Rehabilitative Therapy Practices NAICS 621340
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Industry Summary
The 31,700 rehabilitative therapy practices in the US provide services to help patients restore function, improve mobility, relieve pain, and prevent or limit permanent disabilities. Rehabilitative therapy includes physical therapy, occupational therapy, speech therapy, and audiology. Practices may also provide therapy through art, music, dance, exercise and recreation.
Dependence On Referrals
While most states allow patients to have direct access to therapy services, many managed care and Medicare plans require patients to obtain a referral from a physician.
Demand Projected To Grow
The aging US population, earlier hospital discharges, and improved infant survival are projected to drive increased demand for rehabilitative therapy.
Recent Developments
Jun 1, 2026 - Banks Targets Healthcare Providers Opening New Practices
- Several US banks have begun focusing on lending to medical practitioners seeking to open new practices, according to American Banker. US Bank has built a healthcare lending group with more than 100 dedicated bankers since hiring Joseph Persichetti in 2023. "You're starting to see more people decide … that they want to be an independent owner," said Persichetti, US Bank's head of healthcare business banking. Fifth Third Bancorp acquired healthcare fintech Provide in 2021 and has leveraged the purchase to increase lending to clinicians seeking to buy or establish a practice. TD Bank has seen its Healthcare Practice Solutions Group expand significantly since hiring Dan Croft to lead the unit in 2014, according to the bank. Practice–finance originations have totaled more than $3 billion since then, TD has said.
- A $5.1 billion revenue decrease is expected for office-based physicians in 2026 due to anticipated lower patient volume caused by the expiration of Affordable Care Act (ACA) subsidy credits, according to the Robert Wood Johnson foundation. The volume of paid visits has already begun shifting toward either uncompensated care or those visits have been deferred entirely, according to Medscape. Rehabilitative therapy practices relying heavily on referrals may be negatively impacted. Primary care physicians are likely to carry the biggest brunt of the 4.8 million Americans projected to lose health insurance coverage, according to Medscape. "This affects them as well as those doctors who aren’t in concierge or special cash-only practices,” said Carl Law, MD, an anesthesiologist in San Jose, California, and founder of Doctors First Staffing. “They’re either not seeing patients on a regular basis, or they’re seeing them at a late stage of illness."
- The physical therapist workforce shortage is likely to continue through 2037, according to The American Physical Therapy Association (APTA). These shortages could significantly affect patient access to timely care without strategic interventions. "The growing demand for physical therapist services, coupled with an aging workforce, underscore the necessity for targeted interventions to expand our workforce," the APTA notes.
- Rehabilitative therapy industry employment decreased slightly and average wages for nonsupervisory employees were unchanged during the first two months of 2026, according to the US Bureau of Labor Statistics. Rehabilitative therapy practice sales are forecast to grow at a 5.72% compounded annual rate from 2026 to 2030, faster than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc.
Industry Revenue
Rehabilitative Therapy Practices
Industry Structure
Industry size & Structure
A typical rehabilitative therapy practice operates out of a single location, employs 16 workers, and generates $1.3 million annually.
- The rehabilitative therapy industry consists of 31,700 companies, employs about 493,100 workers, and generates about $41 billion annually.
- Most rehabilitative therapy practices are small, independent operations; 67% have a single location and 89% employ fewer than 20 workers.
- Large companies include Select Physical Therapy, US Physical Therapy, and Concentra.
Industry Forecast
Industry Forecast
Rehabilitative Therapy Practices Industry Growth
Source: Vertical IQ and Inforum
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