Why You Should Care About Direct Access Physical Therapy.

Direct access physical therapy allows athletes to visit Paceline Physical Therapy without seeing a physician first. This means we can help get you better quicker with less hassle. Sound good? We thought so too...

Most of the following information is taken from Verywell Health. The original article been condensed or altered slightly for your reading pleasure. 


What is Direct Access?

Direct access refers to the ability of patients to be evaluated and treated by a physical therapist without being referred by a doctor...In the United States, provisions for physical therapy services are governed by each individual state through a "state-practice" act. The practice act is legislation that outlines how physical therapy services will be delivered.

Historically, each state's practice act provided that physical therapy services would be provided only if ordered by a licensed physician or other licensed healthcare practitioner. Each state lists different professionals who may refer patients to physical therapy, including podiatrists, dentists, and nurse practitioners.

Some of the tools we use to treat our athletes in Franklin, TN using direct access physical therapy. 

Some of the tools we use to treat our athletes in Franklin, TN using direct access physical therapy. 

The American Physical Therapy Association (APTA) has lobbied successfully in many states to help change the law to allow patients direct access to physical therapy. By having direct access in each state, physical therapists are recognized as the licensed professionals of choice to initially manage musculoskeletal and movement disorders in patients. You can check to see if your state allows direct access on the APTA's website.

For those in the Nashville or Franklin area, Tennessee state law allows Doctors of Physical Therapy (like us) to see athletes (like you) for 30 days without needing a referral from a physician. Because most of our athletes only need 1-4 visits, a physician's referral is rarely needed.

Why Is Direct Access Important?

Healthcare is expensive. It seems that with every passing year, more money is being spent on healthcare, with no objective data that patients are achieving better outcomes. A system that allows the patient to directly seek the services of a physical therapist can help save healthcare dollars by eliminating unnecessary tests or other specialist referrals.

Many conditions can be successfully evaluated and treated with no expensive diagnostic testing. Visiting your physical therapist directly allows you to start on treatment right away with very little risk of further injury. Physical therapy is a low-cost value-packed healthcare service.

Is Direct Access Safe?

Some opponents of direct access to physical therapy services argue that patients may be put at risk if they visit a physical therapist directly. Physical therapists lack the ability to order certain diagnostic tests or prescribe medication to help manage pain.

To date, there is no objective data indicating that self-referral to physical therapy puts patients at increased risk. Also, there is nothing indicating that self-referred patients consume more healthcare dollars during or after their physical therapy care episode.

Physical therapists are also trained to recognize "red flags" that may signal the need for more invasive medical intervention. In those cases, referral to your physician or healthcare provider is made immediately.

In the case of Paceline Physical Therapy, we are licensed Doctors of Physical Therapy who are highly educated in recognizing "red flags" and referring when needed.

Many states also have safety nets built into the legislation that governs the practice of physical therapy. For instance, some states allow direct access only to therapists who have been practicing for three or more years. Others allow a certain time frame or specific number of physical therapy visits during an episode of care. If the patient requires skilled physical therapy after the time frame or visit threshold is reached, referral to the patient's doctor is mandatory.

If you are suffering from a musculoskeletal condition that causes functional movement limitations, use your best judgment when deciding which healthcare practitioner to see. A visit to your local physical therapist is a safe place to start on the road to recovery. Remember that not all states allow for direct access to physical therapy. You can check the APTA direct access map to see if your state allows direct access. If you are unsure if physical therapy is right for you, a discussion with your doctor may be necessary to help you decide.


If you're in need of direct access physical therapy, just SEND US A TEXT. We'd be happy to help!


Josh Orendorf is a Doctor of Physical Therapy and owner of Paceline Physical Therapy in Franklin, TN. He is an Ironman triathlete and Boston Marathon qualifier. He has a passion for helping athletes conquer injury and return to sport without pain. He lives in Nashville, TN with his wife, Leigh, and their dog, Annie.