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.
Related Article: FYZICAL Therapy & Balance Centers Celebrates First Half of 2025 with National Recognition and Continued Growth
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.
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.
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.
With 600+ locations and unmatched franchise support, FYZICAL is transforming physical therapy ownership. Check your territory today to see if FYZICAL is available in your area.
Headquarters: Highland, IL
Franchise Since: 2008
Locations: 90+ in 11 states
Founded in 1997, ApexNetwork Physical Therapy transitioned into franchising in 2008 and has steadily expanded throughout the Midwest and beyond.
Headquarters: Florida
Founded: 2003
Locations: 40 clinics in 3 states
With its patient-centered approach and expanding network, Physical Therapy Now continues to strengthen its reputation as a trusted leader in rehabilitation and wellness care.
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.
Interested in scaling faster with multiple clinics? Read about our Master Franchise Opportunities to see how FYZICAL supports multi-unit growth.
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.
Physical therapy is one of the fastest-growing industries in healthcare, and presents exceptional opportunities for franchise growth and investment. Whether you’re a clinician, entrepreneur, or investor, the time to act is now. Check your FYZICAL territory today and join the fastest-growing PT franchise in America.
Thinking about investing in physical therapy? Download our free guide: The FYZICAL Investment Opportunity Guide
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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