical therapy?
You don’t need to wait until problems are severe. The Parkinson’s Foundation and the American College of Sports Medicine recommend regular aerobic, strength, balance, and flexibility exercise, guided by an evaluation from a physical therapist. Your plan is matched to where you are now.
It’s been a long time since my stroke. Is it too late?
Not necessarily. Physical therapy guidelines support walking training to improve walking even more than six months after a stroke. Your evaluation shows what can still improve and what to focus on.
What if I tire easily?
Visits are paced to your energy, with rest built in, and your home routine is kept short and realistic. When possible, visits are scheduled for the time of day you feel best.
How long are visits?
Your first visit is a full 60 minutes, one-on-one with a Doctor of Physical Therapy. After that, visits run 45, 60, or 90 minutes, depending on your plan, goals, and availability.
Do I need a referral or prescription?
In many cases, you can begin physical therapy without a physician referral. However, depending on your medical history, surgery, diagnosis, insurance situation, or state-specific requirements, we may recommend or require coordination with your physician.
Do you bill insurance or Medicare?
ECPT is a private-pay practice and does not bill Medicare. For patients with commercial insurance, we provide an itemized invoice (often called a superbill) to submit for out-of-network reimbursement. Reimbursement depends on your plan.
Where do visits take place?
Your therapist comes to you—your home, office, private gym, senior living residence, or another appropriate private space—in South Bend & Michiana, Southwest Michigan, and Naples & Southwest Florida.
Where we provide this care
Ready to Talk About Neurological Care at Home?
Tell us about the diagnosis, yours or a loved one’s, and where you’re located. Neurological physical therapy is available in all three regions.
South Bend & Michiana
South Bend, Granger, Mishawaka, Notre Dame, Osceola, Elkhart, and nearby communities.
Call or text(574) 686-7313In-home PT in South Bend →Southwest Michigan
Niles, Edwardsburg, Cassopolis, and nearby communities.
Call or text(574) 686-7313In-home PT in Southwest Michigan →Naples & Southwest Florida
Naples, Bonita Springs, Estero, Fort Myers, and nearby communities.
Call or text(239) 399-5023In-home PT in Naples →Prefer to write? Use the form below, and a Doctor of Physical Therapy will personally follow up within 24 hours.
Start with a conversation.
This brief request helps us understand your needs before connecting. We’ll review your goals, confirm your location, and follow up to discuss next steps for private, in-home care.
Prefer to speak directly?
Call or text us at (574) 686-7313 for South Bend / Michiana or (239) 399-5023 for Naples / Southwest Florida.