Smart Rehab provides in-home physical, occupational, and speech therapy across St. Louis, St. Charles, Northern Kentucky, and Cincinnati. Please enable JavaScript to use this site, or call (314) 447-8511.
In-Home Physical, Occupational, and Speech Therapy for Patients | Smart Rehab
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For patients and families

Stay strong. Stay independent. Stay home.

Every Part B visit is delivered one-on-one by a licensed physical, occupational, or speech therapist. We are a Medicare Part B provider offering outpatient therapy in the home, with no homebound requirement and no referral needed to begin. If you are on Medicare and have a demonstrated need for therapy, give us a call and we'll take it from there.

First, let's check your address
Why the home

The rooms giving you trouble are not in a clinic.

A gym can approximate a curb. It cannot approximate the step down into your garage, at seven in the morning, in your own shoes, carrying something.

It's more than convenience. It's therapy designed around the person's real home, real challenges, and everyday independence.

  1. You get the whole visit

    60 minutes with one licensed therapist, start to finish. Nobody is treating another patient in your hour.

  2. You get the same person

    The same therapist for your whole course of care. Someone who knows what you could do last week is the only person who can tell what changed this week.

  3. And you skip the hardest part

    Getting there. Transportation is the most common reason older adults stop therapy before they have finished it, and it is the one thing we remove entirely.

Side by side

What changes when the therapist comes to you.

A busy clinic
Smart Rehab, in your home
Getting there
A clinicTwo trips a week, on their schedule
Smart RehabWe come to you+

Transportation is the most common reason older adults stop therapy before they are finished. Removing the drive removes the drop-off.

Your hour
A clinicSplit across 2 or 3 patients
Smart Rehab60 minutes, one patient+

A full uninterrupted hour is the smallest unit of time in which a therapist can evaluate, treat, and teach in the same visit.

Who treats you
A clinicOften an aide or assistant
Smart RehabA licensed therapist, every visit+

Every Part B visit is delivered one-on-one by a licensed physical, occupational, or speech therapist. Part A home health, delivered through partner agencies, is led by a licensed therapist and may also include visits from a licensed assistant.

What you practice on
A clinicClinic equipment you do not own
Smart RehabYour stairs, your shower, your chair+

Skills practiced on the actual obstacle transfer directly. Skills practiced on a simulation often do not.

Who you see
A clinicWhoever is free that day
Smart RehabThe same therapist, start to finish+

Continuity is not a comfort feature. A therapist who knows your baseline catches changes that a stranger reads as normal.

Home safety
A clinicTalked about
Smart RehabFound and fixed in the room+

Most fall hazards are invisible from a clinic. The rug, the step into the garage, the chair that is too low to stand up from.

Click any row for the detail

Who comes in

Most people are not sure about letting a stranger in.

People think it first and say it last, and it is a fair thing to ask. The person at your door is a licensed therapist with a degree, a background check, and real clinical experience behind them. You will know their name before they knock, because they are the one who calls to set up the visit.

Do I qualify?

Most people qualify and do not realize it.

You may qualify if

  • You are covered by Medicare, a Medicare Advantage plan, or a supplement
  • You would rather be treated at home than travel to a clinic
  • Getting to a clinic one or two times a week is difficult
  • You are recovering from a fall, surgery, or illness
  • You want to stay strong, safe, and independent at home

What it costs

Most services are billed under Medicare Part B, exactly as they would be at an outpatient clinic. You may still be responsible for a deductible or coinsurance depending on your plan.

If insurance does not cover it, we have private-pay options.

  • Evaluation $175
  • Follow-up visit $125

There is never a charge to ask questions or check your eligibility.

Call (314) 447-8511
What we treat

3 disciplines. 1 organization.

Most people come to us for one problem and find they needed two.

Physical Therapy
Physical Therapy

Move without fear of falling

For balance, strength, and getting steady on your feet again.

  • Falls and fear of falling
  • Unsteady gait or difficulty walking
  • Muscle weakness and low endurance
  • Joint and post-surgical pain
  • Parkinson's, stroke, and neurological conditions
  • Home safety and equipment
Occupational Therapy
Occupational Therapy

Keep doing it yourself

For the daily tasks that decide whether you stay independent.

  • Bathing, dressing, and cooking
  • Hand strength and fine motor control
  • Memory and thinking changes
  • Vision and perception
  • Adaptive equipment and training
  • Caregiver training
Speech Therapy
Speech Therapy

Be understood again

For speech, swallowing, and memory after stroke or illness.

  • Swallowing difficulty
  • Speech clarity after stroke
  • Word finding and language
  • Attention and memory
  • Voice changes
  • Communication strategies for family
How it works

From first phone call to first visit, usually inside a week.

You call, or check your ZIP

A coordinator calls you back within 1 business day. We confirm coverage and answer questions. No insurance details needed just to talk.

A therapist evaluates at home

60 minutes in your own space, looking at balance, strength, mobility, daily tasks, and the hazards in the rooms you actually use.

We handle your physician

We write the plan of care and send it to your doctor for signature. You do not need a referral to begin and you do not chase the paperwork.

Therapy starts, same therapist

Visits scheduled around your week, with the same licensed clinician each time, until you have met the goals you set together.

Common questions

Questions we get asked a lot.

Do I need a referral to start?

No. You ask us for an evaluation, a coordinator calls back to verify your coverage, and the therapist contacts you directly to set the visit. After the evaluation we send the plan of care to your physician for approval and signature, so you never chase the paperwork.

Do I need to be homebound?

Not for our Part B program. Unlike a home health agency, we are outpatient therapists who come to you, so there is no homebound requirement. Our Part A home health program, delivered through partner agencies, does have one.

Will my insurance cover this?

Yes, in most cases. In-home outpatient therapy is billed under Medicare Part B the same way it would be at a clinic. If you are on Medicare and you have a demonstrated need for therapy, call us and we will walk you through it. Coverage depends on medical necessity, and you may still owe a deductible or coinsurance depending on your plan.

How long is a visit, and who will I see?

About 60 minutes, one-on-one, with the same licensed therapist for the length of your care. Consistency builds trust and produces better results.

What does it cost if I am paying privately?

$125 per visit and $175 for the initial evaluation.

How soon can we start?

A coordinator calls back within 1 business day. In an open service area, the evaluation is usually scheduled within a week.

Not on the list? Ask a coordinator directly at (314) 447-8511. There is never a charge to ask.

Book a visit

Schedule an evaluation

Fill this out and a coordinator calls you back, usually the same business day, to check coverage and match you with a therapist near you.

Call (314) 447-8511

Request received

A coordinator will call you within 1 business day.