Direct Access

Maine became the 25th state to enact "direct access" legislation regarding physical therapy in an effort to help reduce healthcare costs. Direct access means you can go directly to a licensed physical therapy provider for evaluation and treatment without a doctor's referral. And, you have the right to choose which physical therapy provider you go to, even if you are directed to go elsewhere.

Many conditions are successfully treated by hands-on treatment and individualized exercise programs provided by your physical therapist. Painful and expensive surgeries can be put off and sometimes even eradicated altogether. Plus, physical therapy has been known to reduce and sometimes even eliminate the need for dangerously addictive painkillers. Physical therapists are also highly trained in identifying conditions that might need further evaluation or medical treatment and can include primary care physicians when needed.

Direct Access to Maine Physical Therapists provides many benefits, including but not limited to:

  • This will give you much quicker access the treatment you need and deserve.
  • While each patient case is different, clinical research shows that Direct Access typically saves you money.
  • Physical therapy visits last 30-60 minutes so your condition is thoroughly evaluated.
  • In many cases, seeing a physical therapist first will result in fewer overall treatment sessions.

There are also guidelines and restrictions for direct access to physical therapy treatments in Maine.

Under Maine direct access laws, the Physical Therapist:

  • Cannot make a medical diagnosis.
  • Must not administer or prescribe pharmaceuticals.
  • Must not apply manipulative mobilization to the vertebrae of the spine.
  • Must refer you to an appropriate licensed healthcare provider if the your condition requires treatment beyond the physical therapy provider's scope of practice.
  • Must refer you to an appropriate licensed healthcare provider if no improvement is noted in the patient record within 30 days of the first treatment date.
  • Must consult with or refer you to an appropriate licensed healthcare provider if physical therapy treatment is required beyond 120 days.

In Maine, some insurances require a referral, regardless of the direct access laws.

  • If you are an HMO insurance patient, a referral is required from your primary care provider (PCP) listed on your insurance cards.
  • Medicare patients require a referral from an MD, DO, PA-C, NP, or DPM. The referring healthcare provider must also sign, date and send back to Medicare the initial evaluation in order for Medicare patients to receive coverage.
  • Workers' Compensation carriers require a referral and prior authorization from either your adjuster or nurse case manager.

Before making an appointment with us, it's a good idea to check with your insurance carrier to verify your benefits for direct access physical therapy treatments, so there are no unpleasant surprises.

Call us today to make an appointment or click here to request one online.

Greg Knapton

Greg Knapton, PT, ATC, Partner
Clinic Director - Westbrook

Greg, a native of Westbrook, earned his physical therapy degree from the University of Vermont in 1992. Greg also completed a fellowship in Sports Medicine through the American Sports Medicine Institute in 1998 and has been a certified athletic trainer since 2000. He is currently the owner of Riverview Physical Therapy, established in 2002, with locations in Bath, Westbrook, Windham and Yarmouth. Riverview PT also provides Athletic Training services at both Westbrook and Yarmouth High Schools, averaging 30 hours/week during the school year.

As a runner himself, Greg has first-hand knowledge of the demands running puts on the body. Through his own experience and that of his patients, Greg has developed the necessary skills and knowledge to assist all levels of runners returning to their sport. In addition to treating patients, Greg regularly teaches runners & triathletes at area companies and specialty retail stores about injury prevention, warm-up and cool-down techniques, proper footwear and how to avoid and care for some of the most common injuries. When not treating patients, Greg enjoys running and spending time with his wife Karen and their three boys.

'Ted' Edward S. Greeley II

"Ted" Edward S. Greeley II, PT, DPT, CSCS

What led you to become a PT?

I am one of the few therapists I know that did not receive any physical therapy as an athlete through my youth. I first attended college for mechanical engineering and wanted to find a career that kept me active through the day but still challenged my mechanical mind. I eventually made my way to the career I love.

With all of the PTs available, why should a patient choose you?

I treat the whole body and multiple body systems not just the area that hurts. The main dysfunction is often not the pain location. I try to make therapy fun and have some laughs on the road to recovery.

What do you like to do outside of work?

I dabble in many things: CrossFit, skiing, rock climbing, ice hockey, camping, and hiking. I have a son that keeps me very busy and I try to pass my love of the outdoors onto him.

Catherine Heath

Catherine Heath, DPT

What led you to become a PT?

Fascination with the human body and its response to exercise led me to physical therapy. I was originally interested in professional coaching but then found I was more interested in rehabilitation.

With all of the PTs available, why should a patient choose you?

I gear every treatment plan towards an individual’s fitness level to aid them with meeting their personal goals. We are all unique individuals; therefore, your treatment should be unique to you. As an endurance athlete, I know the importance of proper care and training.

What do you like to do outside of work?

I enjoy a variety of outdoor activities Maine has to offer: hiking, camping, biking, rock climbing and skiing. I’m an avid triathlete and compete in long-distance running events.

Derek Milone

Derek Milone, MS, PT

What led you to become a PT?

I found myself injured frequently as a high school athlete which naturally landed me in a physical therapy office. I experienced the healing effects that a seasoned therapist can provide. I also noticed that all the physical therapists were having fun. This led me to pursue PT in college and here I am talking to you.

With all of the PTs available, why should a patient choose you?

I have the ability to assess both the root cause of dysfunction and empower people to find their physical and mental strength. I partner with my patients to motivate them to reach their goals.

What do you like to do outside of work?

I like to stay active whether it is snowboarding, hiking, boating, taking in a car show or hanging out with my wife and kids. I am a weekend warrior car mechanic and you can find me in church on Sunday.

Nathaniel Runge

Nathaniel Runge, DPT

What led you to become a PT?

I was a second-year pre-med major with no occupation in mind. I knew I wanted a job that was hands on and interacted with people. After shadowing many medical positions, I knew PT was the one for me.

With all of the PTs available, why should a patient choose you?

Both my patient and I can often forget we’re doing work during our interaction because we slip a lot of fun and music appreciation in with my comprehensive PT program. And at day’s end, I think to myself, “Oh, yeah, I have to document this!”

What do you like to do outside of work?

I have three daughters under the age of 10 so much of my life focuses around them. When I am not contributing to all the interactions of family life, I am volunteering for various coaching positions.

Nancy Crawford

Nancy Crawford, PT
Clinic Director - Windham

What led you to become a PT?

My interest in Physical Therapy began in High School. At the time, I was exploring possible career paths that would blend my love for science and desire to work with people. I quickly found that Physical Therapy was the ideal blend of my interests. After over 20 plus years of PT, I have not regretted my decision. I continue to find it to be a satisfying and interesting profession.

With all of the PTs available, why should a patient choose you?

I offer over 20 years of experience, not only in outpatient orthopedics but also in rehabilitation of neurological disorders. I regularly attend continuing education classes to keep my skills current and innovative. We have a strong team approach at Riverview and work together to improve our patients’ function and minimize pain.

What do you like to do outside of work?

On the weekends, I can usually be found doing some kind of activity in the outdoors. I enjoy hiking, skiing, cycling and kayaking.

Jodi Mitchell

Jodi Mitchell, PT, ATC

Coming soon...
Matt Douglas

Matt Douglass, PT

Coming soon...
Chris Heuss

Christine Dube, PT

What led you to become a PT?

A friend of the family who had a background in physical education led me into it. He was working with a chiropractor, I shadowed him and found that I liked being in the medical field.

With all of the PTs available, why should a patient choose you?

I think sometimes people are very fearful when they come in for physical therapy. I try to get to know them outside of the injury and that leads to developing a good plan of care.

What do you like to do outside of work?

I enjoy cooking and hanging out with friends, watching my kids play volleyball, paddle boarding, snowshoeing and walking my dog.

Michael Viricel

Michael Viricel, MSPT, CSCS

What led you to become a PT?

Growing up, I was always enjoyed math and science classes. In high school, I took an Anatomy and Physiology class, which sparked my interest in pursuing a career in a health-related profession. I wasn't sure which direction to take when looking at colleges, so I applied to multiple schools with different choices of major. I settled on Husson College and chose Physical Therapy as my major. The choice was made based on being able to live at home and maintain a part-time job while in school. I was not sure how much I would enjoy Physical Therapy when I started, but once I got into science and anatomy classes, I was hooked.

What motivates you professionally?

I really love when I can improve a patient’s quality of life and return them to pain-free functional mobility. I know I've done my job well when a former client refers family and friends to me. That’s what keeps me motivated in continuing my career as a physical therapist.

Chris Heuss

Chris Heuss, PT
Clinic Director - Bath

What led you to become a PT?

I was working as a counselor and advocate for adults with disabilities and I saw the significant benefit that occurred when I took my clients to their physical therapy sessions and I thought, “I want to be a physical therapist.”

With all of the PTs available, why should a patient choose you?

I’m very good at listening to my patients and finding out their personal goals. People seem to feel really comfortable hanging out with me and our clinic has a very friendly environment.

What do you like to do outside of work?

I like the outdoors so backpacking, kayaking and, more recently, I’ve taken up rock climbing. I like to hike in the White Mountains and the Katahdin region, and I am most happy when I’m doing this with my wife and two teenage boys.

Carrie Mitchell

Carrie Mitchell, ATC & PTA

What led you to become a physical therapist assistant?

I wanted to pursue a medically based profession. Also, I've always been interested in sports/health, so athletic training/sports medicine and physical therapy were a logical choice.

What makes you a great assistant to work with?

I have been in my career since 1990, so I do have years of experience on my side. My first job out of college allowed me to work in an environment that fostered forward-thinking and learning. I was lucky enough to work with many exceptional clinicians, one of whom is the owner of Riverview. I feel so lucky to work in a profession I love and am able to constantly learn and grow in.

What do you like to do outside of work?

I enjoy teaching Vinyasa Flow yoga and have for 4 years. I love trail running at our local land preserve all year round. My husband and two chocolate labs also love skiing, hiking and boating. We have lived in the Midcoast for 24 years and love every minute of it!


Hallee Breton, DPT

What led you to become a PT?
I grew up dancing with a focus in ballet and always had an appreciation for the human body and human movement. I learned how to use certain muscles in my body to create very specific movements and developed acute sense for body awareness which translates perfectly to physical therapy practice. I was always interested in medical sciences and knew I didn't want to have a desk job so physical therapy was a perfect fit!
With all the PT's available, why should a patient choose you?
I love getting to know people. I really try to understand people and the lives they lead and incorporate that in how I evaluate and treat my patients. Everyone is different and going through different challenges in their lives and I try to be a support for them for their physical and mental health. Plus I like to have a good time with my patients!
What do you like to do outside of work?
I am an avid snowboarder in the winter; Sugarloaf is my mountain! And in the spring and summer, I love going camping, hiking, and have taken up golfing. I love being outdoors in any way, shape, or form.