Patient Resources

a health insurance form

Accepted Insurance

We offer flexible payment options with out-of-pocket fees and convenient pre-paid packages to suit your preferences.

We accept most other major medical insurance plans. We will however, accept out-of network benefits should your insurance carrier offer this benefit.

If you do not see your insurance company listed or are not sure if we accept you type of plan, please give us a call and we will be glad to take your information and verify your physical therapy benefits with us.

  • Aetna
  • Anthem BCBS
  • AmeriHealth Health Plan
  • Blue Cross / Blue Shield
  • Cigna
  • Horizon BCBS
  • Medicare
  • Multiplan
  • NYF D/NYPD
  • No Fault
  • Oxford
  • United Healthcare
Tsahi (Zack) Niv, D.P.T., M.T.C

Aetna | #2298582

Oxford | #P2195022

BC/BS | #QA6161

Medicare | #QA6161

Anthem | #080013973NY01

United Healthcare | #2028059

Cigna | #IS4539068

Proudly Connected to

Mount Sinai Health System

As part of our commitment to clinical excellence and coordinated patient care, we are a proud member of the Mount Sinai Trusted Rehabilitation Provider Network.

This affiliation reflects our dedication to maintaining high standards of care, collaboration, and patient outcomes. Through our relationship with Mount Sinai Health System, we align with trusted healthcare professionals and follow established best practices to ensure every patient receives comprehensive, quality-driven rehabilitation services.

Being part of this network reinforces our mission to provide personalized care while remaining connected to one of the nation’s leading academic health systems.

As a participating member of the Mount Sinai Trusted Rehabilitation Provider Network, we proudly uphold the standards of excellence established by Mount Sinai, one of the nation’s leading academic medical systems.

Quality Assurance Form

Please complete the following form and help us improve with our service.

Once completed submit the form to the following email: info@msmpt.com

Quality Assurance Form

New Patient Form

Enhance your experience with us by filling out the new patient form. Our team at Manhattan Sports & Manual Physical Therapy looks forward to getting to know you better and providing personalized care!

Functional Assessment

Our spacious modern loft is conveniently located on 33rd Street, between Fifth and Madison Avenue. Our facility includes four comfortable and private treatment rooms equipped with the most advanced therapeutic equipment and modalities.

  • + Back / Spine
  • + Neck NDI
  • + Shoulder / Arm / Hands
  • + Knees / Legs / Hip
  • + Fear Avoidance
  • + Foot / Ankle
+ Back / Spine

OSWESTRY | Back/Spine

This questionnaire has been designed to give us information as to how your back or leg pain is affecting your ability to manage in everyday life. Please answer by checking ONE box in each section for the statement which best applies to you. We realise you may consider that two or more statements in any one section apply but please just shade out the spot that indicates the statement which most clearly describes your problem.

+ Neck NDI

Neck Disability Index | Neck / TMJ / Headaches

This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Please answer every section and mark in each section only the one box that applies to you. We realise you may consider that two or more statements in any one section relate to you, but please just mark the box that most closely describes your problem.

+ Shoulder / Arm / Hands

DASH | Shoulder / Arm / Hands

Please rate your ability to do the following activities in the last week by checking the number below the appropriate response.

+ Knees / Legs / Hip

LEFS | Knees / Legs / Hip

We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem for which you are currently seeking attention. Please provide an answer for each activity. Today, do you or would you have any difficulty at all with.

+ Fear Avoidance

Fear Avoidance Questionnaire

For each statement please circle any number from 0 to 6 to say how much physical activities such as bending, lifting, walking or driving affect or would affect your back pain.


Please select the answer that better reflects your situation.

0 being Completely Disagree, 3 being Unsure, and 6 being Completely Agree

+ Foot / Ankle

Foot / Ankle Questionnaire

Complete the following test, once you have completed download the PDF and submit it here.