In-home therapy in St. Louis.
60 minutes. One licensed therapist. Your living room.
PT and OT, at the low end of published rates. Evaluations pay more.
One patient at a time, where they actually live.
Therapy happens in the home you intend to stay in, with one licensed therapist for the full hour. That single decision is what makes the care better, and it is the same in every market we work in.
- The evaluation
A licensed therapist comes to the house and evaluates you there, then writes the plan of care and sends it to your doctor to sign. You do not need a referral before you call.
- The visit
Sixty minutes, one patient, one therapist, start to finish. The same therapist stays with you for the whole course of care rather than whoever is free that day.
- The disciplines
Physical, occupational, and speech therapy are all delivered by one organization, so a second need does not mean starting again with a second company.
Where we work in St. Louis.
We see patients in Kirkwood, Webster Groves, Ballwin, Chesterfield, Creve Coeur, Clayton, Florissant, Affton, Oakville, University City, Maplewood, and Brentwood, and elsewhere in St. Louis City and St. Louis County.
That covers the 630xx and 631xx ZIP codes. Type yours into the checker above and it will tell you plainly whether we reach your street.
Our St. Louis office is at 111 N. Taylor Ave, Suite C, Kirkwood, MO 63122. Patients are seen at home, not here.
Smart Rehab started in St. Louis in 2017, and this is the market it has served longest.
The clinical director for St. Louis.
Theresa Finlay, PT
Co-founder, and a physical therapist with more than 25 years of experience, 22 of them in practice before Smart Rehab existed. Theresa earned her Bachelor of Physical Therapy from Saint Louis University in 1995. She lived the burnout this company was built to fix, and she is the reason the model protects the hour.
Kevin Finlay
Co-founder and president. Kevin holds a degree in Occupational Therapy from Saint Louis University and spent over 20 years in pharmaceutical sales leadership. He is focused on connecting experienced therapists who want to deliver real care with the older adults who benefit most from it.
3 reasons people don't reach out for services.
Tap each one. Most people believe at least 1.
Three disciplines, all delivered in the home.
Physical therapy
Balance and falls, strength after a hospital stay, walking distance, stairs, joint replacement recovery, Parkinson's, chronic pain. The work happens on your actual stairs, in your actual bathroom, in the shoes you actually wear.
Occupational therapy
Dressing, bathing, cooking, transfers, and the specific tasks that have started to take help. An occupational therapist looks at the task and the room together, because the room is half the problem.
Speech therapy
Swallowing, speech clarity, voice, and cognitive-communication after a stroke or with dementia. Swallowing is assessed with what you actually eat, at your own table.
What Medicare covers in Missouri.
Does Medicare Part B cover physical therapy at home in St. Louis?
Yes, in most cases. In-home outpatient therapy is billed under Medicare Part B exactly the way it would be billed at a clinic, and Smart Rehab is an enrolled Part B provider. Coverage depends on medical necessity rather than on where the treatment happens, so the question is whether you have a demonstrated need for therapy.
Do I have to be homebound to qualify?
No, and this is the point people get wrong most often. The homebound requirement belongs to home health, which is a different benefit. Our Part B program has no such rule, so you can drive, work, and come and go as much as you like. Our Part A home health program, delivered through partner agencies, does carry one.
Do I need a referral from my doctor before you will come out?
No. You ask us for an evaluation, a coordinator calls back to verify your coverage, and the therapist contacts you directly to arrange the visit. After the evaluation we send the plan of care to your physician for approval and signature, so the paperwork is never yours to chase.
What will I actually pay?
On Medicare, most patients owe the standard Part B coinsurance once the annual deductible has been met, and a secondary plan frequently covers that. We check your benefits before the first visit and tell you the figure before anyone starts. Paying privately, the initial evaluation is $175 and each visit after it is $125.
Are your therapists licensed in Missouri?
Yes. Every visit is delivered one-on-one by a licensed physical, occupational, or speech therapist licensed to practise in Missouri.
Not on the list? Ask a coordinator directly at (314) 447-8511. There is never a charge to ask.
Schedule an evaluation in St. Louis.
Call (314) 447-8511 and ask for an evaluation. We will check your coverage, answer what it costs before you commit to anything, and get a licensed therapist to your door, usually within a week.
We also work in three other places.
St. Charles, Northern Kentucky, and Cincinnati.