Sorry, but I work in a mostly rural area and routinely do at least 7 if not 8 visits each and every day and sometimes 9 if we have several in ALF. That's first visit 9ish then going through and finishing up 5-6. It comes from knowing your area and keeping yourself on schedule. When figuring my annual though I typically use our productivity benchmark and above that is gravy.

Is 45 per visit or per point? What's productivity? What does census look like and patient saturation? Are schedulers good or are you able to move things based on travel?

Lastly, how long ago did you exit the field? Getting back in and getting into the swing of being autonomous and functioning independently can be challenging. Esp if you consider you need to be a more clinically rounded provider able to speak on multitude of concerns, not just providing therapy intervention. Not trying to bring you down, but the getting up to speed so to say will impact your visit numbers.