Essen Health Care, a medical group in New York City, has a Center of Excellence for Pain with physical therapy, pain specialists, neurology and orthopedic specialists. It serves patients with acute and chronic issues in need of physical therapy. In addition, it serves many elderly house call patients, due to pandemic restrictions, who have functionally deteriorated due to a lack of physical activity. Continuity and access to care for patients living with chronic diseases or going through cardiac and orthopedic rehabilitation are one of the most challenging areas in healthcare. Difficulties include ensuring the quality of recovery, reducing readmission, increasing accessibility to therapy and increasing compliance with personalized treatment.