In North Carolina, physical therapy treatment may be initiated by a licensed physical therapist when the patient is referred by a qualified and licensed practitioner. Qualified practitioners include Physicians and Physician Assistants, Advanced Nurse Practitioners, Dentists, Chiropractors, and Podiatrists. Most private insurance also provide direct access to physical therapy without a referral from a physician. Call our office to determine if your insurance supports direct access. Call Peak Performance Sports and Physical Therapy for an appointment: 866-953-1278.