The short version

• We are a treating practice, not a medico-legal examination service. Our records document the care we actually provide.
• We accept New York No-Fault and Workers’ Comp directly, and consider lien and letter-of-protection arrangements case by case.
• We do not pay for referrals, accept payment for referrals, or adjust a clinical finding to suit a claim. Documentation states what was observed and treated.

What we treat

Musculoskeletal injury from crashes, falls and workplace incidents. In practice that means the spine, the major joints and the fracture caseload that follows those mechanisms.

Commonly: cervical and lumbar strain and radiculopathy, disc injury, whiplash, rotator cuff tears and shoulder instability, knee and hip injury, and the fracture set at our fractures hub — including rib, clavicle, wrist, ankle and pelvic injuries.

We provide physical therapy, orthopedic care, pain management, chiropractic care and diagnostic imaging. We do not operate. Where surgery is indicated we coordinate referral to an operating surgeon and handle rehabilitation before and after.

Coverage routes we work with

Which payer applies is usually settled by the mechanism of injury, and it drives the paperwork more than the treatment.

New York No-Fault

Motor vehicle injuries generally run through PIP regardless of fault, subject to the policy and its rules. The filing window is short and easy to miss from a hospital bed: see the 30-day deadline and no-fault doctor. Eligible treatment is $0 out of pocket for covered patients.

Workers’ Compensation

Workplace injuries run through the Board. See workers comp injury care and how to file a claim in New York.

Lien and letter of protection

Where there is no available coverage, or it has been exhausted or denied, we consider treating on a lien or under a letter of protection, case by case. Acceptance is not automatic. See treatment on a lien and letter of protection.

Documentation and reports

The record is generated by the care. We document history, mechanism, examination findings, objective measures, imaging, the treatment plan and the response to it, at the standard we would apply regardless of whether a claim existed.

On request we can provide records, and where clinically appropriate a narrative report setting out the course of treatment and the clinical picture. What belongs in one, and what does not, is covered at no-fault narrative report.

Objective measurement matters here more than adjectives. Range of motion testing and EMG and nerve conduction testing produce figures that can be repeated and compared over time, which is more useful to a reader than a description of severity.

What we will not produce is a report written to a conclusion. If the clinical picture is equivocal, the report says so. That is what makes the rest of it worth reading.

Insurer examinations and coverage disputes

A large share of denied No-Fault treatment turns on the insurer’s examination rather than on the injury. Clients frequently do not understand what the appointment is, who arranged it, or what happens if they miss it.

We explain the process to patients in plain terms at independent medical exam and what happens if I miss my No-Fault IME. Directing a client to those pages ahead of the appointment tends to reduce avoidable problems.

Where treatment is cut off mid-course, we can document what was in progress and what remained clinically indicated at the point of denial. We do not characterise the insurer’s decision, and we express no view on liability — that is not a clinical question.

Communication and scheduling

The practical friction in these files is rarely clinical. It is appointments missed without anyone knowing, records requested late, and treatment gaps that nobody can explain afterwards.

We keep the referring office informed of attendance, progress and discharge, so that a gap in treatment has a recorded reason attached to it rather than being reconstructed from memory months later. Where a client stops attending, that is worth knowing at the time.

Appointments are available across seven offices in Long Island, which matters for clients without reliable transport — distance is one of the more common reasons a course of treatment quietly stops.

Clinical oversight

Patient-education content on this site is reviewed by Sylvera Ann Voskamp, PT, DPT, a Doctor of Physical Therapy, who oversees how our rehabilitation protocols are written. She is not a physician, and she does not make medical diagnoses or surgical decisions.

Diagnosis, imaging interpretation and surgical indication rest with the treating physicians and the operating surgeon. Our wider clinical team is listed at the medical team.

We think the distinction is worth stating plainly rather than blurring, because a record that overstates who did what is a record that will not hold up when someone reads it carefully.

What we will not do

Worth setting out directly, because it is the part that determines whether our documentation is of any use to you.

• No payment for referrals, in either direction. We do not pay for referrals and we do not accept payment for them. Fee-splitting and referral inducements are prohibited under New York law and we treat that as a firm line, not a preference.
• No findings written to order. We will not adjust an examination finding, a diagnosis or a prognosis to fit a theory of the case.
• No opinions on liability. Who caused the incident is not a clinical question and we do not answer it.
• No guaranteed outcomes or timelines. Recovery varies, and any range we give is typical rather than promised.
• No surgery. We diagnose, treat conservatively, coordinate referral and rehabilitate.

A practice that would shape a finding for you would shape one against your client just as readily. The value of the record is that it was not written with an audience in mind.

Referring a client

Call the office and tell us the mechanism of injury, the date, and which coverage you believe applies. If coverage is unclear, send the client anyway and our staff will work it out; that is routine.

Useful to have at the first visit, though none of it is required: the police or incident report, the claim and policy numbers, the carrier, the name of any hospital already attended, and copies of imaging already performed. Missing paperwork is not a reason to delay an evaluation.

If the injury is acute and severe, the emergency department comes first — see ER or urgent care after a car accident. We pick up the ongoing care afterwards.

For crash cases generally, see car accident injury care; for falls, slip and fall injury care; for pedestrians, pedestrian accident injuries.

Related guides

• Letter of protection — what the document commits your client to, and what happens if the case does not recover.
• Treatment on a lien — the security interest, and how balances are resolved at the end of a case.
• No-fault narrative report — what belongs in a narrative report and what does not.
• Independent medical exam — what the insurer examination is and how it affects continuing treatment.
• The No-Fault 30-day deadline — the filing window that quietly ends claims.
• Personal injury care — the treatment side, written for patients.

Attorney FAQ

Do you accept letters of protection or treat on a lien?

Case by case. Where New York No-Fault or Workers’ Comp applies, that route is used instead, because it is better for the client and involves no personal balance. Where coverage is unavailable, exhausted or denied, we will consider a lien or letter of protection. Acceptance is not automatic and we confirm any arrangement in writing with your office before treatment proceeds on that basis.

Can you provide a narrative report?

Where it is clinically appropriate, yes. A narrative report sets out the history, the examination findings, the objective measures, the imaging, the treatment provided and the response to it. It reflects the care that was actually delivered. We will not write to a predetermined conclusion, and if the clinical picture is equivocal the report will say so.

Will you give an opinion on who was at fault?

No. Liability is not a clinical question and we do not offer views on it. We can describe a mechanism of injury consistent with what the patient reported and with what we found on examination, which is a different and much narrower statement.

Do you pay for referrals?

No, and we do not accept payment for them either. Fee-splitting and referral inducements are prohibited under New York law. We treat that as a firm line. The reason to refer a client here is the care and the documentation, and there is nothing else on offer.

How quickly can a client be seen?

Same-week appointments are usually available across our Long Island offices, and sooner where the presentation warrants it. If the injury is acute and severe, the emergency department comes first and we pick up the ongoing care afterwards. For No-Fault cases the filing deadline is short, so earlier is materially better than later.