Metro Physical & Aquatic Therapy

What Metro Physical & Aquatic Therapy does

Metro Physical & Aquatic Therapy is a family-owned, 100% therapist-owned outpatient rehabilitation platform founded in 1982 by the Mayrsohn family and headquartered in Garden City, New York. The company operates 60+ clinic locations across Long Island, the five boroughs of New York City, Westchester/Rockland, Connecticut, and Rhode Island, supplemented by an in-home therapy service line covering New York, New Jersey, Connecticut, and Rhode Island. Its clinical scope spans physical therapy (orthopedic, sports, neurological, vestibular, pediatric, aquatic, Pilates rehabilitation), occupational therapy, and speech-language pathology, with specialty programs including LSVT BIG for Parkinson's, the Schroth method for scoliosis, pelvic floor therapy under the Pelvic Restore brand, acupuncture, and worker's compensation rehabilitation.

The underlying service technology is a multi-specialty clinical care model distinguished by 60-minute one-on-one therapy sessions (versus an industry standard closer to 30-40 minutes), same-day or within-24-hour appointment availability, and a flagship Wellness Pavilion featuring heated saltwater pools for aquatic therapy. The company employs more than 100 specialized aquatic therapists and several hundred therapists overall, with leadership including doctorate-level clinicians. Revenue is generated primarily through insurance reimbursement across a broad payer mix (Medicare, Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Oxford) supplemented by self-pay and out-of-network pricing. The go-to-market motion is direct-to-consumer, driven by physician referrals, patient self-referrals, insurance network participation, and word-of-mouth. Growth has been executed through a combination of de novo clinic openings, tuck-in acquisitions of independent PT practices (four completed in 2023), and a major 2026 partnership integrating Metro's Long Island, NYC, and Westchester locations into NYU Langone Health's clinical service network.

Name

Metro Physical & Aquatic Therapy

Legal name

Metro Physical & Aquatic Therapy

Website

https://metrophysicaltherapy.com

Company type

Private

Founded year

1982

Operating status

Operating

Headcount range

251–500 employees

Short description

Metro Physical & Aquatic Therapy is a family-owned, therapist-owned outpatient rehabilitation platform founded in 1982, operating 60+ clinics across the Northeast providing physical, occupational, and speech therapy plus in-home services, with a 2026 partnership integrating into NYU Langone Health.

Ownership category

akta.pro rank

Product category

Outpatient Rehabilitation Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Home Health Care Services (8082)

akta.pro primary industry

Outpatient Rehabilitation & Physical/Occupational/Speech Therapy Centers (HLAFABAB)

akta.pro secondary industries

Aquatic Physical Therapy & Hydrotherapy (HSADAIAL), Home Health Physical Therapy & Mobile PT (HSADAIAO), Vestibular Rehabilitation & Balance Therapy (HSADAIAF)

Keywords

• Outpatient physical therapy
• Aquatic therapy services
• Occupational therapy
• Rehabilitation services
• Speech language pathology

Headquarters

HQ city

Garden City

HQ country

United States

HQ region

North America

Offices25 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D

Revenue model

1. Insurance-Based Physical Therapy Services: The company accepts most major insurance plans including Medicare, Blue Cross Blue Shield, Aetna, Cigna, United Health Care, and many others. Revenue is generated through insurance reimbursements for covered physical, occupational, and speech therapy services.
2. Out-of-Pocket / Self-Pay: For patients without coverage or out-of-network services, the company offers self-pay pricing. Specific rates include Pelvic Floor therapy at $295 for first visit, $190 for five visits, and $164 per visit at 9th visit.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Metro Physical & Aquatic Therapy operates a multi-location outpatient rehabilitation practice delivering physical, occupational, and speech-language therapy services across more than 60 clinic locations in New York, Connecticut, and Rhode Island. The practice offers specialized programs including aquatic therapy in heated saltwater pools (Wellness Pavilion), pelvic floor therapy (Pelvic Restore), pediatric therapy, neurological and Parkinson's therapy (LSVT BIG/LOUD), Schroth method for scoliosis, vestibular/balance therapy, Pilates rehabilitation, acupuncture, and in-home therapy across NY, NJ, CT, and RI.

Product overview

Metro Physical & Aquatic Therapy operates a multi-location outpatient rehabilitation practice offering a comprehensive portfolio of therapy services. The company provides physical therapy (orthopedic, sports, aquatic, neurological, vestibular, and pediatric), occupational therapy, speech-language pathology, acupuncture, and specialized programs including LSVT BIG/LOUD for Parkinson's, Schroth method for scoliosis, and pelvic floor therapy. Services are delivered across 60+ clinic locations in New York, Connecticut, and Rhode Island, with in-home therapy available throughout the Northeast region.

Differentiator

Problem solved

Functional benefit

Brands

• Choice Physical Therapy: Physical therapy brand operating under Metro in Westerly, Rhode Island (55 Beach St #2, Westerly, RI 02891)
• Pelvic Restore
• Wellness Pavilion

Products and services

• Orthopedic & Sports Physical Therapy

Quantifiable outcome

• 65% more one-on-one time than physical therapy industry standard
• +2 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Six partnerships are on record, tiered flagship, core and minor.

• NYU Langone HealthflagshipStrategic or Co-development PartnerMetro Physical and Aquatic Therapy announced partnership with NYU Langone Health's clinical service network, effective June 1, 2026 for most locations and July 1, 2026 for others. Through this partnership, Metro's locations across Long Island, NYC, and Westchester/Rockland counties will join NYU Langone Health. Patients will continue to see the same trusted therapists at the same locations with the same contact information.
• University Clinical Education ProgramscoreStrategic or Co-development PartnerMetro accepts graduate students from physical therapy, occupational therapy, and speech language pathology programs for clinical affiliations and fieldwork placements. Students gain exposure to conditions including orthopedics, pelvic floor, neurological conditions, chronic pain, cardiovascular conditions, Parkinson's (LSVT), and more.
• Dynamic Core Physical TherapyminorStrategic or Co-development PartnerDan Cieleski's Dynamic Core Physical Therapy merged with Metro in late March 2023. Owner cited Metro's compassion for patient care, commitment to employee development, and quality workplace culture as key reasons for the merger.
• Hayes Physical TherapyminorStrategic or Co-development PartnerAnne McLaughlin's Hayes Physical Therapy, owned since 2009, merged with Metro. Owner cited Metro's family ownership continuity and colleague relationships as influencing factors.
• Bear Mountain Physical TherapyminorStrategic or Co-development PartnerNancy Dellipaoli's Bear Mountain Physical Therapy, started 20 years ago, joined Metro. Owner reports learning business growth strategies and feeling part of a team.
• All-Star Physical TherapyminorStrategic or Co-development PartnerPeter Fiscina's All-Star Physical Therapy transitioned to Metro under leadership of John Scalamandre, who led the transition making it welcoming and easy.

Scale indicators6 records

Recent moves8 records

Expansion highlights4 records

Direct peers

• Professional Physical Therapy: Long Island/NYC-based outpatient PT practice with comparable multi-specialty service lines (PT, OT, hand therapy), in-home therapy, and similar regional insurance-driven GTM. Most direct geographic and operational analog to Metro among independent operators.
• Ivy Rehab Network: Large multi-state outpatient PT platform built via aggressive practice acquisition with similar specialty service breadth (orthopedic, pediatric, vestibular, aquatic). Notable direct competitor for seller-side M&A in the Northeast.
• ATI Physical Therapy: One of the largest US outpatient PT chains with comparable specialty service lines, insurance-based GTM, and a national footprint. Direct competitor in multi-specialty therapy delivery and acquisition-based growth.
• SPEAR Physical Therapy: NYC-based multi-location outpatient PT practice with comparable specialty services (orthopedic, sports, pelvic health) and a high-touch one-on-one care model. Direct competitor in the NYC metro market.
• PT Solutions: Outpatient PT platform with multi-specialty service lines (orthopedic, neurologic, pediatric) and aggressive acquisition-led growth. Comparable M&A-driven growth strategy in the US outpatient PT market.
• Drayer Physical Therapy Institute: USPH-owned outpatient PT chain with 150+ clinics offering comparable orthopedic, sports, and neurologic therapy services. Operates a similar multi-location community-clinic model.

Broad incumbents

• U.S. Physical Therapy: Public operator of 600+ outpatient PT clinics via majority-interest partnerships. Operates a similar clinic-partnership model and is a roll-up acquirer competing for independent practices Metro seeks to acquire.
• Select Medical: Large diversified post-acute and outpatient rehab operator with critical illness recovery and outpatient rehab divisions. Overlapping outpatient PT service capabilities but operates at much greater scale across broader healthcare verticals.
• Athletico Physical Therapy: Large multi-state outpatient PT chain with occupational therapy, workers' comp, and specialty programs. Comparable scope and service breadth, though serves broader Midwest/South geographies not overlapping Metro's Northeast concentration.

Emerging players

• Bayada Home Health Care: Major Northeast home health provider offering in-home PT, OT, and speech therapy — directly comparable to Metro's in-home therapy service across NY/NJ/CT/RI. Notable competitor specifically for Metro's home-care line.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/metroptny

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Metro Physical & Aquatic Therapy