What "Boutique Out-of-Network" Actually Means For You

Most NYC physical therapy clinics double-book, hand you off to an aide, and bill your insurance for a half-finished session. On Point Physical Therapy does the opposite. Every minute is with Ariel Osharenko, PT — the same physical therapist, every single visit. Every plan is built around your specific injury, your sport or activity, and the life you actually live.

I do not accept insurance directly. Most patients get reimbursed 50-80% of their session cost by their PPO plan — I provide a complete superbill (an itemized receipt with the correct CPT codes) that you submit to your insurance company. Many patients also use HSA or FSA funds, which are eligible for physical therapy.

What you get in return: undivided 60-minute attention, the same physical therapist every visit, no rushed protocols, no insurance-driven session-length limits, no pre-authorization headaches, no surprise bills, no "your benefits ran out." Just real physical therapy until you're done.

Conditions & Specialties

ACL Rehab — Post-Op Through Return-to-Sport

From the day after surgery through return-to-sport testing. The ACL rehab program at On Point follows the latest JOSPT clinical guidelines for ACL reconstruction rehabilitation, integrated with force plate testing, Y-balance assessments, and progressive strength benchmarks. Typical timeline: weekly sessions for the first 12 weeks, tapering to bi-weekly and monthly as you progress. Most patients return to full sport between months 6-9 with measurable, objective criteria — not guesses. Read more about the ACL rehab program →

In-Home Physical Therapy Across NYC

I come to you. Manhattan, Long Island City, Astoria, Brooklyn Heights, Williamsburg, the Upper East Side, Tribeca — anywhere in the city. Same 60-minute one-on-one session, same equipment, no clinic commute, no waiting room. This works exceptionally well for post-surgery patients who can't easily travel, busy professionals who lose two hours every time they leave the office, new parents, and patients who genuinely heal faster when treated in their actual environment. Read more about in-home physical therapy →

Sports Performance & Return-to-Sport Testing

Physical therapy doesn't stop at "no pain." It stops when you're outperforming what you could do before the injury — and you have objective measurements to prove it. Force plate jump testing, Y-balance, return-to-sport criteria from the latest peer-reviewed literature. For runners, triathletes, climbers, soccer players, basketball players, and lifters who measure their lives in PRs.

Post-Surgery Recovery

ACL reconstruction, meniscus repair, rotator cuff repair, total knee replacement, total hip replacement, shoulder labrum, hand and wrist surgery. The first 6-12 weeks set the trajectory for everything that comes after — and that's where most patients lose ground because of rushed insurance-driven appointments. One-on-one 60-minute sessions are exactly what early-phase post-op rehab needs.

Runner's Knee, Shin Splints, IT-Band Syndrome

NYC has more runners than anywhere else in the country and a fraction of the physical therapists who actually understand running biomechanics. I run myself — and I treat runners training for the NYC Marathon, the Brooklyn Half, the NYC Half, weekend Central Park runners, and casual joggers. We look at your gait, your cadence, your shoes, your weekly mileage, your strength asymmetries — not just where it hurts.

Back & Neck Pain

Desk-worker cervical pain, herniated lumbar disc, post-surgical spine recovery, sciatica, thoracic outlet, headaches with cervical origin. Manual therapy, targeted strengthening, and ergonomic adjustments that actually work in a small NYC apartment with a real desk setup. Most "I have back pain" doesn't need surgery — but it does need someone who'll spend a full session looking at the actual problem.

Shoulder Rehab

Rotator cuff tears (full and partial), impingement, frozen shoulder, post-surgical labrum repairs, AC joint, throwing athletes, swimmers, climbers. Shoulders are commonly misdiagnosed and over-treated — I'd rather spend a full session getting the diagnosis right than running the generic protocol everyone gets.

Pelvic Floor & Post-Partum PT

For new moms across LIC, Astoria, and the rest of NYC — diastasis recti, pelvic organ prolapse, return-to-running after pregnancy, c-section recovery, postpartum core rebuilding. I work directly when the issue is musculoskeletal, and I refer to specialized pelvic floor PTs when the issue calls for them.

Frequently Asked Questions

How does out-of-network physical therapy reimbursement work?

You pay me directly at the time of service. I give you a superbill — an itemized receipt with the correct CPT codes (typically 97110 therapeutic exercise, 97140 manual therapy, 97530 therapeutic activities). You submit it to your insurance company. Most PPO plans reimburse 50-80% of out-of-network rates. I'll walk you through exactly how to do this on your first visit.

Do you treat patients in their homes?

Yes — across all of NYC, including Manhattan, Long Island City, Astoria, Brooklyn, Williamsburg, and the Upper East Side. Same 60-minute one-on-one session, same equipment, no clinic commute. See the in-home PT page for details and coverage area.

What conditions do you specialize in?

ACL rehabilitation and post-surgical knee recovery are the largest specialties, followed by runners' injuries (knee, shin, hip, foot), shoulder rehab, back and neck pain, and post-partum PT. Full list above — if you don't see your specific condition, send a message and I'll let you know whether I'm the right person to help.

How many sessions will I need?

Depends entirely on the condition. ACL rehab typically runs 6-9 months (1-2x per week tapering down). Runners knee or non-acute back pain might be 4-8 sessions. Post-surgical shoulder is usually 12-16 weeks. We'll set realistic milestones at session one and adjust as you progress.

Where is the clinic?

44-01 21st Street, Suite 203, Long Island City, NY 11101. Two blocks from the Queensboro Plaza station (N/W and 7 trains), five minutes from Queens Plaza (E/M/R). Contact page for booking and parking notes.

Are you open evenings or weekends?

Yes — late afternoon and early evening clinic appointments are available, and in-home appointments are flexible to your schedule. Saturdays are typically available for in-home visits.