Our top

3

Physical Therapy

franchises of 2025

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Best Franchises

Physical Therapy

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.

?

?

?

539

+
21%
21%

$64,000 - $519,000

$450,000

8.8
/
10

2

+
n.a.
n.a.

$168,000 - $361,000

$747,000

8.4
/
10

4

+
n.a.
n.a.

$40,000 - $245,000

$534,000

7.7
/
10

FYZICAL Therapy & Balance Centers

8.8
/
10

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

Franchisees

?

539
+
21%
21%
Franchise fee

?

$49,000
Investment

?

$64,000 - $519,000
Revenue (AUV)

?

Undisclosed

$450,000

+
n.a.
n.a.
Operating Profit

?

n.a.

Our score
8.8
/
10

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.

  • Operates 539 locations, far larger than any competitor in the physical therapy sector.
  • Three-year growth of +21% reflects strong, continued expansion.
  • Revenue of $450,000 produces a payback ratio of 0.89.
  • Average investment of $291,500 is competitive for a clinical PT model.

NexGenEsis Healthcare

8.4
/
10

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

Franchisees

?

2
+
n.a.
n.a.
Franchise fee

?

$55,000
Investment

?

$168,000 - $361,000
Revenue (AUV)

?

Undisclosed

$747,000

+
n.a.
n.a.
Operating Profit

?

15.6%

Our score
8.4
/
10

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.

  • Revenue of $747,000 produces a strong payback ratio of 0.40.
  • EBITDA margin of 15.6% and gross margin of 87.2% indicate strong earnings potential.
  • Network size of 2 locations, meaning financial results should be taken with a grain of salt due to limited sample size.
  • Average investment of $264,500 remains largely accessible.

iMove PT

7.7
/
10

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

Franchisees

?

4
+
n.a.
n.a.
Franchise fee

?

$37,500
Investment

?

$40,000 - $245,000
Revenue (AUV)

?

Undisclosed

$534,000

+
500.0%
500.0%
Operating Profit

?

n.a.

Our score
7.7
/
10

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.

  • Revenue of $534,000 yields a competitive payback ratio of 0.44.
  • Average investment of $142,500 is the lowest in the ranking.
  • Operates 4 locations, so profit and revenue figures should be taken with a grain of salt due to very limited system scale.