Accepting new patients for mobile physical therapy appointments in South King County (no additional fees)!

Physical therapy,
delivered to you

Licensed PTs come to you.
Most major insurances accepted.
No prescription necessary.

Covered by:


Penultimate Step Rehab is a physical therapy practice offering mobile appointments with a Doctor of Physical Therapy in the convenience of your home, office, or gym. We bring all the necessary equipment to take the experience of an outpatient physical therapy clinic directly to you. Your physical therapist will work one-on-one with you to create and execute a customized treatment plan tailored to help you reach your goals – whether that is to return to sports at full strength or to finally take care of that nagging lower back pain


intersection of breathwork and movement to enable body awareness, improve mobility
performance, and treat the whole body through a holistic approach – reset, reorganize,
and move.


Acute Injury

Getting in to be evaluated by a physical therapist may be the difference in that ankle sprain or disc herniation being a small setback or becoming a long-term nagging condition.

Sports Injury

Is pain keeping you from living your life to the fullest? Start your journey to freedom from pain without drugs—and with treatment that gives you lasting results.

Auto Accident Injury

Auto accidents can be stressful enough. We’ll advocate for your recovery and help you create a plan to work towards returning to your prior level of function before the accident.

Workplace Injury

Injured on the job? We will work hand-in-hand with your L&I physician and case manager to get you healthy and back to work as soon as possible.

Post-Op Rehab

Our PTs are trained to guide you from Day 1 after surgery back to 100% function. We work closely with your surgeon to ensure all protocols are followed to maximize your functional outcomes.

Chronic Pain

Has nagging back pain, pesky knee pain, or achy shoulder pain prevented you from doing the activities you used to love? Let us help you create a plan to tackle those aches & pains and get back to living your best life.




Dr. Andrew (Drew) Thompson, PT, DPT

Dr. Drew, the owner and lead physical therapist at Penultimate Step Rehab, was born and raised in Maple Valley, WA.  He excelled in the sport of taekwondo from a young age including becoming a multiple time National Champion and US National Team member.  His first exposure to physical therapy came while recovering from his own injuries throughout his athletic career.  In addition to taekwondo, Dr. Drew also had a passion for football which led to him accepting an invitation to walk-on at Washington State University where he would graduate with a degree in Exercise Science.  He would go on to earn his Doctor of Physical Therapy degree from the University of Washington School of Medicine and continues his professional development learning more about treating the human body through continuing education courses.

Through his own experience as a patient, Dr. Drew has been exposed to a plethora of unique methods of treating the human body.  He founded Penultimate Step Rehab with the vision of combining the most effective techniques available to help optimize his clients’ movement strategies and help them reach their goals.  He embraces the challenge of problem solving in the field of injury rehab while appreciating the complexity and nuance of working with the human body.  He now seeks to serve his community and give back to help his clients reach their goals, maximize their health, and learn to move well for generations to come.

Frequently asked questions

Our therapists are available for in-home physical therapy appointments across the United States. In all the neighborhoods we serve, we come to you to make the PT experience as convenient as possible. See our service areas.

Luna accepts many insurance plans, and we handle the benefits verification process for you. With Luna, you always pay the same exact co-pay your insurance plan has for visiting a PT clinic. We accept all major insurances and Medicare.

In most cases, you will not need a referral for physical therapy. Some insurance providers do require a doctor’s referral, and we’ll promptly let you know if that’s the case with your insurance. Read more about prescriptions.

Appointments for private physical therapy at home are available 7 days a week, from 6:30 am – 8:30 pm. We make it hassle-free to complete your full course of care by having your Luna therapist come to you. In general, our therapists treat patients at home. See our clinic comparison chart.

We strive to have a single therapist work with each patient for their entire course of care. In very rare cases, your scheduling priorities may require adjustments, but you’ll always know who is seeing you for your appointment in advance.

Why in-home PT is better

More convenience means our patients actually complete their care plans.
See our clinic comparison chart.


Yes! We are an in-network provider with some of the biggest insurers in our region. Because the benefits of each policy are unique, the best way to verify coverage is to reach out to us directly.

We will help you navigate and understand your insurance benefits and coverage for physical therapy.

Yes! Insurance benefits are often confusing and rarely straight-forward. We can double check your insurance benefits to verify if we are an in-network provider.


In the event that we are not an in-network provider, we accept out-of-network benefits and have a competitive out-of-pocket “cash” rate as well.


If we are unable work out the logistics, we will help direct you to another reputable in-network physical therapy provider in your area.

Absolutely not! We know that billing issues can cause major headaches for patients. We also know that is it very common for patients to not know how much medical treatment costs until after the fact when they receive the bill.


At Penultimate Step Rehab, we are committed to providing transparent healthcare. We will provide you upfront with a highly accurate estimate of what working with us will cost. No surprises. No hidden fees. This gives you the knowledge and power to have control over your healthcare.


Additionally, we collect all patient responsibility payments upfront at the time of service including deductibles, co-payments, and co-insurance. This prevents outstanding patient balances from building up and allows us to troubleshoot any billing issues while you are still under our care, not months after you have finished treatment.

That’s correct.


Collecting the payments that our patients are responsible for upfront allows you to know how exactly much your physical therapy care costs as well as prevents outstanding balances from tallying up. It also prevents us from having to focus our time and effort on billing after-the-fact which allows us to spend more time on what really matters – helping you meet your goals as fast as possible!

We accept:

-debit cards (including HSA/FSA)

-credit cards (Visa, Mastercard, American Express, Discover)



In most cases, a prescription/referral is NOT REQUIRED to begin physical therapy care. However, we recommend obtaining one to keep on file (even if it is obtained after starting physical therapy) to minimize the risk of difficulties billing insurance down the road. A few instances (including L&I claims, motor vehicle accident claims, and select insurance companies) will require a referral from a physician before they will cover physical therapy services. The best way to find out is to reach out and let us guide you to understanding your unique situation.

The initial appointment will be 60 minutes in length to allow us to conduct a thorough assessment and gather all the necessary information to create a treatment plan moving forward.


Follow-up appointments will be between 45-55 minutes in length depending on what is most appropriate for your unique circumstances.

Please make sure to fill out the patient intake paperwork at the secure link emailed to you. This will help maximize the time available to begin treatment at the end of your first appointment. If you are unable to do so ahead of time, please contact us so we can plan accordingly.


Also, please identify the best area in your home to conduct the physical therapy treatment sessions. We will need roughly an open 8 ft x 8 ft area to setup the treatment table – the more open the space, the better.

Loose, comfortable clothing that will allow us to easily expose the body region we will be focusing on as well as allow you to exercise unrestricted (i.e. not jeans)

Your appointment will begin with a discussion between you and your provider about the issue(s) you are seeking treatment for including your goals for physical therapy. Next, the provider will conduct a thorough physical examination to assess the nature of your condition and potential contributing factors. Your provider will discuss with you the examination findings and a plan moving forward to address your issue(s) and help your meet your goals. Generally, there will be a short amount of time to initiate the treatment plan which may include a combination of hands-on techniques and prescribed home exercises to begin doing between appointments.

No. We understand how frustrating it can be to be juggled between multiple clinicians with differing treatment styles. Here at Penultimate Step Rehab, we believe that keeping you with the same provider consistently helps you reach your goals and desired outcomes faster.

None! You will work 1-on-1 directly with a licensed Doctor of Physical Therapy every appointment to maximize the efficiency of your physical therapy experience.

At Penultimate Step Rehab, we are all about making healthcare convenient. One of the ways we do this is by providing all of our patients with their provider’s direct phone number which are both call and text enabled. Provider phones are monitored and checked frequently during business hours which means you get answers to your questions quicker than any other physical therapy provider – GUARANTEED.

Nope. Our providers’ appointments are scheduled to account for travel time between patients’ homes. On very rare occasions, traffic incidents, car troubles, or road closures may cause your provider to be late. If this occurs, you will be informed immediately via call/text.

Begin your journey.

Tell us about yourself by using our contact form 

Hours Of Operation
Monday: 9-5pm
Tuesday: 9-5pm
Wednesday: By Appointment Only
Thursday: 9-5pm
Friday: 9-5pm
Saturday: Closed
Sunday: Closed

Send Us a Message

Please let us know in the message box below what you are currently struggling with (ie, pain or injury, mobility issues, injury prevention, athletic performance, or other). We will send you an initial email, but please expect a phone call from our office.