SPEAR Physical Therapy, LLC
SPEAR Physical Therapy, LLC is a New York-based outpatient physical and occupational therapy provider operating 75+ clinics across the greater New York Tri-State area, employing over 950 people, and serving general consumers, athletes, and performing artists via insurance-billed and specialty services.
- Company typePrivate
- Founded1999
- HeadquartersNew York, United States
- Headcount1,001–5,000
- GTM typeB2C
- OfferingServices
What SPEAR Physical Therapy, LLC does
SPEAR Physical Therapy, LLC is a New York-headquartered outpatient physical and occupational therapy provider founded in 1999 by Dan Rootenberg. The company operates 75+ clinic locations across the greater New York Tri-State area, including Manhattan, Brooklyn, Queens, Westchester, Long Island, New Jersey, Staten Island, and Connecticut, and employs more than 950 people. Its core service is fee-for-service physical and occupational therapy delivered in-clinic, with a portfolio of specialty programs including pelvic floor therapy, vestibular rehabilitation, TMJ treatment, sports injury prevention, blood flow restriction training, hand therapy, pediatrics, and performing arts rehabilitation at the Center for the Performing Arts in Times Square.
The company's underlying technology footprint is modest and operational rather than differentiated: SPEAR Live is an on-demand virtual physical therapy telehealth service, the OptoGait system provides running and gait analysis, and digital infrastructure includes an online patient portal. Spear's go-to-market is sales-led and direct-to-consumer, combining physician referrals from the HSS and Mount Sinai Rehabilitation Networks with organic search, review platforms (Yelp, Google, ZocDoc), social media, transit advertising, and word-of-mouth. No prescription is required for initial visits and most major insurance plans are accepted. The business model is primarily insurance-billed fee-for-service with supplementary out-of-pocket revenue from specialty services and personal training.
The company has been recognized seven times on the Inc. 5000 list and is a two-time National Practice of the Year award winner. It remains privately held, founder-led, and organically funded without disclosed external institutional capital. The most recent strategic moves include the October 2025 opening of a 3,000-square-foot Sports Club on the Upper West Side and a January 2026 wellness activation at the American Dream complex in New Jersey, consistent with continued densification of the existing regional footprint rather than geographic diversification.
SPEAR Physical Therapy, LLC firmographics
Firmographics- Name
- SPEAR Physical Therapy, LLC
- Legal name
- Spear Physical Therapy, LLC
- Website
- https://spearcenter.com
- Company type
- Private
- Founded year
- 1999
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- SPEAR Physical Therapy, LLC is a New York-based outpatient physical and occupational therapy provider operating 75+ clinics across the greater New York Tri-State area, employing over 950 people, and serving general consumers, athletes, and performing artists via insurance-billed and specialty services.
- Ownership category
- akta.pro rank
SPEAR Physical Therapy, LLC industry classification
Industry- Product category
- Outpatient Physical Therapy Services
- NAICS
- Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Offices of Other Health Practitioners (6213)
- SIC
- Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)
- akta.pro primary industry
- Outpatient Physical Therapy (PT) Clinics (HLADAJAD)
- akta.pro secondary industry
- Hand & Upper Extremity Therapy (OT/CHT) (HSADAIAH)
Keywords
Where SPEAR Physical Therapy, LLC is headquartered
LocationHeadquarters
- HQ city
- New York
- HQ country
- United States
- HQ region
- North America
Offices4 records
Markets served
SPEAR Physical Therapy, LLC business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D
Revenue model
- Physical and Occupational Therapy Services: Fee-for-service physical and occupational therapy sessions billed through insurance or paid out-of-pocket. Services include initial evaluations, manual therapy, exercise programs, and specialized treatments.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Per visit | Insurance-based physical therapy services |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels6 records
SPEAR Physical Therapy, LLC product offering
Product offeringCore offering
SPEAR Physical Therapy, LLC delivers comprehensive outpatient physical and occupational therapy services through 75+ owned clinic locations across the New York City metro and Tri-State area, supported by an on-demand telehealth offering (SPEAR Live). The company sells individualized rehabilitation and performance programs, including orthopedic and post-surgical rehab, sports injury prevention and treatment, pelvic floor, vestibular, TMJ, hand, and pediatric therapy, as well as specialized facilities for athletes and performing artists. Services are billed to insurance or paid out-of-pocket per visit, and no prescription is required for an initial evaluation.
Product overview
SPEAR Physical Therapy, LLC operates a network of over 75 physical and occupational therapy locations across the greater New York region (Manhattan, Brooklyn, Queens, Westchester, New Jersey, Long Island, Staten Island, Connecticut). The company offers a comprehensive portfolio of clinical services centered around two core offerings: Physical Therapy and Occupational Therapy. Specialty services include Pelvic Floor Therapy, Sports Injury Prevention, Blood Flow Restriction Training, Vestibular Rehabilitation, TMJ Treatment, Running Analysis (OptoGait), Golf Swing Analysis, Hand Therapy, Cupping, Kinesio Taping, Lymphedema Therapy, COVID-19 Rehabilitation, Pediatrics, Personal Training, Pilates, Return to Play Testing, and Ergonomics. Digital offerings include SPEAR Live telehealth services. Specialized facilities include the Sports Club (Upper West Side) with neurocognitive testing, and the Center for the Performing Arts (Times Square) dedicated to dancers and performers. The company also offers residency programs and the SPARCLE specialty program for pediatric care.
Differentiator
Problem solved
Functional benefit
Brands
- SPEAR Live: On-demand virtual physical therapy telehealth services
- Spear Sports Club
- SPARCLE
- Center for the Performing Arts
Products and services
- Physical Therapy
- Occupational Therapy
- Pelvic Floor Physical Therapy
- Sports Injury Prevention
- Blood Flow Restriction Training (BFRT)
- Vestibular Rehabilitation Therapy
- TMJ Physical Therapy Treatment
- Running Analysis / OptoGait
- Golf Swing Analysis
- Hand Therapy
- Cupping
- Kinesio Taping
- Lymphedema Therapy
- COVID-19 Rehabilitation / Breathing Exercises
- Pediatrics / Adolescents
- Personal Training & Transitional Care
- Pilates
- Return to Play Testing
- Spear On-Call
- Ergonomics
- SPEAR Live (Telehealth)
- Center for the Performing Arts
- Orthopedic and Specialty Residency Programs
Quantifiable outcome
- 99% of patients surveyed would recommend Spear to friends and family (22,000 voices)
Companies that use SPEAR Physical Therapy, LLC
Customer profileNamed customers2 records
Segments3 records
Ideal customer profiles3 records
SPEAR Physical Therapy, LLC technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
SPEAR Physical Therapy, LLC partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- Hospital for Special Surgery (HSS)coreSpear Physical Therapy is a participating member of the Hospital for Special Surgery Rehabilitation Network. HSS is ranked #1 in the world in orthopedics. This partnership enables patient referrals and care coordination for orthopedic rehabilitation.
- Mount SinaicoreSpear is a member of the Mount Sinai Rehabilitation Network, enabling patient referrals and collaborative care for rehabilitation services.
Scale indicators8 records
Recent moves9 records
Expansion highlights6 records
SPEAR Physical Therapy, LLC competitors and assessment
Company assessmentDirect peers
- Professional Physical Therapy: Direct regional competitor operating physical therapy clinics across the Northeast U.S. (NY/NJ/CT/MA), offering outpatient orthopedic, sports, and hand therapy with overlapping specialty programs and competing for the same physician referrals and patients as Spear.
- ATI Physical Therapy: National outpatient physical therapy chain offering orthopedic, sports, and workers' compensation rehab across 900+ locations; directly comparable service mix and insurance-based GTM, and a potential acquirer or benchmark for Spear's scale trajectory.
- U.S. Physical Therapy (USPH): Public operator of ~670 outpatient PT clinics via a partnership model; the closest publicly traded pure-play comparable for valuation benchmarking, with overlapping specialty services (hand, sports, industrial) and similar acquisition-led growth playbook.
- Ivy Rehab Network: Multi-state outpatient PT, OT, and speech provider with strong Northeast presence, including pediatric and specialty programs; competes for the same patient demographics and frequently acquires regional practices in Spear's footprint.
- Athletico Physical Therapy: Midwest-headquartered outpatient PT chain with 900+ clinics nationwide and a strong sports-medicine and occupational therapy offering; directly comparable specialty mix (sports, hand, vestibular) and similar specialty-clinic model to Spear.
- PT Solutions: Outpatient PT operator with multi-state footprint, residency programs, and specialty services (pelvic health, sports, vestibular); comparable clinician-development model and specialty-clinic strategy make it a strong talent and operational peer.
- FYZICAL Therapy & Balance Centers: Franchised PT network with emphasis on vestibular, balance, and orthopedic specialties; competes in specialty niches (e.g., vestibular therapy) that overlap Spear's specialty service portfolio.
Broad incumbents
- Select Medical / Select Physical Therapy: Large publicly traded healthcare services platform with a substantial outpatient rehab division (Select Physical Therapy) operating 1,700+ clinics; broader portfolio including critical illness recovery and inpatient rehab gives it scale advantages and payor leverage Spear lacks.
- NYU Langone Health — Rusk Rehabilitation: Hospital-affiliated outpatient PT/OT provider in NYC competing for the same referral and self-pay patients as Spear, with the advantage of integrated hospital billing and physician referral channels within NYU Langone.
Regional players
- Hospital for Special Surgery (HSS) Rehabilitation: Hospital-affiliated rehabilitation arm of the #1-ranked orthopedic hospital; both a Spear's referral partner (HSS Rehabilitation Network) and a direct provider of outpatient PT in NYC, competing for high-acuity orthopedic cases.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
SPEAR Physical Therapy, LLC social profiles
Digital presenceSPEAR Physical Therapy, LLC compliance and trust
Trust signalCompliance2 records
SPEAR Physical Therapy, LLC financial estimates
Financial estimateRevenue estimate
Valuation estimate
SPEAR Physical Therapy, LLC leadership team
Management profileNumber of profiles
Profiles14 records
SPEAR Physical Therapy, LLC funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
SPEAR Physical Therapy, LLC M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about SPEAR Physical Therapy, LLC
What does SPEAR Physical Therapy, LLC do?
SPEAR Physical Therapy, LLC delivers comprehensive outpatient physical and occupational therapy services through 75+ owned clinic locations across the New York City metro and Tri-State area, supported by an on-demand telehealth offering (SPEAR Live). The company sells individualized rehabilitation and performance programs, including orthopedic and post-surgical rehab, sports injury prevention and treatment, pelvic floor, vestibular, TMJ, hand, and pediatric therapy, as well as specialized facilities for athletes and performing artists. Services are billed to insurance or paid out-of-pocket per visit, and no prescription is required for an initial evaluation.
Is SPEAR Physical Therapy, LLC a public or private company?
SPEAR Physical Therapy, LLC is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was SPEAR Physical Therapy, LLC founded?
SPEAR Physical Therapy, LLC was founded in 1999. It employs 1,001 to 5,000 people.
Where is SPEAR Physical Therapy, LLC based?
SPEAR Physical Therapy, LLC is headquartered in New York, United States, in the North America region.
How does SPEAR Physical Therapy, LLC make money?
One revenue line is on record: physical and Occupational Therapy Services.
Who are SPEAR Physical Therapy, LLC's main competitors?
Direct peers on record are Professional Physical Therapy, ATI Physical Therapy, U.S. Physical Therapy (USPH), Ivy Rehab Network, Athletico Physical Therapy, PT Solutions and FYZICAL Therapy & Balance Centers. Broad incumbents are Select Medical / Select Physical Therapy and NYU Langone Health — Rusk Rehabilitation. Hospital for Special Surgery (HSS) Rehabilitation is listed as a regional player.
Does SPEAR Physical Therapy, LLC have an API?
No public API is recorded for SPEAR Physical Therapy, LLC.
What industry is SPEAR Physical Therapy, LLC in?
SPEAR Physical Therapy, LLC's product category is Outpatient Physical Therapy Services. Its primary akta.pro industry code is HLADAJAD, Outpatient Physical Therapy (PT) Clinics, with a secondary code of HSADAIAH, Hand & Upper Extremity Therapy (OT/CHT). Its NAICS code is 62134 and its SIC code is 8093.