The physical therapy and rehabilitation sector continues to grow as healthcare providers expand into preventative care, balance therapy, pain management, and recovery services.
Franchise models in this space vary widely, from full-service outpatient clinics to specialized therapy and movement-based concepts.
To identify the strongest opportunities, we evaluated each brand across five equally weighted factors: investment efficiency (payback ratio), unit-level profitability, overall affordability, three-year network growth, and total operating scale.
Only franchises that disclose revenue were included in the ranking. Because several emerging brands currently operate a very small number of locations, their financial performance should be interpreted with caution. The result is a ranking focused on system stability, sustainable expansion, and the strongest available financial transparency in today’s physical therapy market.
Each franchise is evaluated using a balanced scoring model that weighs five core factors equally. The goal is to highlight brands that combine financial performance, operational maturity, and accessible investment levels. Scores are calculated as follows:
The final score out of 10 is calculated using this weighting model, ensuring the ranking highlights franchises that combine strong unit-level economics with system stability and consistent expansion.
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539
$64,000 - $519,000
$450,000

2
$168,000 - $361,000
$747,000

4
$40,000 - $245,000
$534,000

FYZICAL Therapy & Balance Centers provides comprehensive physical therapy services, specializing in balance and vestibular rehabilitation, offering personalized care and specialized treatment plans to help patients recover from injuries, manage pain, and improve physical function.

KEY FRANCHISE STATS
All you need to know about this franchise
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$450,000
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n.a.
What WE LIKE
Here's the rationale for our score
FYZICAL ranks first due to its unmatched network scale and consistent multi-year expansion across the U.S.

NexGenEsis Healthcare provides innovative healthcare solutions with a focus on regenerative medicine, offering treatments designed to enhance recovery and improve quality of life.

KEY FRANCHISE STATS
All you need to know about this franchise
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$747,000
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15.6%
What WE LIKE
Here's the rationale for our score
NexGenEsis delivers strong revenue and profitability metrics, though results should be interpreted cautiously given its early stage.

iMove PT is a physical therapy franchise offering personalized and evidence-based physical therapy services to help individuals recover from injuries and improve mobility.

KEY FRANCHISE STATS
All you need to know about this franchise
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$534,000
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n.a.
What WE LIKE
Here's the rationale for our score
iMove PT ranks third with a low initial investment and efficient revenue relative to its cost structure, but financials remain early-stage.