No referral needed. Virginia, D.C., and Maryland all allow direct access to physical therapy — you can book directly with Dr. McConville without seeing a physician first.

Step by Step operates as an out-of-network, cash-pay practice. This means we're not bound by insurance constraints on visit duration, treatment type, or frequency. You receive full, uncompromised clinical time. Some clients seek reimbursement through HSA/FSA or out-of-network benefits — we can provide a superbill upon request.

We proudly serve Northern Virginia, Washington D.C., and Southern Maryland. If you're unsure whether we cover your area, schedule a free Discovery Call and we'll confirm availability for your specific location.

Simply wear comfortable, movement-friendly clothing. You'll have completed your intake forms before the session. If relevant, have any previous imaging (MRI, X-ray reports) handy. We bring all necessary equipment — nothing else is required from you.

Yes. While the majority of our work is in-home, we also offer telehealth-style virtual visits — ideal for exercise program check-ins, follow-up consultations, or clients traveling temporarily outside our service area.

We require 24-hour notice for cancellations or rescheduling. Late cancellations or no-shows may be subject to a fee — details will be outlined in your intake agreement.

This varies by condition and goal. Following the Foundations Assessment, Dr. McConville will provide a realistic, evidence-based recommendation. Most clients see significant improvement within 6–10 sessions for musculoskeletal conditions. Packages are available for structured care pathways.