Top 5 Physical Therapy Franchises in America [2022]

Physical therapy is a 34-billion-dollar industry that is expanding with a growth rate of nearly 7% annually. The total market is forecast to reach $45.7 billion by 2023. The physical therapy industry is a highly fragmented market with around 38,000 outpatient physical therapy clinics throughout the U.S. and no clear industry leader. Dominant industry players own less than 21% of the total market share combined.

Demand for physical therapy services is increasing exponentially, with American's growing desire to live active lifestyles, and the aging population of the largest generation in history - more than 10,000 people turn 65 every day, plus the critical demand for non-opioid paint relief alternatives, it's easy to see why the demand for physical therapy is sharply increasing.

If you're considering a franchise opportunity in the healthcare space, now is the time to examine which franchise model is right for you. Here are 5 concepts that are quickly emerging as the industry leaders in physical therapy franchises. 

1. Physical Therapy NOW

This franchise concept was founded by Andy Zapata in late 2003 and boasts 34 locations in operation in three different states. In 2020, Physical Therapy Now ranked #500 on Entrepreneur’s Franchise 500 list. They specialize in extended hours at some locations, offer complimentary transportation to patients, and also use occupational therapists.

2. ApexNetwork Physical Therapy

ApexNetwork had humble beginnings in Highland, Illinois as a single location in 1997 and they adopted a franchise model in 2008. ApexNetwork is headquartered in Ballwin, Missouri and they have 28 franchised locations and 55 company-owned clinics. They are a full-service physical and occupational therapy provider offering sports rehabilitation, industrial rehabilitation, and aqua therapy.

get to know the top five physical therapy franchises in America

3. FYZICAL Therapy & Balance Centers

FYZICAL is headquartered in Sarasota, Florida, and opened its first franchise location in 2013. Since then, in just 7 years, it has grown rapidly to more than 448 locations, and 55 company-owned clinics. FYZICAL was named #1 Physical Therapy Franchise by Entrepreneur Magazine and is ranked #66 in Entrepreneur’s Franchise 500. Franchise Business Review named FYZICAL as Most Profitable Franchises in 2021. FYZICAL Therapy & Balance Centers offer physical therapy, balance, and vestibular retraining as well as fall prevention, sports rehabilitation, fitness programs, and individualized wellness programs.

4. PT Solutions Physical Therapy

PT Solutions was founded in 2003 by Dale Yake. This brand has 67 privately-owned physical therapy practices throughout eight states, including Alabama, Florida, Illinois, Kentucky, Louisiana, North Carolina, and Tennessee. Individual locations are owned by physical therapists and occupational therapists. They partner with private owners and with health systems.

5. U.S. Physical Therapy

This franchise was founded in 1990 and has 550 outpatient physical therapy clinics located throughout 39 states. The company’s rapid growth is due to the number of strategic acquisitions it’s had since its inception. U.S. Physical Therapy specializes in pre and post-operative care for sports and orthopedic injuries. In addition to the franchise locations, the company manages 28 additional PT facilities for 3rd parties – including hospital and physician groups. U.S. Physical Therapy is headquartered in Houston, Texas.

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