COS Physical Therapy
COS - Certified Orthopedic Specialist
Hello and welcome to COS Physical Therapy!Our goal is to help you with your long-term, physical wellness, and quality of life. We offer a combination of one-on-one manual therapy and complementing therapeutic exercise to help enhance your overall recovery. Together, we can find solutions for easing your pain and restoring function.We are located in the San Francisco, East Bay Area, California.
![](assets/images/image01.jpg?v=9b6f7fa7)
Health and Safety
The Federal Covid-19 Public Health Emergency ended as of May 11, 2023. Pandemic restrictions have also ended amidst dwindling mask usage and the elimination of social distancing and public isolation requirements.COS Physical Therapy has resumed treating clients without the pandemic safety gear. However, upon client's request, the therapist will wear a mask, face shield where needed, and single use gloves throughout treatment.We require that all clients refrain from attending therapy if you are ill or have been around others who are ill. Any spread of illness to our selves or other patients and or families is undesirable.Please be responsible and considerate for all of us. We are taking yours and our safety protocols seriously and we trust that each of you will too.Thank you for your understanding and cooperation.
![](assets/images/image06.jpg?v=9b6f7fa7)
Pricing
Californians have had Direct Access to physical therapy since 2014. This means that you do not need a doctor’s diagnosis or referral to start seeing a physical therapist.Direct Access in California has the following limitations:
- You can receive physical therapy for 45 days or 12 visits, whichever comes first.
- If you do not obtain a referral before the Direct Access period ends, you are required to visit your physician’s office to get one, prior to resuming physical therapy.
- Once you have seen a physical therapist using Direct Access, you must obtain a new referral to return for more treatment.
- Referrals must be signed by an MD, Physician’s Assistant, or Nurse Practitioner.COS Physical Therapy offers Direct Access and is a fee for service business. We are an out of network provider and do not contract with, accept, or bill insurance companies.
Please note that Medicare does not currently allow for out of network services, so COS Physical Therapy unfortunately cannot work with this population.Upon request, you may obtain a super bill at the end of each month following treatment, to submit to your insurance company. Please make your request for a super bill at the start of your care.We accept checks, Zelle, and Venmo payments.
Patients are responsible for payment upon conclusion of the appointment.One-hour Clinic Visit:
• Evaluation - $250
• Follow up - $225Telehealth (follow-up appointments only):
30 minutes - $75
60 minutes - $150
![](assets/images/image04.jpg?v=9b6f7fa7)
Services
Orthopedic rehabilitation encompasses a wide range of injuries involving the joints, muscles, fascia, tendons, ligaments, bones, and peripheral nerves.
COS PT offers a full hour of one-on-one evaluation and treatment of these injuries, focusing on functional manual therapy and neuromuscular re-education.Physical Therapy Evaluation, Diagnosis, and Treatment Plan:
• Comprehensive review of health history
• Subjective interview and conversation
• Assessment of posture, gait, and motor control strategies
• Assessment of mechanical capacity: soft tissue mobility, joint play and mechanics, and neural-fascial-vascular mechanics
• Assessment of neuromuscular function and strength
• Discussion of findings, goals, and establishing a treatment plan to meet goals
• Manual therapy
• Patient specific therapeutic exercise program and home program
• Patient educationPhysical Therapy Follow-Up:
• Manual Therapy
• Therapeutic exercise review and progression
• Continued patient education
• Monitoring and tracking goalsOrthopedic Conditions:
• Headaches
• Neck Pain
• Jaw Pain
• Shoulder Pain
• Upper back Pain
• Rib Pain
• Elbow, Arm Pain
• Numbness or tingling in the arms or hands, legs or feet
• Back Pain
• Hip Pain
• Knee Pain
• Ankle or Foot Pain
• Balance, weakness, or reduced conditioning
![](assets/images/image05.jpg?v=9b6f7fa7)
![](assets/images/image07.jpg?v=9b6f7fa7)
![](assets/images/image08.jpg?v=9b6f7fa7)
![](assets/images/image09.jpg?v=9b6f7fa7)
Testimonials
I began to see Azuka about 5 years ago after a bad fall in which I broke my neck, clavicle, and elbow. Before her treatments, my neck was very stiff, and I had trouble turning my head. She helped me return to normal function and to improve my range of motion. I am back to playing golf again.
Her care is excellent, and I always feel a big improvement in my body after a visit to her. I highly recommend her as a physical therapist, and I feel lucky to have found her!
-Kay K.
I thought I would never run again until I met with Azuka. She gave me hope after our very first visit when it become clear that she would go far beyond treating the symptoms. Over several months, Azuka identified the root cause of my lingering foot injury, got my body back in running shape and helped me to overcome my fear of re-injury. I am so happy and grateful to be back to the active and confident me!
-Nicole P.
I've been to COS with swollen ankles, tight hips, and was unable to lay comfortably on my back. At the end of each visit, I see my body healing, feeling unstuck, with an expansive range of motion in addition to being armed with stretches, education, and guidelines on how to participate in my own healing. COS PT provides state of the art expertise coupled with simple practices that empower me to heal my body and have an mazing active life. Yeah!
-Rachel C.
![](assets/images/image03.jpg?v=9b6f7fa7)
NOTICE OF PRIVACY PRACTICES
HIPAA Privacy PolicyEffective Date: May 2020At COS Physical Therapy, we are committed to protecting your health information. This policy outlines how we protect and handle your Protected Health Information (PHI) in compliance with the Health Insurance Portability and Accountability Act (HIPAA).Your Rights
You have several rights under HIPAA regarding your PHI:
1. Right to Access: You can request to see or get a copy of your health records and other health information.
2. Right to Amend: If you believe that your health information is incorrect or incomplete, you may request an amendment.
3. Right to an Accounting of Disclosures: You can request a list of certain disclosures of your health information that we have made.
4. Right to Request Restrictions: You can ask us to limit the use or disclosure of your health information for treatment, payment, or healthcare operations. We are not required to agree to your request, but if we do, we will comply.
5. Right to Request Confidential Communications: You can ask us to contact you in a specific way or send mail to a different address.
6. Right to a Copy of This Notice: You can request a paper copy of this notice at any time.Our Responsibilities
We are required by law to:
1. Maintain the privacy of your health information.
2. Provide you with this notice of our legal duties and privacy practices regarding your health information.
3. Abide by the terms of the current notice.
4. Notify you if there is a breach of your unsecured health information.How We Use and Disclose Health Information
The following categories describe different ways we may use and disclose your health information:
1. For Treatment: We may use your health information to provide you with medical treatment or services. We may disclose your health information to other healthcare providers involved in your care.
2. For Payment: We may use and disclose your health information so that we can bill and receive payment for the treatment and services you receive.
3. For Healthcare Operations: We may use and disclose your health information for healthcare operations. These uses and disclosures are necessary to run our practice and ensure that our patients receive quality care.
4. For Appointment Reminders: We may use and disclose your health information to contact you to remind you of an appointment.
5. For Treatment Alternatives and Health-Related Benefits: We may use and disclose your health information to tell you about treatment options or health-related benefits and services that may be of interest to you.
6. For Individuals Involved in Your Care or Payment for Your Care: We may disclose your health information to a family member, friend, or other person you identify who is involved in your care or payment for your care.
7. As Required by Law: We will disclose health information about you when required to do so by federal, state, or local law.
8. To Avert a Serious Threat to Health or Safety: We may use and disclose your health information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
9. For Public Health Risks: We may disclose your health information for public health activities.
10. For Health Oversight Activities: We may disclose your health information to a health oversight agency for activities authorized by law.
11. For Lawsuits and Disputes: If you are involved in a lawsuit or dispute, we may disclose your health information in response to a court or administrative order, subpoena, discovery request, or other lawful process.
12. For Law Enforcement: We may release health information if asked to do so by a law enforcement official.
13. For Coroners, Medical Examiners, and Funeral Directors: We may release health information to a coroner, medical examiner, or funeral director as necessary to carry out their duties.
14. For National Security and Intelligence Activities: We may release health information to authorized federal officials for national security activities.
15. For Protective Services for the President and Others: We may disclose health information to authorized federal officials so they may provide protection to the President and other authorized persons.Changes to This Notice
We reserve the right to change this notice, and the changes will apply to all information we have about you. We will post a copy of the current notice on our website. The notice will contain the effective date.Complaints
If you believe your privacy rights have been violated, you can file a complaint with us or with the U.S. Department of Health and Human Services.
All complaints must be submitted in writing. You will not be penalized for filing a complaint.Contact Information
If you have any questions about this notice or need further information, please contact:
COS Physical Therapy
www.cosphysicaltherapy.com
510-519-8529Thank you for trusting COS Physical Therapy with your healthcare needs. Your privacy is of utmost importance to us, and we are dedicated to protecting your health information.
![](assets/images/image12.jpg?v=9b6f7fa7)
About
Azuka Nwigwe, PT, DPT, OCS, CFMT
(Az-o-ka, Nwi-gway)
Azuka has been working in orthopedic physical therapy for over 22 years. A graduate of the University of Southern California, Doctor of Physical Therapy program, 2002, she discovered her primary interest was in helping patients recover from orthopedic injuries. A committed, life-long learner, Azuka takes numerous continuing education courses to stay current in her field. She subsequently received her Orthopedic Clinical Specialist (OCS) certification in 2013 from the American Physical Therapy Association (APTA). She subscribes to Functional Manual Therapy as taught by the Institute of Physical Art and received her Certified Functional Manual Therapist (CFMT) certification in 2019.Azuka worked for Pacific Physical Therapy for 16 years before venturing into her own practice. She opened COS Physical Therapy in 2020, as a way to provide more focused care to clients, in a non-insurance-based model. Her passion for leading a healthy life in which physical, emotional, and mental thriving are key, leads her to want the same for her clients. Azuka's desire to help others live a better quality of life, inspires her commitment to providing high level patient care.When not treating patients, Azuka hikes, travels, and enjoys spending time with her family and friends.
![](assets/images/image02.jpg?v=9b6f7fa7)
Contact
All new clients are screened by phone to determine if COS Physical Therapy will be a good fit for your needs.To learn how to get started, please call or email:PHONE: 510-519-8529EMAIL:
Thank you
Be well.