Frequently Asked Questions

We are an out-of-network provider and fall under your out-of-network benefits. We will provide you with a “superbill” for reimbursement purposes. Coverage varies quite a bit, depending on your plan. Generally, most PPO plans will cover out-of-network care.

At Lewis Physical Therapy, we prioritize building a strong partnership with our patients. Rather than relying on insurance companies, we choose to have a direct contract with you. This allows us to offer focused one-on-one care during fewer, longer appointments, ensuring we fully understand and address your specific needs.

Unlike typical in-network providers, we dedicate 53 minutes of uninterrupted one-on-one care with every patient. This extended session time allows for a thorough assessment and effective treatment planning, which can lead to faster healing and reduced healthcare costs in the long run.

As an out-of-network provider, we are not bound by treatment visit limitations, therapy caps, or prior authorizations, allowing us to focus solely on your well-being.

We regret to inform you that Congress passed a rule making it illegal for physical therapists and others to provide out-of-network care for anyone on Medicare, and by extension Medicare Advantage plans. This is in contrast to some other providers, such as doctors and mental health providers.

Elizabeth will provide a good faith estimate for your treatment plan and cost when you have your initial evaluation.

For the time being she is charging about 25% less than established pelvic care PT’s in the area*, and on top of that, we offer an additional 15% off when you purchase your initial package (6 visits).

* We recently switched from the insurance-based model which was not financially sustainable, to an out-of-network provider model. Because of this, we need to build our practice back up. We encourage you to take advantage of our special rates while they last.

After your initial evaluation, we will discuss the recommended duration of physical therapy for your condition.

  • Generally, pain conditions can require up to 12 visits, sometimes more.
  • Incontinence issues can take 6-10 visits (less for stress, more for urgency).
  • Constipation/retention can require up to 10 visits.
  • Prolapse issues can take 4-6 visits unless it also includes incontinence or constipation (see above).
  • Diastasis Recti or Post -partum back pain could require 4-6 visits.
  • Pre or post-partum wellness visits can take a minimum of 3 visits, but more if you have one of the above mentioned issues.

These numbers may be modified to be shortened or lengthened as necessary (less, if you recover more quickly than usual, for instance).

Elizabeth currently offers two packages for new patients:

  • Initial examination, plus 5 visits
  • Four follow-up visits

Purchasing a package will provide 10-15% off.

Our flexible payment options, including Health Care Savings Accounts (HSA) and Flexible Spending Accounts (FSA), are designed to ease any financial stress related to your healthcare.

For self pay, it is recommended that you consult your insurance provider regarding what percent may be reimbursed by them (this can vary and be up to 70% or even 100%).  This could result in possibly even less costs than what you might otherwise pay with deductibles or co-pays when using insurance.

Elizabeth can provide you with the codes of the therapies she uses, so that you can then obtain estimates of coverage from your insurer.

The best way to start off is to arrange a Free 20 Minute Consultation with Elizabeth via secure Telehealth or phone.

This is your chance to ask questions, and share your concerns. Elizabeth will ask to hear a little of your story and then should be able to give you a sense of how many visits might be required, as well as the cost.

When you arrive for your initial exam, you will be given the opportunity to purchase a discount package for your first set of visits. Her discount packages provide a 10-15% discount off of her standard rates.

She generally does consultations on Friday mornings. If that doesn’t work for you, we’d suggest calling our receptionist @ 978-806-3149. They are available weekdays from 10 AM to 6 PM. They can also pass on clinical questions to Elizabeth.

If you any additional questions please contact us directly using our Contact Form.

It’s a sad fact that many women have a history of abuse which can make even thinking about getting treatment difficult. For those that are dealing with this, Elizabeth practices with a trauma-informed approach.  Every treatment option will be on or off the table, based on your comfort level. This could include even no physical or hands on examination or treatment, replaced with instructions on how to do some of the therapy in the privacy of your home.  Sometimes in the course of working together, women become more comfortable with and agree to the more efficacious, traditional methods of pelvic floor PT, including external and internal examination and treatment.  But this is never required.

Concurrent trauma-informed psychotherapy is usually beneficial and referrals can be provided

We’re currently working on a new section of the website about getting started with your therapy. It’s going to feature a video of Elizabeth discussing her approach, and how she manages situations where hands-off is warranted.

To begin with, Elizabeth will want to hear your whole story.

Your initial examination will be very detailed, and will include a brief orthopedic exam as well as an abdominal and/or pelvic exam if indicated.

The pelvic exam usually lasts under 10 minutes. Having your period is not an obstacle to your evaluation or treatment, as long as you are comfortable.

By the time you leave, you will have an understanding of the best treatment plan for you to meet your goals and the number of visits that may required.

If not done so already, she will offer you a package discount for your first six treatments. Additional packages will be offered as your treatment progresses.

As you begin your treatments, Elizabeth will provide you with ongoing education as well as exercises and recommendations based on your needs.

Eventually you will be able to carry on with your self care independently.

Her door is always open for return visits:

Sometimes patients arrange a visit or two to go over what’s happened since they left, and to fine tune their home program. Even yearly check- ins are welcome.