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Top 4 Physical Therapy Businesses in 2022

By Cindy Bercaw on March 21, 2022



In 2018, the physical therapy industry was worth approximately $34.5 billion. As of 2022, it has grown to an impressive $40.1 billion dollar industry. Many physical therapy businesses offer services ranging from occupational, physical, speech, and audiology therapy. The industry's growth is due to advancements made, including increased direct access, the aging of the largest generation in history and the growing awareness of physical therapy's role in preventing short-term disabilities from becoming chronic. Physical therapy is proven to effectively alleviate pain in patients and reduce the need for opioid medications, as well as speed up the recovery of musculoskeletal injuries.

As of 2022, the U.S. reported to have 43,093 physical therapy rehabilitation facilities, but no clear market leader in the industry. Learn more about the opportunities related to physical therapy business opportunities by exploring the following companies:

U.S. Physical Therapy

U.S. Physical Therapy is one of the most prominent publicly traded operators of outpatient occupational and physical therapy clinics. It has over 570 units across 39 states. It started its operations in 1990, providing preventative and post-operative care for many orthopedic and sports-related injuries.

Partnering with this company looks like:

  • A payout for a majority interest in your business
  • You retain ownership of your business and continue to run your practice as a salaried employee
  • Guaranteed backend buyout of your retained equity

Additional details on partnering with U.S. Physical Therapy aren't publicly available.

Physical Therapy Now Franchise

The company started its operations in 2011 under the leadership of Andres Zapata and has been franchising since 2015. It provides physical therapy and miscellaneous health services. Currently, Physical Therapy now has 43 units and 50 employees at their H.Q.

Financial requirements and ongoing fees are:

  • Initial fees of $40,000
  • Initial investment of between $80,000 to  $199,000
  • The royalty fee is 6%, and there's an ad royalty fee of 2%.

The company provides third-party financing and offers online training, 40-hour classroom training, and 40-hour on-the-job training.

P.T. Solutions

Dale Yake founded P.T. Solutions in 2003, and it has grown to own 63 physical therapy practices in Florida, Tennessee, North Carolina, Louisiana, Kentucky, Illinois, Florida, and Alabama. The franchise partners with private owners and health systems.

Factors that make P.T. Solutions a viable franchising option include:

  • Values and propagates your emotional investment in business
  • Works directly with you to create an integration plan
  • Support from a well-established equity partner
  • A national recruiting presence in search of top talent

When you partner with the company, you'll be better off to overcome every modern challenge in the physical therapy landscape. The financial requirements are not publicly available.

FYZICAL Therapy and Balance Centers

FYZICAL was started in 2012 under the visionary leadership of founder and CEO, Jim Abrams. 10 years later, Brian Belmont leads the growth as CEO of the 447-location brand, awarded the rank of #1 Physical Therapy Franchise by Entrepreneur Magazine. Franchising began in 2013 and FYZICAL is currently seeking franchisees in every state throughout the U.S. If you're interested in opening a physical therapy practice, or transitioning your existing clinic to the FYZICAL model (without losing your equity or ownership), here are some facts you should know:

  • The initial franchise fee is $49,000.
  • The initial investment is between $178,750 and $471,000 (Includes franchise fee and working capital).
  • The term of the agreement is 10 years, renewable.
  • Royalty fee of 6%.
  • Veteran incentive: 10% off the franchise fee
  • Cash requirement is $100k min for a single unit
  • Finance options available
  • Free continuing education for your clinical staff
  • Comprehensive and ongoing training tracks and materials for clinical and non-clinical roles
  • Community of support with over 1000 physical therapists and PTAs
  • 447 Open Locations and growing rapidly
  • Company clinics operate at an average 22.4% EBITDA
  • Scalable model built for sustainable growth

When you partner with FYZICAL, you will learn and implement proven training, systems, and operational procedures and protocols, such as the 10 point management system and Business Intelligence systems. FYZICAL will also help you to strategically plan and execute on your business goals to help set you up to achieve the most success! 

Why Choose FYZICAL Therapy and Balance Centers?

Whether you already own an active practice, or you’d like to start one in your area, FYZICAL’s proprietary balance and vestibular paradigm will give your practice the advantage, you don’t even need a background in healthcare to partner.

FYZICAL partners with physical therapists and entrepreneurs who are looking for the opportunity to open a physical therapy practice in their community. If you already own a private practice, FYZICAL can help you transition to the FYZICAL business model so you can optimize your operational procedures for financial success while simultaneously providing the highest level of care to patients. If you’re ready to start a business where helping people love their life is the top priority, request more information about franchising with FYZICAL Therapy & Balance Centers - ranked #1 Physical Therapy Franchise by Entrepreneur Magazine. 

In FYZICAL clinics we are focused on a pathway to sustainable growth and excellent patient outcomes. Contact us today to schedule a pre-qualification call and learn more about the opportunity with FYZICAL.

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Cindy Bercaw
Written by Cindy Bercaw

Cindy is a rock star content writer for FYZICAL Therapy & Balance Centers. Like a courier of knowledge, neither snow nor rain nor heat nor gloom of night will prevent her from sharing everything you could possibly need to know about succeeding in the business of physical therapy private practice. Cindy maintains a reputation for the imaginative. Recognized as a creative problem solver and divergent thinker, she brings her unique skill set to FYZICAL by helping physical therapists access business knowledge that is designed to help them succeed. She is the lead copywriter for Successful Outcomes Magazine, a publication dedicated to physical therapy private practice owners.

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