Wholistic Physical Therapy

Welcome to Wholistic Physical Therapy. Helping the WHOLE of you reach a healthier and happier place!
Our address is: Wholistic Physical Therapy, 18 E. 41th Street (Suite 406 - follow hallway to the end, sharing office with NYC Chiropractic) · New York
Phone: (646)205-9180 Fax: (646)205-9202 and the E-mail for the owner is: scottvan@wholisticphysicaltherapy.com

We would like to take this opportunity to thank you for choosing us and we look forward to assisting on your healing journey.

We aim to provide the expertise, guidance, environment and therapeutic treatment to help you achieve your goals and enhance your ability to return to a pain-free, active lifestyle.

People are referred to us from a wide geographical area, for the resolution of complex problems that have failed to respond to conventional medications, surgery, and therapeutic treatments. A Doctor’s prescription is required in NY for care from a Physical Therapist. Wholistic Physical Therapy is dedicated to the comprehensive delivery of the highest quality care utilizing a multifaceted, multidisciplinary approach for lasting results.

We are not contracted with any insurance companies other than Medicare. However, the payments you make are reimbursable by your insurance company under your out of network physical therapy benefits and we can E-bill them for you if you want. The exact percentage depends upon your plan. We will assist you in every way possible. Unless you are a Medicare beneficiary, payment is due at the time of service. Fees are $250 per treatment, and $350 for Initial Evaluation and treatment (*there is an extra fee of $80 for initial evaluations scheduled with the owner Scott van Niekerk).

We request that all clients extend a courteous 24-hr cancellation notice to change or cancel any appointment. If less than a 48hr notice is given frequently, the session fee may apply.

Office hours in the Midtown WPT office are currently Monday, Tuesday and Tursday. We would appreciate your cooperation and courtesy in keeping your scheduled appointment times as well as notifying us of any delays, since this time is set aside specifically for you and only you.

Please note that e-mail addresses and contact information will be used only to forward educational material and for professional reasons. Your record is held in the utmost confidence.

I have read and understand the above office policy. I hereby agree to pay directly this office for professional services rendered and shall be personally responsible for any unpaid balance to this office. I hereby authorize the attending therapist to release any information concerning my examination or treatments to my insurance carrier or other medical professionals involved in my care.

Please Print your (Patient’s) Name:
And Date:
And Patient's (or Guardian's) Signature: