Medically reviewed by Dr. Rob Letizia, PT, DPT — owner, Spectrum Therapeutics of NJ. Last reviewed 2026-07-18.
Telehealth Vestibular Therapy for Vertigo & Dizziness
Please note: Telehealth at Spectrum is currently for vestibular conditions only — vertigo, BPPV, dizziness, and imbalance. All other physical therapy is provided in person at our Wayne clinic.
Vestibular therapy is one of the few areas of physical therapy that translates well to video. You don't need hands-on manual therapy to retrain a balance system — you need an accurate diagnosis, the right eye and head exercises prescribed at the right intensity, and a specialist watching your movements to progress you safely. That is exactly what a virtual visit delivers. Spectrum Therapeutics now offers one-on-one telehealth vestibular therapy with Dr. Rob Letizia, DPT, whose practice centers on vestibular rehabilitation, so people struggling with vertigo, dizziness, and imbalance can get specialist-level care without a clinic that treats it being anywhere near them.
Who this is for: if the room spins when you roll over in bed, you feel foggy or off-balance walking through a grocery store, you get motion-sick from scrolling your phone, or you've been told “it's just vertigo, wait it out” — a structured vestibular program usually helps, and much of it can be done from your living room.
Dizzy, off-balance, or the room spinning? Book a specialist-led telehealth evaluation with Dr. Rob.
Book your telehealth evaluation →Conditions we treat by telehealth
Most causes of chronic dizziness and imbalance respond to vestibular rehabilitation — a form of exercise therapy that retrains the brain to use balance signals correctly. We commonly treat, virtually:
- Mal de Debarquement Syndrome (MdDS) — the persistent rocking or swaying that lingers after a cruise, flight, or long drive; because it is diagnosed from your motion history, it is especially well suited to a virtual visit.
- BPPV (benign paroxysmal positional vertigo) — the brief, intense spinning triggered by head position. We confirm the pattern on camera and guide you through the repositioning and habituation work.
- Vestibular hypofunction — dizziness and blurred vision with head movement after a vestibular neuritis, labyrinthitis, or inner-ear injury. Gaze-stabilization and habituation exercises are the evidence-based fix and are ideal for telehealth.
- Vestibular migraine — recurring dizziness, light and motion sensitivity, and imbalance tied to migraine. We build a graded desensitization plan around your triggers.
- PPPD (persistent postural-perceptual dizziness) — the constant rocking, swaying, or “walking on a boat” feeling that lingers long after the original trigger. Habituation and visual-motion retraining are first-line care.
- Post-concussion dizziness and imbalance — the vestibular and visual pieces of a concussion recovery.
- General unsteadiness and fall risk — balance retraining and confidence work, especially for adults who've started avoiding activity because they feel unsure on their feet.
How a virtual vestibular visit actually works
You join a secure video call on your phone, tablet, or computer. In the evaluation, Dr. Rob takes a detailed history, watches your eyes and head movements, screens your balance and gait in your own space, and identifies which system is driving your symptoms. You leave the first visit with a clear explanation of why you're dizzy and a specific home program — not a generic handout.
Follow-up visits check your technique, progress the exercises as your brain adapts, and troubleshoot flare-ups. Because vestibular recovery is driven by the exercises you do daily between visits, a coached home program is the treatment — and that is precisely what telehealth does well.
When in-person care is the right call — and we'll tell you
Telehealth vestibular therapy is genuinely effective, but it isn't right for everyone. Some presentations need hands-on positioning or an in-person medical work-up first — for example, new dizziness with red-flag neurological signs, or complex BPPV that a caregiver can't safely help reposition on camera. Part of the evaluation is an honest triage: if you'd be better served in person or by another provider, we'll say so on the first visit. If you're local to Wayne, NJ, we also see vestibular patients in the clinic.
Where we offer telehealth
Physical therapy is licensed state by state. Spectrum Therapeutics currently provides telehealth vestibular therapy to patients located in New Jersey, Georgia, North Carolina and Ohio. Telehealth care is delivered where the patient is located: New Jersey under Dr. Rob’s home-state license, and Georgia, North Carolina and Ohio under active privileges through the Physical Therapy Licensure Compact. If your state isn’t listed, reach out and we’ll tell you whether it is available yet or when it will be — we only treat where Dr. Rob is fully licensed to.
Pricing — simple, cash-pay, founding-patient rates
Telehealth is offered as a straightforward cash-pay service, so there are no insurance surprises. These are introductory founding-patient rates:
- Evaluation (45 minutes) — $150
- Follow-up visit (30 minutes) — $135
- “Vestibular Reset” package (evaluation + 4 follow-ups) — $650 prepaid (a saving over booking individually, and prepaying keeps you consistent, which is what actually drives recovery)
Out-of-network reimbursement: we provide an itemized superbill after each visit that you can submit to your insurer — many plans reimburse a portion of out-of-network telehealth vestibular therapy. Payment is handled through a secure pay link sent to your email or phone; no card details are taken over video.
Ready to stop waiting out the dizziness? Start with a telehealth evaluation.
Book your telehealth evaluation →Why patients choose Spectrum for vestibular care
You work directly with Dr. Rob Letizia, PT, DPT — an advanced orthopedic and vestibular clinician with 25+ years of experience — on every visit. Not an aide, not a rotating roster. Spectrum Therapeutics holds 290+ five-star reviews and ranks at the top of Google's results for vestibular care in the region. Vestibular therapy is a specialty most general PT clinics touch only occasionally; here it's a core focus, and telehealth lets that expertise reach you wherever you are.
Frequently Asked Questions
Is telehealth really effective for vertigo and dizziness?
Yes. Vestibular rehabilitation is exercise-based, and the research supports remotely delivered gaze-stabilization, habituation, and balance retraining. An accurate diagnosis plus a correctly prescribed, progressed home program is what drives recovery — and that is exactly what a specialist-led video visit provides. Some cases still need in-person care, and we screen for that on the first visit.
Can BPPV be treated over video?
Often, yes. We can confirm the BPPV pattern by watching your eyes and head movements on camera and coach you (or a helper at home) through the repositioning and habituation exercises. If your case is complex or unsafe to reposition remotely, we'll tell you and direct you to in-person care.
Which states can you treat patients in?
We currently provide telehealth vestibular therapy to patients located in New Jersey, Georgia, North Carolina and Ohio. New Jersey is Dr. Rob's home-state license; Georgia, North Carolina and Ohio are active privileges under the Physical Therapy Licensure Compact. Because telehealth is delivered where the patient is located, your state is what matters. We're continuing to add states, and we only treat where Dr. Rob is fully licensed. Contact us and we'll confirm whether your state is available yet.
Do you take insurance?
Telehealth vestibular therapy is a cash-pay service. We provide an itemized superbill you can submit to your insurer for possible out-of-network reimbursement, and payment is handled by a secure emailed or texted pay link.
How much does it cost?
Founding-patient rates are $150 for a 45-minute evaluation and $135 for a 30-minute follow-up. A "Vestibular Reset" package of an evaluation plus four follow-ups is $650 prepaid.
How long until I feel better?
It varies by diagnosis. Many BPPV cases improve within a few sessions; vestibular hypofunction, vestibular migraine, and PPPD typically need several weeks of consistent home exercise. You'll get a realistic timeline for your specific situation at the evaluation.