Neurability Therapy accepts a physician referral by fax 281-270-5704 or by secure email at admin@neurabilitytherapy.com from your provider. We will need the signed prescription within days of your referral or have the signed referral available for the therapist at your first visit in the home or by bringing the signed referral with you to the clinic.

The referral must be from a licensed referral source in accordance with the Occupational Therapy Practice Act §454.213.

The Physical Therapist has direct access in Texas, meaning you can see a licensed PT without a physican referral, though there are some limits based on the therapist’s training.

Treatment without referral duration depends on therapist qualtifications:

• Therapists with ≥1 year of licensure and liability insurance can treat a patient for up to 10 consecutive business days without a referral
• Those with a DPT (doctoral degree) and advanced training (residency/fellowship) may treat for up to 15 consecutive business days without referral

New Direct Access Legislation Starting September 1, 2025

House Bill 4099, signed into law in June 2025, will allow Texans to receive up to 30 consecutive calendar days of PT treatment without a referral, regardless of the therapist’s education level.

Implementation and accompanying regulatory updates will be completed by December 1, 2025, making Texas one of few states expanding access beyond 15 days.

Neurability Therapy is an out-of-network provider. We operate as a cash-based or self-pay care system to prioritize the client by taking out the constraints of insurance. This allows the therapist and client to have complete autonomy over the decision of the plan of care, frequency, duration, location, and type of treatment while providing high-quality one-on-one treatment. If you would like to self-submit to your insurance company for reimbursement, we are happy to provide a super bill with all the information necessary for you to submit.

A superbill is a document that shows a list of services provided during your treatment session(s). You can contact your insurance company and ask if you have out-of-network benefits. If your insurance confirms that you have out-of-network benefits, you will be reimbursed for a portion of the costs you pay out of pocket. You will need to talk to your insurance company about the process of submitting your superbill.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services or items. This includes related costs like medical tests, visit and procedure fees, and medications/birth control costs.

If you schedule your service three business days in advance, you will receive a Good Faith Estimate in writing at least 1 business day after you scheduled your visit.  You may also ask for a Good Faith Estimate in advance of scheduling the visit.

The Good Faith Estimate shows the estimated cost of services that are reasonably expected for your health care needs for the service. The estimate is based on information known at the time the estimate was created and based on the reason for your visit.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during your visit.  

HHS regulations establish that when the billed charges for any provider or facility are in excess of the good faith estimate for that provider or facility by $400 or more, the item or service may be eligible for payment determination by an SDR entity through the PPDR process.

Neurability Therapy accepts the following forms of payment: ACH transfer, cash, check, Zelle, Venmo, and credit card via our online electronic medical record portal.

Credit card charges will have a 3%  processing fee per payment.

With private home therapy, we have the freedom to choose the local location of our sessions, whether at home, in the park, at the grocery store, or elsewhere. While we do provide services in the home, you do not have to be homebound to qualify for private home therapy services, unlike standard home health agencies.We also offer private clinic therapy, which allows us greater flexibility to achieve your goals.

By receiving personalized occupational therapy in the comfort and familiarity of your own home, you can expect to experience:

• Convenience and continuity of care in a familiar environment
• Reduced stress and disruptions associated with travel to clinical settings
• Personalized, one-on-one attention from experienced therapists
• Customized treatment plans tailored to your specific needs and goals
• Guidance on using adaptive equipment and implementing home modifications
• Comprehensive home safety evaluations and accessibility recommendations
• Opportunities for family education and caregiver support
• A seamless transition from clinical settings to daily routines

Therapy sessions typically involve an assessment of your condition, manual techniques to improve mobility and flexibility, individualized exercises and activities to help you reach your goals, education on how to prevent further injury or pain, and instruction on proper posture, body mechanics and other lifestyle changes.

You should dress in comfortable, loose clothing that allows you to move easily and doesn’t restrict circulation. Depending on your condition, your therapist may also recommend special shoes or a brace. You should also bring any paperwork related to your medical history, including x-rays, ultrasounds, and doctor’s notes.

Yes! Make sure you arrive for your session well-rested so that you can give it your full attention and energy. It is also helpful if you keep track of how much pain medication (if any) you take prior to the appointment so that the therapist can adjust the intensity of treatment accordingly.

Sessions typically last 60-90 minutes depending on your condition and the types of techniques used. Your therapist will give you an estimate when you first arrive for your appointment.

Yes! Your therapist may provide specific exercise recommendations for you to try in between visits, which will help speed up your recovery and progress faster toward reaching your goals. It’s important to follow these carefully and always check with your therapist before starting a new exercise program if you have any questions or concerns.

The frequency of visits will depend on your individual goals and condition, but typically it is recommended that patients attend 2-3 times per week for a minimum of 6-12 weeks in order to maximize results. Your therapist will provide more details during your initial appointment.

Your therapist should be able to provide guidance on when it is appropriate to stop attending therapy sessions based on your progress, goals, and overall health status. It’s important to listen to your therapist and continue with treatment until they feel you are ready to move on.