Whether you're recovering after hospitalization, addressing balance concerns, or working to preserve independence, therapy is delivered where daily life actually happens — your home.
Care is individualized, measurable, and aligned with your current stage of function. Every session is designed around the movements and challenges you face each day.
Who We Help
Who This Is For
Post-Hospitalization Recovery
Adults recovering after hospitalization, rehabilitation stays, or post-surgical procedures including joint replacement.
Balance & Fall Risk
Individuals experiencing balance impairment, fall risk, or neurologic conditions that affect safe mobility.
Weakness & Functional Decline
Those facing ongoing weakness, deconditioning, or functional decline requiring skilled professional therapy.
Preservation of Function
Patients who require skilled oversight to prevent decline and maintain their current level of independence.
Some patients are working toward measurable improvement. Some require skilled oversight to prevent decline. Both require structured, professional care.
Coverage
Medicare Part B & Direct Access
Next Stage Therapy provides outpatient physical therapy under Medicare Part B. Ohio law permits individuals to begin physical therapy without a physician referral through direct access.
Direct Access in Ohio
You can start physical therapy without waiting for a referral. Ohio law supports your right to access care directly.
Medicare Requirements
A licensed physical therapist establishes the Plan of Care
A physician must certify the Plan of Care
Services must meet medical necessity guidelines
You do not need to be homebound. If you do not yet have physician involvement, we can assist in coordinating certification to ensure coverage requirements are met. Deductibles and coinsurance may apply.
Services Provided
Evaluation & Reassessment
Comprehensive physical therapy evaluation with ongoing reassessment and plan updates as you progress.
Gait & Mobility Training
Targeted gait training and mobility work to help you move safely and confidently through your home.
Balance & Fall Prevention
Structured balance training and fall prevention strategies tailored to your specific risk factors.
Strength & Transfers
Strength and endurance development alongside transfer training — bed, chair, toilet, and stairs.
Each plan of care is documented, measurable, and physician-certified when required for Medicare coverage. Caregiver instruction is provided when appropriate.
Our Approach
Structured. Practical. Function-Focused.
Evaluate
A thorough in-home assessment establishes baseline mobility, balance, strength, and safety measures.
Plan
Clear functional goals are developed within a structured, physician-certified Plan of Care.
Train
Therapy emphasizes real-world tasks in your actual environment — walking, transfers, stairs, daily movement.
Reassess
Progress is measured regularly. Plans are adjusted as needed to support improvement or preserve function.
This is steady, professional therapy — not generic exercise sessions.
When the Environment Matters
Mobility and safety are influenced not only by strength and balance — but also by the design of the home itself. Your surroundings play a critical role in how well therapy translates to everyday life.
If broader housing planning or accessibility clarity is needed, those services are offered separately through Next Stage Living™, an educational housing planning service. Therapy and housing planning are distinct services — medical care remains independently delivered through Functional at Home, LLC.
Not necessarily. Ohio allows direct access to physical therapy. However, Medicare requires physician certification of the Plan of Care for coverage.
Do I need to be homebound?
No. This is outpatient therapy delivered in the home. Homebound status is not required.
Do I have to be improving to qualify?
Medicare may cover therapy when skilled oversight is required to improve or preserve function, provided medical necessity criteria are met.
How long can therapy continue?
As long as services remain medically necessary and require skilled care under physician certification.
Is Next Stage Living™ the same as therapy?
No. Next Stage Therapy provides medical physical therapy. Next Stage Living™ provides educational housing planning and home safety guidance. They are separate services.
About
Adam Snyder, PT, CAPS
Next Stage Therapy is provided by Adam Snyder, PT, CAPS. Functional at Home, LLC is an Ohio-licensed physical therapy practice enrolled in Medicare Part B.
Care is delivered with a structured, practical approach focused on mobility, safety, and long-term independence.
Next Stage Therapy
Medicare Part B physical therapy delivered in your home
Next Stage Living™
Educational housing planning for proactive decisions before a crisis
Both services share a focus on safety and function — but operate independently.
Get Started
Request a Call
If you believe skilled physical therapy may be appropriate, submit your information below and we will respond with next steps.
Next Stage Therapy · Provided by Functional at Home, LLC · Medicare Part B Outpatient Physical Therapy
Functional at Home, LLC is an Ohio-licensed physical therapy provider enrolled in Medicare Part B. Services are subject to medical necessity, physician certification requirements, and applicable Medicare guidelines. Deductibles and coinsurance may apply.
Next Stage Living™ — Educational housing planning and home safety consulting. Services are separate from Functional at Home, LLC and do not provide skilled therapy.