Physical, occupational, and speech therapy at home

Our physical, occupational, and speech therapists come to your home. They help you move, do daily tasks, talk, and swallow more safely after a surgery, a stroke, a fall, or an illness. Your doctor orders the therapy.

Updated October 2026

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A clinician helps an older man get up from the edge of his bed

Three kinds of therapy

Physical therapy (PT) works on strength, balance, and walking. It helps you get in and out of bed or a chair, use stairs, and use a walker or cane. It can also help with pain.
Occupational therapy (OT) works on daily tasks, like dressing, bathing, using the toilet, and making a simple meal. The therapist may suggest equipment, like a shower chair or grab bars.
Speech therapy works on speaking, understanding, memory, thinking, and swallowing.

Your doctor orders the kinds of therapy you need. You may get one, two, or all three.

Who it is for

Therapy at home is for people who are homebound and need a therapist’s skills. You may need it:

After a surgery, like a joint replacement
After a stroke
After a fall, or if you are at risk of falling
When you are weak after an illness or a hospital stay
When you have Parkinson’s disease or another nerve or muscle problem
When you have trouble speaking or swallowing

After orthopedic surgery

We help you recover at home after a knee, hip, or shoulder replacement, spine surgery, or a broken bone. Your therapist works on:

Walking with a walker or cane, then with less support as you heal
Exercises to bend, straighten, and strengthen the joint
Following the movement limits your surgeon gives you, like hip or spine precautions or how much weight to put on a leg
Following your surgeon’s protocol, and keeping your orthopedic team updated on how you are doing
Equipment that helps after surgery, like a raised toilet seat or a reacher

If your doctor orders it, a nurse can also check your incision and pain medicines. See home health after a knee or hip replacement.

Why therapy at home helps

You practice in the place where you live: your stairs, your bathroom, your kitchen. The therapist can spot fall risks and suggest simple changes.

You do not need a ride to a clinic. That matters most in the first weeks, when getting out takes a lot of energy.

What a visit looks like

At the first visit, the therapist checks your strength, balance, and how you move. They ask what you want to be able to do. A goal might be walking to the mailbox or showering on your own.

At each visit after that, you do exercises and practice real tasks. The therapist checks your progress and changes the plan as you improve.

You get exercises to do between visits. Ask for them in writing, or ask if you can record a short video on your phone.

How often therapy happens

Your doctor’s orders set how often a therapist comes and for how many weeks. Your therapist suggests a plan based on your goals. The schedule often changes as you get stronger.

Conditions we often help with

Home health after a stroke: Physical, occupational, and speech therapy at home, plus training for family caregivers.
Home health after a knee or hip replacement: Therapy and nursing at home in the first weeks after a knee or hip replacement, when travel is hardest.
Home health for COPD: Inhaler and oxygen teaching, breathing techniques, and a plan for flare-ups.

All conditions we help with

What it costs

With Original Medicare, you pay $0 for covered home health visits. You must be homebound and need part-time skilled care, and your doctor must order it. Medical equipment, like a walker, costs 20% after your Part B deductible. Source: Medicare.gov.

Medicare Advantage and other health plans cover home health too. They may need to approve care before it starts, or ask you to use an agency in their network. They may charge a copay.

You do not have to keep improving to get therapy. Medicare also covers skilled therapy that keeps you from getting worse. See how long does home health care last?

We check your coverage before care starts. See the plans we accept and does Medicare cover home health care?

When therapy at home ends

Therapy at home ends when you reach your goals, or when you can leave home to go to outpatient therapy. Many people keep working with a therapist at a clinic after that.

Before your last visit, ask which exercises to keep doing and how often.

How to start

Ask your doctor if home health is right for you. In the hospital, ask the discharge planner.
Tell them you want Adaptive Home Health. The choice of agency is yours.
Your doctor sends us an order. We check your coverage and call you to set up the first visit.

We offer this care in Texas (Houston, Dallas–Fort Worth, Austin, San Antonio, and Central Texas), Colorado (Denver), Michigan (Detroit), and Nevada (Las Vegas). Questions? Call us at 214-440-1394 (Texas), 303-597-0505 (Colorado), 248-607-6698 (Michigan), or 702-450-1855 (Nevada).

Doctors and discharge planners: see how to refer a patient.

Questions? Call us.

We can answer questions about home health, Medicare, and your insurance, before or during care.