Skip to main content
Hospital for Special Surgery Logo
phone 1.212.606.1000
Make an Appointment
1.212.606.1000 Make an Appointment

Direct Access Physical Therapy

Physical therapy without a prescription

A physical therapist is allowed to treat a patient without a physician referral through direct access.

At HSS, direct access examinations are appropriate for the following orthopedic nonsurgical injuries or concerns:

  • Joint pain
  • Sprains and strains
  • Neck and back pain
  • Sports or fitness injuries

During the initial examination, the physical therapist will assess needs and determine the next steps for the patient care plan. The therapist will arrange a referral to a physician if needed.

Make an Appointment

If you qualify for Direct Access, we will do our best to schedule an exam within a timely manner.

Direct Access Physical Therapy Locations

Most of our Rehabilitation and Performance locations provide direct access examinations, with the exception of Pediatric Rehabilitation and the Hand and Upper Extremity Therapy Center. Please call your preferred location directly or call our Direct Access Help Line at 1.800.493.0039 for assistance.

Manhattan

HSS Sports Rehabilitation and Performance Center
525 East 71st Street
646.797.8005

HSS Orthopedic Therapy Center
535 East 70th Street, 2nd Floor
212.606.1213

HSS Rehabilitation 75th Street
405 E. 75th Street (between 1st and York Ave)
646.714.6850

HSS Midtown Rehabilitation and Performance
770 Lexington Avenue, 3rd Floor
646.618.7777

HSS Sports Rehab and Performance – West Side
610 West 58th Street
646.495.3333

HSS Hudson Yards Rehabilitation and Performance
31 Hudson Yards, 10th Floor
646.422.5960

Brooklyn

HSS Brooklyn Rehabilitation and Performance
148 39th Street, 7th Floor
646.422.5900

Long Island

HSS Long Island Rehabilitation and Performance
333 Earle Ovington Blvd, Suite 106
516.240.2160

White Plains, NY

HSS Westchester Rehabilitation
1133 Westchester Ave
914.821.9300

Paramus, NJ

HSS Paramus Rehabilitation-Midland Ave
15 E. Midland Ave
201.559.8000

HSS Spine Center Rehabilitation – Paramus
140 East Ridgewood Ave, Suite 175 S
201.599.8000

West Palm Beach, FL

HSS Florida Rehabilitation and Performance
300 Palm Beach Lakes Blvd.
561.657.4700

Patient Information

What is direct access?

Direct access is meant to increase accessibility to a qualified physical therapist so that individuals can be evaluated quickly and determine next steps for care.

Every state in the United States, including the US Virgin Islands, currently allows some level of direct access. States do impose varying levels of restriction to direct access. In New York State, a patient is allowed to see a physical therapist via direct access for up to 10 sessions or 30 days (whichever comes first) from the day of the initial examination.

Learn more about direct access from the American Physical Therapy Association (APTA).

When is a physician's referral needed?

At HSS, a prescription for physical therapy is needed if a person:

  • Has Worker's Compensation, Medicare, Medicaid, or No-Fault insurance
  • Has a hand or wrist injury
  • Is under 18 years old