A new Missouri law allows patients to see a physical therapist without first obtaining a referral or prescription from a medical provider. Prior to this law, if a patient were to have a mild injury, they would need to see a medical provider first. At that time the provider may refer them to specialist or write an order for physical therapy. This process was time consuming and costly to the patient.
Under the new law, patients can seek care directly with a physical therapist without a referral from your medical provider. Direct access allows patients to be evaluated faster which decreases healthcare costs, improves functional outcomes and satisfaction scores, and can help decrease reliance on other pain management methods such as use of opioids.

Frequently Asked Questions:
What are your PT’s qualifications?
The physical therapists at Summit Strength PT have a doctorate degree or have 30 years-experience in the field. Many of our clinicians have also completed additional certifications to continue to further their education.
How do I know if this is right for me?
You will meet with a physical therapist and be asked specific questions ensure you are appropriate for physical therapy. The initial assessment will help determine any potential “red flags”, meaning any serious disease processes or more serious injury that could be causing your pain or dysfunction and require referral to your doctor’s office.
When should I see my medical provider first?
If you suspect a broken bone or have suffered a trauma such as a fall, seek imaging at an emergency room, urgent care office or physician’s office. We do not have imaging equipment and you may be referred out prior to being treated for your safety.
Is this covered under insurance?
It depends on your policy. Medicare and Medicare Advantage plans require a signed plan of care from a MD, DO, physician assistant or nurse practitioner within 30 days of the first visit. Some insurance companies may still require pre-authorization. Please call our office with your insurance information if you have any questions regarding insurance coverage.
Do I have to go through my insurance?
No. You may choose our cash pay option and will need to sign our self-pay good faith agreement. You will be required to pay at time of service.
How long I can get physical therapy without a referral?
Patients can be seen for 10 visits or 30 days (whichever occurs first). If no progress is made during that time, your physical therapist will consult with your healthcare provider regarding further treatment.