Still not right after a concussion?
- Headaches that keep coming back
- Foggy, tired, hard to focus
- Screens wear you out fast
Explore concussion rehabilitation →
In person in Irvine · Telehealth across California
Still not yourself? There's a path back.
Specialized, one-on-one rehab for concussion, dizziness, balance, and speech — for adults and teens. Every visit is a full hour with Dr. Nirav Patel, DPT, or Dr. Sapan Palkhiwala, DPT.
Call (949) 850-2885
Not ready to call? Ask a question →- One-on-one for the full visit
- Concussion & vestibular specialty
- Adults and teens
- Irvine + California telehealth
- No referral needed in California
- Superbills for possible reimbursement
Start with your symptoms
What brings you here?
You don't need to know the right clinical term before reaching out. Start with what sounds most like your experience.
Dizzy, off-balance, or spinning?
- Rooms that spin when you move
- Unsteady on your feet
- Dizziness no one has explained
Explore vestibular & balance care →
Having trouble communicating or thinking clearly?
- Word-finding — it's right there, then gone
- Brain fog that makes talking exhausting
- Speech, voice, or swallowing changes
Explore speech therapy →
Why Meridian
Care built around one patient at a time.
You work directly with your doctor — not a rotating team of aides or a crowded treatment floor. Each visit is designed around your symptoms, your goals, and the plan that makes sense for your recovery.
A full hour, one-on-one
Your visit is focused on you from start to finish — no hand-offs, no double-booking.
Specialized attention
The practice focuses on concussion, vestibular, balance, and related neurological rehabilitation — for adults and teens.
A plan you can understand
You leave knowing what may be contributing to your symptoms, what happens next, and what you can do between visits.
Care that works around your life
Choose in-person care in Irvine, or telehealth across California when it fits your situation.
The doctors
You'll know who is guiding your care.
Dr. Nirav Patel, DPT
Doctor of Physical Therapy — concussion and vestibular recovery, all day, every day.
Dr. Sapan Palkhiwala, DPT
Doctor of Physical Therapy — dizziness and post-concussion care are his focus.
You'll work with one of us — the same doctor, one-on-one, for the full hour, every visit.
How it starts
Know what happens next.
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Start with a conversation
Call to schedule and ask us anything. If we're not a fit, we'll say so.
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Complete your evaluation
In person in Irvine or by video anywhere in California. A full one-on-one evaluation.
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Leave with a clear plan
You leave knowing what's driving your symptoms, what we'll do, and what you'll do at home.
Fees & insurance
Clear answers before you commit.
A schedule based on your needs
Some people need two visits a week, others one — we set frequency by what your recovery needs. Your plan works between visits, so you need fewer overall.
A superbill for your insurance
We provide a superbill you can submit for possible out-of-network reimbursement.
HSA, FSA, and cards welcome
Pay with HSA or FSA funds, or any major card.
No referral needed in California
California lets you start physical therapy directly, without a physician referral. You can begin this week.
The honest answer: we're out-of-network, so coverage depends on your plan. Many plans reimburse part through a superbill. We'll walk it through with you before you spend anything.
Visit us
Care in Irvine or across California.
Telehealth
Available across California when it's appropriate for your care — we'll tell you honestly which fits.
Before you call
Common questions
No. California's direct-access law lets you begin physical therapy without a referral — you can simply call us. If your case needs a physician's input, we'll say so and coordinate.
We're out-of-network, so we don't bill insurance directly. You pay us and receive a superbill to submit to your plan — many plans reimburse part of out-of-network care. HSA and FSA work too.
An itemized receipt with the codes insurance companies use. You submit it to your plan, and depending on your out-of-network benefits, they reimburse you directly for part of the cost.
Yes — across California. Much of concussion, vestibular, and speech care works well by video; we'll tell you honestly which parts of your care fit telehealth.
A full hour, one-on-one with your doctor. It's an evaluation: we look at what's driving your symptoms and you leave with a clear plan.
Lingering concussion symptoms, dizziness and vertigo, balance problems, and speech or thinking-and-communication changes — in adults and teens.
Easy on a recovering brain
A quiet site, on purpose
This site was designed to be easy on a recovering brain — soft colors, no motion, nothing flashing. Our clinic works the same way.
Serving Irvine and Orange County in person — and all of California by telehealth.
Ready to understand what's going on?
Call (949) 850-2885 to talk through your symptoms and find out whether Meridian is the right fit. If we're not, we'll tell you honestly. No referral is needed to start in California.
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