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FYZICAL Therapy & Balance Centers Franchise FDD, Costs & Fees (2026)

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

Franchisees

?

539
+
21%
21%
Franchise fee

?

$49,000
Investment

?

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

?

Undisclosed

$450,000

+
n.a.
n.a.
Upgrade

FYZICAL Therapy & Balance Centers is a rapidly growing physical therapy franchise that was founded in 2012. Headquartered in Sarasota, Florida, FYZICAL has quickly established itself as a leader in the health and wellness industry, particularly known for its innovative approach to physical therapy and balance therapy. 

The franchise offers a wide range of services, including physical therapy, vestibular rehabilitation, fall prevention, and other wellness programs that are designed to improve patients' overall quality of life.

FYZICAL began franchising in 2013, and as of today, it has expanded to over 575 locations across the United States, making it one of the largest physical therapy franchises in the country.

What differentiates FYZICAL from other franchises in the industry is its proprietary Balance Paradigm and Sensory Mismatch Theory, which provide specialized balance therapy services not commonly available in other clinics. 

Initial investment

The initial investment required for a FYZICAL Therapy & Balance Centers franchise is $64,000 - $519,000. That is the total cost you would need to finance if you were to start this franchise. These costs are provided by the franchisor in the Franchise Disclosure Document.

FYZICAL Therapy offers 4 types of franchises:

Type of Expenditure Amount
New FYZICAL® Center (with an Operating Principal who is a Licensed Professional) $167,850 to $418,600
New Center (with a Clinical Director) $217,850 to $518,600
Conversion Center $64,250 to $182,000
MD Affiliate Center $215,250 to $519,100

We are summarizing below the main costs associated with opening a New FYZICAL® Center (with a clinical director) franchise.

For more information on the various types of franchises and its costs, refer to the Franchise Disclosure Document (Item 7).

New FYZICAL® Center (with a clinical director)

Type of Expenditure Amount
Initial Franchise Fee $49,000
Grand Opening Marketing Fund $5,000 - $18,000
Training Expenses (including reasonable food, lodging & travel - per person) $1,750 to $5,000
Lease Deposit & Rent $2,600 to $5,600
Build Out & Improvements $65,000 to $180,000
Security System $500 to $2,500
Computer System $1,000 to $3,000
Furniture, Fixtures and Equipment $11,000 to $76,000
Signage, Branding, Design $2,000 to $15,000
Utility Deposits, Business Licenses & Other Prepaid Expenses $1,000 to $5,000
Insurance (12 months) $3,000 to $5,000
Miscellaneous Opening Costs $1,000 to $5,000
Additional Funds (9 months) $75,000 to $150,000
Total Estimated Initial Investment $217,850 to $518,600

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FYZICAL Therapy offers 4 types of franchises:

Type of Expenditure Amount
New FYZICAL® Center (with an Operating Principal who is a Licensed Professional) $167,850 to $418,600
New Center (with a Clinical Director) $217,850 to $518,600
Conversion Center $64,250 to $182,000
MD Affiliate Center $215,250 to $519,100

We are summarizing below the main costs associated with opening a New FYZICAL® Center (with a clinical director) franchise.

For more information on the various types of franchises and its costs, refer to the Franchise Disclosure Document (Item 7).

New FYZICAL® Center (with a clinical director)

Type of Expenditure Amount
Initial Franchise Fee $49,000
Grand Opening Marketing Fund $5,000 - $18,000
Training Expenses (including reasonable food, lodging & travel - per person) $1,750 to $5,000
Lease Deposit & Rent $2,600 to $5,600
Build Out & Improvements $65,000 to $180,000
Security System $500 to $2,500
Computer System $1,000 to $3,000
Furniture, Fixtures and Equipment $11,000 to $76,000
Signage, Branding, Design $2,000 to $15,000
Utility Deposits, Business Licenses & Other Prepaid Expenses $1,000 to $5,000
Insurance (12 months) $3,000 to $5,000
Miscellaneous Opening Costs $1,000 to $5,000
Additional Funds (9 months) $75,000 to $150,000
Total Estimated Initial Investment $217,850 to $518,600

Franchise Disclosure Document

Below is FYZICAL Therapy & Balance Centers's 2025 Franchise Disclosure Document. Upgrade to Pro or purchase the FDD to view and download the document.

Number of units

FYZICAL Therapy & Balance Centers had 595 total units in 2025, of which 539 were franchised-owned and 56 company-owned.

Frequently Asked Questions

Competitors

Below are some of

FYZICAL Therapy & Balance Centers

key competitors in the

Physical Therapy

sector.

Franchise
Franchisees
Royalty fee
Total investment
Revenue
Upgrade
EBITDA
Upgrade

539

New
+
21%
21%

6.00%

$64,000

-

$519,000

$450,000

n.a.

$xxx,xxx

n.a.

xx%

n.a.

Training 

The FYZICAL Therapy & Balance Centers franchise provides a comprehensive and structured training program designed to ensure that franchisees are fully prepared to operate a successful clinic. The training program includes several key components:

  1. Initial Onboarding and Strategic Planning: Franchisees begin with the creation of a comprehensive 5-year strategic plan, which includes detailed guidance on budgeting, location setup, and clinic operations. This phase also includes a 16-step opening process that covers everything from securing a location to setting up operational systems​.
  2. Clinical and Business Management Training: Franchisees receive in-depth training on both clinical and business management aspects. This includes classroom training for business management, clinical education, and the use of proprietary tools such as the FYZICAL 10 Point Management System and Business Intelligence program for clinic management. These tools are essential for managing day-to-day operations, financial tracking, and overall clinic performance​ .
  3. Ongoing Support and Professional Development: FYZICAL emphasizes continuous learning and support. Franchisees have access to ongoing training through FYZICAL College, a learning management system that provides resources for professional development. Additionally, on-site support is provided to help franchisees with clinic setup and operations, ensuring they are well-prepared to deliver high-quality care to their patients​.

Territory Protection

FYZICAL Therapy & Balance Centers franchise does offer territory protection to its franchisees. When a franchisee opens a FYZICAL location, they are granted an exclusive territory, which is carefully defined in the franchise agreement. 

This territorial protection ensures that no other FYZICAL franchise can operate within the same area, allowing the franchisee to develop and grow their business without facing competition from within the brand​. This exclusive territory is designed to give franchisees the confidence to invest in their business and build a strong presence in their local market.

Competitors

Below are some of FYZICAL Therapy & Balance Centers's key competitors in the Physical Therapy sector.

RCG Behavioral Health

Franchisees

?

0
+
n.a.
n.a.
Investment

?

$282,000 - $584,000
Revenue

?

Upgrade

Gokhale Method

Franchisees

?

20
+
-13%
-13%
Investment

?

$9,000 - $23,000
Revenue

?

Upgrade

PUR LIFE Medical

Franchisees

?

8
+
700%
700%
Investment

?

$650,000 - $1,095,000
Revenue

?

Upgrade

Essential Speech and ABA Therapy

Franchisees

?

4
+
n.a.
n.a.
Investment

?

$209,000 - $669,000
Revenue

?

Upgrade

NexGenEsis Healthcare

Franchisees

?

2
+
n.a.
n.a.
Investment

?

$168,000 - $361,000
Revenue

?

Upgrade

Structural Elements

Franchisees

?

11
+
-21%
-21%
Investment

?

$11,000 - $23,000
Revenue

?

Upgrade

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