John R. Astrab PT, DPT, OCS, MS, CSCS
Expertise in Physical Performance and Wellness

Conveniently located at the Garrison Golf Course

Office Phone: 845.424.6422

Office Fax: 845.218.7214



Frequently Asked Questions

We try to anticipate questions you might have about our services and provide the answers here. If you need additional information call us at 845.424.6422 or send an email to




No. Accordng to New York State law John has met the requirements to be seen without a prescription. Currently you may be seen up to 10 visits or over 30 days without a prescription. Some insurances do however require a prescription. Please consult your individual insurance plan to verify these requirments. Ordinarily a prescription would originate from a physician, a dentist, a podiatrist, a physician assistant or nurse practitioner. 


If necessary bring the prescription from your referring physician, as well as any pertinant test results and a list of medications you are taking or allergies you may have. Please arrive 15 minutes early to complete the intake forms if you have not already done so. In addition wear comfortable, non-restrictive clothing and closed-toe shoes. Also, arrive with any equipment you typically use or were given by the referring physician or other health profesionals, such as braces, splints or orthotics. 


How long will each visit be?

Each visit will be approximately 60 minutes in duration. Expect 20 to 40 minutes to be devoted to  manual therapies including joint mobilization, soft tissue mobilization and neuromuscular re-education. The balance of time would consist of corrective exercise, motor acquisition training, motor control training, functional training, dynamic activities, patient education and assessment. Largely an active style of treatment will be employed, but in some instances time may be allotted for passive type modalities, such as Low Light Therapy (LLLT), electrical stimulation or therapeutic ultrasound.    


What should I expect? 

 Above all we appreciate the regional interdependence of the human form and we recognize care should extend beyond a medical diagnosis or an individual part of the body.  Based on your complaints John may perform: a postural or structural evaluation, a gait analysis, functional tests or measures, balance or vestibular tests or measures, an active movement evaluation, passive physiological motion evaluation, passive accessory motion evaluation, muscle strength and power tests and measures, muscle length tests and measures, neural dynamic tests and measures, an ergonomic evaluation: as well as appropriate medical screening and special tests. Based upon our findings we will generate a problem list as to the possible reasons behind your symptoms or loss of function. We will formulate an indivualized treatment plan to address your symptom behavior and we will strive to optimize your innate ability to heal. 


What is the difference between deductibles, coinsurance and copayments?

 A deductible is defined as the amount of covered medical expenses you’ll pay out-of-pocket each calendar year before benefits will be be paid by your insurance plan. Usually a deductible only applies to certain expenses. In contrast, a coinsurance or copayment is defined as the the specific dollar amount charged to you for a covered medical expense. In many instances coinsurance and copayments are required for in network and out of network providers. In some plans our services are considered a specialty, in which coinsurance or copayments could be as high as $75. Please consult you individual plan to verify your benefits. 


The claim for the date of service will be sent to your insurance plan. Typically your plan will cover 60 to 80 percent of the "reasonable", "usual and customary" or “prevailing” charge. If the bill is $100 and you already met your deductible your insurance would reimburse $60 to $80. The patient would be responsible for the remaining $20 to $40.  


How long will I be covered for services? 

Insurers deem our services medically necessary when skilled care is needed to restore function. If a significant change can no longer be achieved or a home exercise program or the passage of time could be used to attain further progress, insurers may indicate supervised care should be discontinued. Individuals without an impairment in their activities of daily living, individuals without an identifiable disease process or individuals desiring to return to sport may not be considered medically necessary. Insurers may find individual's whose condition is chronic, is not evolving or is status quo to be considered "maintenance care" and may not considered medically necessary.