Physiatry, done the right way. In the places that need it most.

SNF patients are among the most vulnerable in any healthcare setting — elderly, medically complex, and often without a specialist advocate during their entire stay. But they are never alone. They are held by a team: the PT who coaxes a patient's first steps after surgery, the OT rebuilding the small dignities of daily life, the nursing staff who know every patient's name and every family's worry, and the Administrator orchestrating it all. Dr. Agarwal saw this during residency in under-resourced areas of NYC, and then more deeply in SNFs across New York — that the rehab team is already doing extraordinary work, and that a physiatrist, when present, doesn't replace that work. They anchor it.

Cercle exists because that team deserves a physician partner who shows up consistently, who knows the patients, who can sit in a Medicare meeting and speak the same language as the MDS nurse, and who can translate medical complexity into a rehabilitation plan that actually moves. And because the patients at the center of that work — regardless of their zip code — deserve the same quality of specialist care as anyone else.