The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical status with unstable and unpredictable characteristics, and examines four or more elements relating to body structure and function, and limitations, such as joint flexibility, muscle strength, gait, mobility, and neuromuscular function. She uses standardized tests and measures and employs clinical decision–making of high complexity, typically involving 45 minutes of face–to–face time with the patient or family or both.
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