A comprehensive, coordinated rehabilitation program can reduce mortality and improve functional outcomes following stroke. Such services are often variable and limited especially in rural areas of the country. The need for alternative health care delivery models is real and critical. TeleRehab is a versatile and viable option for delivering rehabilitation services that incorporates 2-way interactive video. This specialized approach demonstrates promising signs of facilitating the transition for specialized stroke follow-up care and services in the home and communitybased settings. This paper describes a stroke teletherapy case that was successfully managed for 17 months by an interdisciplinary team of rehabilitation specialists. Lessons learned in both technology and human domains are discussed.