The physical therapy industry in the U.S. is growing rapidly and is projected to more than double—from $65.4 billion today to $128 billion by 2032. Demand for services is surging across all age groups, driven by the nation’s aging population, the desire for non-invasive treatment options, and increased focus on active lifestyles and wellness.
In this article, we’ll explore the top five physical therapy franchise opportunities in America that are positioned to capitalize on this incredible market growth. Whether you’re an entrepreneur, healthcare professional, or investor looking to enter the PT space, these leading brands are worth watching.
The U.S. physical therapy industry, currently valued at approximately $59 billion, is on track to reach $128 billion by 2032.
This is a highly fragmented industry with no single dominant brand. In fact, the top players combined control less than 21% of market share, making it a prime landscape for growth and disruption.
What’s driving this explosive growth?
Headquarters: Sarasota, Florida
Founded: 2013
Locations: 600+ across 46 states
FYZICAL Therapy & Balance Centers is currently the fastest-growing physical therapy franchise in the country. The brand has over 600 locations and is widely recognized for its #1 proprietary Balance and Vestibular Program, two groundbreaking services only available at FYZICAL, which uses industry-leading fall prevention solutions such as clinical diagnosis and applied sensory mismatch theory. It is the leading balance program worldwide, addressing falls, dizziness, and neurological issues—services in high demand, especially among older adults.
FYZICAL’s holistic approach to physical therapy includes:
FYZICAL has earned multiple top honors, including:
If you're looking to own a PT clinic but don't have the capital, FYZICAL offers a unique Partnership Advantage Program that lets physical therapists earn equity by partnering with existing FYZICAL owners. The program also offers several funding options for physical therapists and a comprehensive support network for franchisees. No healthcare experience is required.
Headquarters: Highland, IL
Franchise Since: 2008
Locations: 90+ in 11 states
ApexNetwork Physical Therapy offers a full suite of services, including:
Founded in 1997, the brand transitioned into franchising in 2008 and has steadily expanded throughout the Midwest and beyond.
Headquarters: Florida
Founded: 2003
Locations: 40 clinics in 3 states
Physical Therapy Now made Entrepreneur’s Franchise 500 list and differentiates itself through:
They work with sports injuries, chronic conditions, and post-surgical recovery procedures, including:
Headquarters: Houston, Texas
Founded: 1990
Locations: 776 outpatient clinics in 44 states
Founded in 1990, U.S. Physical Therapy, Inc. operates outpatient physical therapy clinics throughout the United States. Known for its acquisition model, U.S. Physical Therapy combines franchised clinics with partnerships and management contracts for hospitals and physician groups. The clinics provide preventative and post-operative care for a variety of orthopedic-related disorders and sports-related injuries, treatment for neurologically-related injuries, and rehabilitation of injured workers.
Headquarters: Georgia
Founded: 2003
Locations: 550+ clinics in 25 states
PT Solutions is a blend of health system partnerships and independently-owned clinics. It’s particularly strong in the Southeast, offering physical and occupational therapy services tailored to community needs. Founded in 2003, PT Solutions delivers comprehensive rehabilitation services, including physical therapy, occupational therapy, speech-language pathology, athletic training, and sports medicine, across outpatient clinics, inpatient rehab facilities, and acute care settings.
People Also Ask:
How Much Does a Physical Therapist Make
How to Fund Your Physical Therapy Practice
How to Build a Physical Therapy Practice Your Competitors Will Be Jealous Of
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
Senior healthcare needs are exploding in the U.S. If you're considering franchising, read about the top 5 senior healthcare franchises in the US
If you are looking for an established franchise model to partner with, here are the top 6 health and wellness franchise concepts in 2024 to consider.
What are the top 5 healthcare franchises in 2021? Learn about the best healthcare franchise opportunity in the market
