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Texas is currently considered a direct-access state for physical therapy treatment. This is great news! You can get the treatment you need today without a referral. After 15 business days following the date of your initial physical therapy evaluation, if needed, you will need to get a physical therapy referral from any one of the following providers: physician/surgeon, physician assistant, nurse practitioner, chiropractor, podiatrist (for foot/ankle problems), or dentist (for oral/TMJ problems). If you have questions on how to obtain a referral, our staff is happy to assist with this process and answer any questions you may have. 


4th Corner P&T Concepts is a a fee-for-service, cash-based practice which allows each session to be delegated by your specific needs rather than your insurance contract. This means that we do not take insurance, however we are more than happy to provide the necessary information you need to file to your insurance company for potential out-of-network reimbursement or to be applied towards your deductible. Reimbursement will vary based on your specific insurance provider and out-of-network physical therapy benefits. 

Payment for physical therapy services at 4th Corner P&T Concepts are due at the time of services rendered. Payment may be in the form of actual cash, debit/credit card, or a HSA card. If you have any questions regarding our billing processes, rates, and/or how to file for insurance reimbursement please contact our office manager at

Good Faith Estimate

You have a right to receive a "Good Faith Estimate" explaining how much your medical care will cost

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 higher than your Good Faith Estimate, you can dispute the charges.

  • Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit:

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