The physical therapy industry is booming—and it shows no signs of slowing down.
This rapid growth is fueled by:
Physical therapy now plays a critical role in relieving pain naturally, reducing or preventing chronic conditions, speeding recovery from musculoskeletal injuries, and supporting long-term mobility and independence.
As of this year, the U.S. has 55,710 physical therapy and rehab facilities. Despite the industry’s size, there is no single clear market leader—leaving significant room for innovation, specialization, and franchise growth.
Below, we highlight the Top 5 Physical Therapy Businesses in 2025, each shaping the future of patient care and presenting opportunities for entrepreneurs, investors, and clinicians.
Curious what it takes to own a PT clinic? Download our free guide: The FYZICAL Investment Opportunity.
Founded: 1990
Headquarters: Houston, Texas
Locations: 770+ clinics across 44 states
Specialty: Outpatient occupational and physical therapy
U.S. Physical Therapy is one of the most prominent publicly traded operators of outpatient rehab clinics in the United States. Since 1990, it has provided preventative and post-operative care, specializing in orthopedic and sports-related injuries.
Unlike a franchise, U.S. Physical Therapy uses a partnership model:
This hybrid structure appeals to clinic owners who seek access to capital and stability while retaining partial ownership and leadership of their practice.
While U.S. Physical Therapy has scale and market visibility as a public company, details about day-to-day support, resources, and profitability for partners are not widely available. Entrepreneurs and practice owners should evaluate whether the partnership structure aligns with their long-term financial and operational goals.
Founded: 2003 by Andres Zapata
Franchising Since: 2015
Locations: 40 (primarily in Florida and Texas)
Specialty: Physical therapy and related health services
Physical Therapy Now is a smaller but growing franchise network that focuses on delivering a wide range of rehabilitation and healthcare services. With a concentrated presence in Florida and Texas, the brand enables franchisees to tap into the rapidly growing outpatient therapy market.
Franchisees receive a combination of training formats to prepare for launch and operations, including online training modules, 40 hours of classroom training, and 40 hours of on-the-job training.
At FYZICAL, every owner gets turnkey training, marketing systems, and clinical support from day one. Learn more about our top-tier franchise support!
Founded: 2003 by Dale Yake
Locations: 550+ practices nationwide
Specialty: Physical therapy with partnerships in private practice and health systems
P.T. Solutions has rapidly grown to over 400 practices across the U.S., positioning itself as a strong player in the outpatient therapy space. The company works with both independent clinic owners and health systems, offering integration and support through a collaborative partnership model.
P.T. Solutions presents itself as a strategic partner to help owners navigate modern challenges in the PT industry, from staffing shortages to operational complexity. However, unlike franchise systems, financial requirements and investment details are not publicly disclosed, which may require more due diligence from potential partners.
Want to learn what it takes to fund a physical therapy practice? Download our free guide: Funding Your Physical Therapy Practice. It's a must-have guide if you're looking to start your own practice!
Founded: 2012 by Jim Abrams
Headquarters: Sarasota, Florida
Locations: 600+ nationwide
Recognition:
FYZICAL is the fastest-growing physical therapy franchise in the U.S., built on a scalable model that combines traditional PT services with proprietary specialty programs. The company’s world-renowned Balance and Vestibular Program positions franchisees at the forefront of fall prevention—one of the most pressing healthcare needs for America’s aging population.
FYZICAL provides:
Free Download: FYZICAL Investment Opportunity
600 locations open and expanding - Check Your Territory today!
Partnering with FYZICAL means access to:
For entrepreneurs and physical therapists alike, FYZICAL offers the gold standard in physical therapy franchising, combining purpose-driven care with proven profitability. 
Whether you already own a clinic or are looking to start one, FYZICAL gives you an unmatched advantage with its proprietary Balance and Vestibular Program—the premier fall-prevention and rehabilitation system in the U.S. And you don’t need a healthcare background to become a franchise owner.
No matter your background—clinician, entrepreneur, or investor—FYZICAL has a model built for you. Get started with a Territory Check today!
In every FYZICAL clinic, the mission is clear: combine excellent patient outcomes with a pathway to sustainable growth.
If you’re ready to explore this opportunity, the next step is simple. Check your territory to get started!
People Also Ask:
How Much Does a Physical Therapist Make
How to Fund Your Physical Therapy Practice
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See Why Fyzical is a Top Low-Cost Franchise
FYZICAL Resources For You:
The Investment Opportunity Guide
Funding Your Physical Therapy Practice
The Physical Therapy Industry Report
Discover industry insights, viable opportunities, and insights from special guests sharing strategies for your practice's success.
Discover how FYZICAL Franchisee Louis Zuniga unlocked new growth and acquisition opportunities by joining FYZICAL in this insightful Q&A.
You can build on FYZICAL’s exciting multi-unit business opportunities by offering clients numerous revenue-boosting in-demand physical therapy...
