Purchase Order Physiotherapist in United States New York City –Free Word Template Download with AI
Physiotherapist Professional Services — United States New York City
This Purchase Order constitutes a binding agreement for the procurement of Physiotherapist services within the jurisdiction of United States New York City.
1. BUYER INFORMATION Organization: Metropolitan Health & Rehabilitation Center, LLCAddress: 1420 Lexington Avenue, 22nd Floor, New York, NY 10028, United States
Contact Person: Dr. Eleanor Whitfield, Director of Clinical Operations
Phone: (212) 555-0187
Email: [email protected]
Tax ID (EIN): 84-2917365 2. SELLER / SERVICE PROVIDER INFORMATION Organization: Hudson Valley Physiotherapy & Sports Recovery Group, PLLC
Address: 887 West 42nd Street, Suite 310, New York, NY 10036, United States
Lead Physiotherapist: Marcus J. Delgado, DPT, OCS, ATC
Phone: (646) 555-0342
Email: [email protected]
NY State License No.: PT-2019-448721
Tax ID (EIN): 91-5538204 3. Download and customize a professional Purchase Order Physiotherapist United States New York City Word template. Perfect for business, legal, and personal use. Editable and ready to boost your productivity. OF PURCHASED SERVICES
This Purchase Order is issued by Metropolitan Health & Rehabilitation Center, LLC for the engagement of a licensed Physiotherapist to deliver comprehensive outpatient rehabilitation and therapeutic services to patients within the United States New York City metropolitan area. The selected Physiotherapist, Marcus J. Delgado, DPT, OCS, ATC, shall provide evidence-based manual therapy, therapeutic exercise programming, gait retraining, post-surgical rehabilitation, and sports injury recovery services in full compliance with the New York State Education Law, Title 8, and all applicable regulations of the New York State Board for Physical Therapy Professions.
4. LINE ITEMS AND PRICING| Item # | Description of Physiotherapist Service | Quantity | Unit | Unit Price (USD) | Extended Price (USD) |
|---|---|---|---|---|---|
| 001 | Initial comprehensive Physiotherapist assessment and treatment plan development per patient (United States New York City clinic) | 120 | Sessions | $185.00 | $22,200.00 |
| 002 | Follow-up Physiotherapist therapeutic sessions including manual therapy, therapeutic exercise, and modalities (60-minute sessions) | 480 | Sessions | $145.00 | $69,600.00 |
| 003 | Post-surgical rehabilitation program by Physiotherapist (total knee/hip replacement protocol, 12-week course per patient) | 35 | Programs | $2,400.00 | $84,000.00 |
| 004 | Sports injury recovery and return-to-play evaluation by Physiotherapist (United States New York City athletic facilities) | 60 | Evaluations | $220.00 | $13,200.00 |
| 005 | On-site Physiotherapist consultation and staff training for in-house rehabilitation team (quarterly, 8-hour workshops) | 4 | Workshops | $3,500.00 | $14,000.00 |
| 006 | Custom orthotic and bracing fabrication coordination by Physiotherapist (United States New York City certified labs) | 45 | Units | $310.00 | $13,950.00 |
| SUBTOTAL | $216,950.00 | ||||
| New York State Sales Tax (8.875%) | $19,254.34 | ||||
| TOTAL PURCHASE ORDER AMOUNT | $236,204.34 | ||||
- Scope of Services: The Physiotherapist identified in Section 2 shall perform all services exclusively within the geographic boundaries of United States New York City, including the boroughs of Manhattan, Brooklyn, Queens, The Bronx, and Staten Island, as specified in the attached Service Schedule (Appendix A).
- Licensing and Compliance: The Physiotherapist shall maintain an active, unrestricted New York State Physical Therapy license throughout the duration of this Purchase Order. All services shall comply with the New York State Public Health Law, the New York State Education Law, and the regulations of the New York State Board for Physical Therapy Professions. The Physiotherapist shall carry a minimum of $2,000,000 in professional liability insurance naming the Buyer as an additional insured.
- Service Delivery Schedule: Services shall be rendered Monday through Friday, 8:00 AM to 6:00 PM Eastern Time, at the Buyer's primary facility located at 1420 Lexington Avenue, New York, NY 10028, and at such other United States New York City locations as mutually agreed upon in writing.
- Payment Terms: The Buyer shall remit payment within thirty (30) calendar days of receipt of a valid invoice. Invoices shall reference this Purchase Order number (PO-2025-NYC-PT-04872). Late payments shall accrue interest at a rate of 1.5% per month as permitted under New York State commercial law.
- Performance Standards: The Physiotherapist shall document all patient sessions in the Buyer's electronic health record system (Epic) within twenty-four (24) hours of each session. Treatment plans shall be reviewed and updated no less than every four (4) weeks. Patient satisfaction scores shall be maintained at or above 90% as measured by quarterly surveys.
- Confidentiality and HIPAA: The Physiotherapist and all associated personnel shall comply with the Health Insurance Portability and Accountability Act (HIPAA), the New York State Public Health Law Article 27-F (Shred Act), and all applicable data protection regulations governing patient health information within United States New York City.
- Termination: Either party may terminate this Purchase Order with thirty (30) days written notice. The Buyer may terminate immediately for material breach, loss of Physiotherapist licensure, or failure to maintain required insurance coverage.
- Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the State of New York, United States. Any disputes shall be resolved through binding arbitration in United States New York City under the rules of the American Arbitration Association.
- Force Majeure: Neither party shall be liable for delays caused by events beyond reasonable control, including but not limited to natural disasters, pandemics, or government-mandated closures affecting United States New York City operations.
By signing below, both parties acknowledge and agree to all terms, conditions, and service specifications outlined in this Purchase Order for Physiotherapist services to be delivered in United States New York City. This document, once executed, shall serve as the primary contractual reference for all billing, service delivery, and compliance matters.
BUYER (Authorized Representative)
Dr. Eleanor WhitfieldDirector of Clinical Operations
Metropolitan Health & Rehabilitation Center, LLC
Date: ______________________
SELLER (Physiotherapist / Service Provider)
Marcus J. Delgado, DPT, OCS, ATCLead Physiotherapist
Hudson Valley Physiotherapy & Sports Recovery Group, PLLC
Date: ______________________ ⬇️ Download as DOCX Edit online as DOCX
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