FAQs

Please see “Information for Parents” below to learn more and help you determine if physical or occupational therapy may be good options for your child.
Our evaluations are approximately one hour. Depending on the client's needs, therapy sessions will last from 45 minutes to one hour. An adult must be present in the household during the session in case of an emergency or medical concern. In the last five minutes of each session, the therapist will verbally provide a progress update and review any homework for the upcoming week.
No, we do not. However, all therapy evaluation and treatment session are eligible for private out-of-network insurance reimbursement based on policyholder benefits. Tiny Transformations is not responsible for out-of-pocket expenses relating to cost of evaluation and treatment that is not reimbursed by individuals private insurance companies. Tiny Transformations will provide daily invoices including diagnosis code, CPT billing code & supporting documentation.
Please see directions in the next question on how to check your out-of-network coverage and benefits.
Download the Out-of-network Insurance reimbursement guide
Plan to have 15-30 minutes of your time available to call your insurance company. Make sure to have this information ready before your call:
- Insurance card
- Name, date of birth, address, phone number, or possibly social security number of the cardholder or person for whom the services are for
- Pen and paper/notepad
OUT-OF-NETWORK BENEFITS:
The representative of your insurance carrier may ask for the following information:
- Therapy Company Name: Tiny Transformations
- Tax ID (EIN): 47-5017553
- NPI: 1609329705
- Phone: (516)721-4174
- Email: Danielle@tinytransformationsnyc.com
INFORMATION TO DOCUMENT DURING THE CALL:
- Name of Customer Service Representative
- Date of call
- Time of call
QUESTIONS TO ASK:
- Does my plan include “out-of-network” coverage for occupational and physical therapy?
- Is there an annual deductible for out-of-network occupational and physical therapy? If so, how much?
- How much of my out-of-network deductible has been met?
- Is there a limit on the number of sessions my plan will cover per year? If Yes, How many?
- Is there a limit on out-of-pocket expenses per year?
- What is my coinsurance percentage for occupational or physical therapy?
- Does my plan require pre-authorization for occupational or physical therapy?
- Does my plan require a referral for occupational or physical therapy?
- What is the policy year (i.e., Jan 1 – Dec 31)?
- Can I submit a Superbill? If so, what is the process for filing a claim with a Superbill?
- What additional forms do I need to submit when filing my claim?
- What CPT codes do you cover for speech therapy?
- Can I file my claim online, or do I need to mail/fax it to you?
- Do claims need to be filed within a specific timeframe following the service?
- How long does it take to process my claim?
- How do I appeal if a claim is denied?
Typical Occupational Therapy & Physical Therapy Evaluations & Therapy Codes:
- 97165: Occupational Therapy Evaluation: Low Complexity
- 97161: Physical Therapy Evaluation: Low Complexity
- 97530: Therapeutic Activities for Functional Performance
- 97110: Therapeutic Exercises
- 97112: Neuromuscular Therapy
- 97129 Executive Functioning
- 97116: Gait
Out-of-network reimbursement is the client’s responsibility. In the event the insurance company requests additional documentation such as a Letter of Medical Necessity, therapy session notes, etc., we will work with you to provide the necessary documentation.
Download the Out-of-network Insurance reimbursement guide
VIEWING YOUR BILLING HISTORY AND DOCUMENTS:
1. After logging into the Client Portal, click Billing & Payments to see your billing page. This page provides you with an overview of your recent payment history and access to your billing documents.
2. You’ll see three sections for Invoices, Statements, and Insurance Reimbursement Statements (superbills).
3. At the very bottom there’s a section for Account History that shows your most recent sessions and payments.
4. Adjust the date range to display whichever sessions you’d like by clicking the calendar icon.
***if your insurance company requests separate PT and OT super bills please reach out to your region director.
Download the Out-of-network Insurance reimbursement guide
Therapy sessions will be provided by a team member of Tiny Transformations LLC. This includes either Danielle MacCourtney, or Amanda Masterson, or an agreed upon independent contractor of Tiny Transformations LLC. All cases will be overseen by Danielle, and any independent contractor working with Tiny Transformations LLC. will have the appropriate licenses and degree requirements to practice as a New York State Licensed and Certified Occupational / Physical Therapist.
All appointments are fee-for-service via credit card payment via SimplePractice. Fees for evaluation, consultation, and treatment sessions range. Evaluations will incur a one-time cost, which includes the visit and evaluation report. We are open to creating a payment plan that works for you. Tiny Transformations will provide a daily treatment invoice once the session is paid in full via SimplePractice.
Every Tiny Transformations therapist will help prevent the spread of COVID-19 by taking the following precautionary measures:
- Clean hands often, either with soap and water for 20 seconds or hand sanitizer
- Non-contact Temperature Checks Prior to Treatment
- Put distance between themselves and patients & caregivers when therapeutically appropriate
- Wear mask or face covering at all times.
- Clean & disinfect all toys, therapy materials and surfaces before & after use

Download the Out-Of-Network Insurance Reimbursement guide

Information for Parents

Development is an amazing and complex process which often varies greatly between children. It is not uncommon for a child to achieve milestones at a different pace or manner than his or her peers. This can be concerning to parents, which is why we are committed to distinguishing whether the behavior is within typical range, or if intervention is necessary.

Throughout childhood, the brain and body undergo incredible growth and development. Early identification and intervention is the first step toward a positive transformation. If you are concerned about your child, or interested in learning techniques to help facilitate normal development, don't hesitate to contact us.

My child has trouble writing

Handwriting is a complex blend of cognitive, motor, and visual skills. Early fine motor skills including grasping impact how a child holds their writing instrument. When looking at grasping skills a child’s grip strength, precision, and distal motor control can be affected by weakness closer to the body (core). Scribbling & generating letters on paper bring our visual and motor systems together to put meaningful images and thoughts on paper. Handwriting quality may be affected by a number of different areas that can be determined through occupational therapy. We are here to help determine why your child is experiencing difficulty with writing.
My child hates Tummy Time

Tummy time is very important for your baby's development, and should always be performed under parental supervision. It is essential in providing sensory input, elongating shortened musculature present from physiological flexion, and facilitating muscle strengthening, all of which contribute to a baby's ability to crawl, sit, stand, and eventually walk. Tummy time also plays an important role in visual processing and spatial organization. Starting early is usually your best bet, but a few pointers and modifications from Tiny Transformations can also create a more enjoyable experience.
My child is sensitive to sensory input.

Children who present with a sensitive sensory system may present with greater than normal responses to the visual, auditory, tactile & olfactory senses within their world. Children who are negatively affected by clothing, bath time, getting dirty, or touch may be experiencing hyper-sensitivity to sensory information within their environments. Desensitization, sensory exploration and grading sensory experiences through OT intervention may help to diminish intense reactions to sensory stimuli.
My child has poor attention.

Does your child struggle to stay seated or to initiate/complete goal-directed tasks? Is your child exhibiting behavioral difficulties and/or shutting down when challenged? If so, he or she may be experiencing symptoms related to poor sensory processing, attention deficits, and difficulty with executive functioning. To improve participation at home and school, it is important to provide behavioral strategies, organizational support, and academic accommodations. We can assist with building structure and routine and providing strategies for success.
My child has a head turn or tilt.

Babies may demonstrate a head tilt or head turn preference at birth, or over the first few months of life. This condition, known as Torticollis, results from a tightening of the sternocleidomastoid, which is a muscle on the side of the neck. Early intervention is recommended and treatment includes positioning techniques, stretches, and simple exercises.
My child is a picky eater.

Mealtime is an early opportunity for a child to make choices and indicate preferences. Always remember that mealtime should be FUN and enjoyable—for you and your child. An aversion to certain foods may indicate a sensitivity to unfamiliar textures, so be careful when forcing your toddler to eat. We can help parents by incorporating new foods, textures, and exciting kid-friendly techniques to improve mealtime.
My child has trouble seeing the board.

Visual processing is the process of making sense of what we see. In order for our eyes to work well with our other body systems, it is necessary that the brain interprets information and coordinates effectively with motor systems, enabling our children to integrate their eyes and hands. Writing on the line or spacing letters appropriately is impacted by visual processing. Copying homework or important information from the board relies on appropriate integration of the eyes, hands and postural system.
My child has trouble getting ready for school.

Generally speaking, a multi-step routine is more challenging for children then we think. Is getting dressed the problem or does your child need frequent cuing to move through the many steps of the morning grind? Some children benefit from support to improve multi-step processing, task completion and attention. Some children may need more support with the challenges of buttoning, shoe lace tying, & zippering. The process of “getting ready” encompasses many goals within occupational therapy. If your child is experiencing difficulty with self-help skills, following a routine or initiating multi-step activities, he or she may benefit from an occupational therapy evaluation.
My child seems uncoordinated.

Developmental coordination is impacted by a child's ability to process sensory information from their environment, as well as their strength and muscle tone. A child’s vestibular system and how they process proprioceptive input directly impacts balance, body awareness & safety. We measure developmental coordination by the child's ability to navigate their environment. If your child frequently falls, is clumsy, or seems unaware of their body, we can perform an evaluation to determine the underlying components impacting coordination.