IRG Physical & Hand Therapy (Integrated Rehabilitation Group)

What IRG Physical & Hand Therapy (Integrated Rehabilitation Group) does

IRG Physical & Hand Therapy (Integrated Rehabilitation Group) is a private, multi-site outpatient physical and hand therapy provider headquartered in Mill Creek, Washington, operating 40 clinic locations across the Pacific Northwest, predominantly in Washington State with one location in Orofino, Idaho. Founded circa 1995 and led by President and CEO Shannon O'Kelley, the company delivers a comprehensive rehabilitation service portfolio across five core service lines: physical therapy, hand therapy, massage therapy, specialized therapy (including Astym, Blood Flow Restriction training, LSVT BIG for Parkinson's disease, dry needling, vestibular rehabilitation, pelvic floor therapy, and lymphedema treatment), and athletic training; with supplementary offerings in sports performance, nutrition, and workplace/industrial services. The clinical model relies on board-certified and credentialed physical therapists (including DPT, OCS, CHT, LSVT BIG, and Astym certifications), internal mentorship programs, and continuing-education partnerships with the Ola Grimsby Institute and the Gary Gray Institute.

The business model is primarily fee-for-service outpatient therapy billed to commercial insurance, Medicare, and workers' compensation, with direct-access self-referral used in Washington and Idaho. Secondary revenue streams include on-site athletic training services contracted with schools and sports organizations, and registration fees from externally-marketed continuing-education courses (BFR certification, splinting workshops). The 40-clinic network is organized into four regional clusters (North Puget Sound, Seattle/Eastside, South Puget Sound, and Other Regions) and has been built partly through tuck-in acquisitions of regionally branded practices (South Sound Physical & Hand Therapy, Riverside Physical Therapy, Argonaut Peak, NW Sport & Spine), which continue to operate under their original identities as wholly-owned sub-brands. Additional distribution channels include IRG On-Demand (mobile/home-based therapy) and an emerging B2B workplace services channel. Operating scale is 251–500 employees, including physical therapists, PTAs, occupational therapists, certified athletic trainers, and massage therapists, serving individual patients across orthopedic, sports, neurological, geriatric, pediatric, and pelvic-health segments.

Name

IRG Physical & Hand Therapy (Integrated Rehabilitation Group)

Legal name

Integrated Rehabilitation Group (IRG)

Website

https://irgpt.com

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

251–500 employees

Short description

IRG Physical & Hand Therapy (Integrated Rehabilitation Group) is a private Pacific Northwest outpatient provider operating 40 physical and hand therapy clinics across Washington and Idaho, delivering insurance-billed rehabilitation, hand therapy, athletic training, specialized modalities, and mobile therapy to individual orthopedic, sports, neurological, geriatric, and pediatric patients.

Ownership category

akta.pro rank

Product category

Outpatient Physical Therapy Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

Hand & Upper Extremity Therapy (OT/CHT) (HSADAIAH)

akta.pro secondary industries

Home Health Physical Therapy & Mobile PT (HSADAIAO), Pelvic Floor Physical Therapy (Women’s & Men’s Health) (HSADAIAG), Assistive Technology, Adaptive Equipment & Home Exercise Program Training In-Home (HSABADAN)

Keywords

• Outpatient physical therapy
• Hand rehabilitation services
• Sports injury therapy
• Workers compensation rehabilitation
• Specialized therapeutic modalities

Headquarters

HQ city

Mill Creek

HQ country

United States

HQ region

North America

Offices38 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Outpatient Physical Therapy Services: Fee-for-service outpatient physical therapy sessions billed to patients' health insurance plans, including Medicare and workers' compensation. Primary revenue stream across all 40 clinic locations in the Pacific Northwest. Idaho direct-access state (Orofino - Riverside clinic) allows self-referral.
2. Hand Therapy Services: Specialized hand and upper extremity therapy services including custom orthotic fabrication, wound care, and pre/post-surgical hand rehabilitation, billed through insurance.
3. Athletic Training Services: On-site athletic training services provided to schools, sports organizations, and employers under contract, with IRG athletic trainers deployed at high schools and events across the region.
4. Continuing Education / Professional Development Courses: IRG hosts professional development and continuing education events (e.g., splinting workshops, BFR certification courses) for external therapists and athletic trainers, generating revenue through attendee registration fees.
5. Massage Therapy & Nutrition Counseling: Additional therapy services billed per session, complementing core physical and hand therapy offerings.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels8 records

Core offering

IRG Physical & Hand Therapy is an outpatient rehabilitation provider operating 40 physical therapy and hand therapy clinics across Washington State and Idaho, delivering individualized evaluation and treatment for musculoskeletal, neurological, hand/upper-extremity, sports, pediatric, and pelvic health conditions. Services are delivered in-person by licensed therapists across specialties including orthopedic PT, hand therapy with custom orthotic fabrication, athletic training, sports performance, massage therapy, nutrition counseling, and an extensive suite of specialized modalities (Astym, BFR, LSVT BIG, dry needling, vestibular rehabilitation, pelvic floor therapy). The company also runs IRG On-Demand mobile/home therapy and on-site athletic training contracts for schools and employers.

Product overview

IRG Physical & Hand Therapy operates as a multi-location outpatient physical therapy network offering a comprehensive suite of rehabilitation and wellness services. The core service portfolio centers on Physical Therapy and Hand Therapy as primary offerings, supplemented by Massage Therapy, Athletic Training, Sports Performance, and Specialized Therapy services. The Specialized Therapy category encompasses diverse treatments including Astym Therapy, Blood Flow Restriction (BFR), Dry Needling, Vestibular Rehabilitation, Balance and Falls Prevention, LSVT BIG for Parkinson's disease, Pelvic Floor Therapy, Pediatric Developmental Physical Therapy, Gait Analysis, Myofascial Decompression, Lymphedema Treatment, TMJ treatment, Pre and Post-Surgical Rehabilitation, and ACL Bridge Program. Hand Therapy services include Custom Orthotic Fabrication & Splinting, Upper Extremity Rehabilitation, Pediatric Occupational Therapy, Wound Care, Sensory Re-education, Sports Hand Injury Rehabilitation, and Pre/Post-Surgical Hand Rehabilitation. Additional services include Nutrition Counseling, Workplace Services, and IRG On-Demand mobile therapy including the Steady Steps fall prevention program. The company operates 40 clinics across the Pacific Northwest and offers professional development workshops including splinting and blood flow restriction certification courses.

Differentiator

Problem solved

Functional benefit

Products and services

• Physical Therapy Core outpatient physical therapy evaluation, treatment, and rehabilitation services for musculoskeletal conditions, post-surgical recovery, and mobility restoration. Delivered by licensed physical therapists in-person at 40 IRG clinic locations across the Pacific Northwest; billable to insurance (including Medicare and workers' compensation) and accessible via direct self-referral in Washington and Idaho.
• Hand Therapy Specialized hand and upper extremity rehabilitation services for patients with hand, wrist, and upper extremity conditions, including custom orthotic/splint fabrication, wound care, desensitization/sensory re-education, sports hand injury rehab, and pre/post-surgical rehabilitation. Delivered at IRG Hand Therapy-dedicated clinics (Bothell, South Sound Industrial & Hand Therapy in Olympia) and other network locations, billable through insurance.
• Massage Therapy Therapeutic massage services aimed at improved range of motion, increased tissue elasticity, and adjunct relief for musculoskeletal conditions; offered at IRG clinics as a complement to physical therapy.
• Athletic Training Services On-site certified athletic training services covering injury prevention, acute injury management, return-to-sport decisions, functional movement screenings, taping, and bracing, deployed to high schools, sports organizations, and employer sites. Sold under contract through IRG Athletic Training Services (Mill Creek HQ Suite 202); led by Jennifer Wright.
• Sports Performance Performance enhancement training for team and individual athletes, including the ACL Bridge Program (led by Robb Lamb) and Titleist Performance Institute (TPI) certified golf specialists, designed to improve strength, mobility, and return-to-sport outcomes.
• Workplace Services Industrial/occupational health services for employers including industrial therapy, ergonomic assessment, work conditioning, work hardening, and functional capacity evaluations, supporting workers' compensation and return-to-work outcomes.
• Nutrition Counseling Nutrition counseling services focused on healthy lifestyle and dietary guidance, delivered as a complement to physical therapy and rehabilitation programs.
• IRG On-Demand (Mobile/Home Therapy) Mobile therapy service delivering IRG rehabilitation and preventive care to patients at home or workplace, including the Steady Steps On-Demand fall prevention program, expanded geographic access beyond clinic walls.
• Astym Therapy Non-invasive Astym-certified soft tissue therapy that stimulates the body's natural healing response to remodel and resorb scar tissue and regenerate tendons; performed only by Astym-certified IRG clinicians.
• Blood Flow Restriction (BFR) Training Therapeutic training using FDA-approved Class I medical device tourniquet cuffs to restrict venous blood flow during low-load exercise, enabling muscle strengthening and hypertrophy without stressing repaired tissues; delivered by BFR-certified IRG providers.
• Dry Needling Targeted therapy using thin sterile needles inserted into trigger points to treat musculoskeletal pain and dysfunction.
• Vestibular Rehabilitation Rehabilitative exercises designed to reduce dizziness and improve balance and eye movements in patients with vestibular system dysfunction.
• Balance and Falls Prevention Individualized exercise programs for older adults designed to improve balance measures, mobility, and reduce fall risk; supports patients with vestibular dysfunction, gait impairment, or age-related mobility decline.
• LSVT BIG Therapy Standardized, research-based exercise protocol for people with Parkinson's disease that trains larger amplitude movements through intensive protocols, addressing unique movement impairments of Parkinson's.
• Pelvic Floor Therapy Physical therapy for pelvic floor muscle strengthening and function improvement in adults across all genders, addressing conditions including incontinence, pelvic pain, prenatal/postpartum care, and pelvic floor dysfunction.
• Pediatric Pelvic Floor Therapy Non-invasive care for children age four and older addressing bowel and bladder dysfunction, bedwetting, constipation, and fecal incontinence through pelvic floor coordination exercises and family education.
• Pediatric Developmental Physical Therapy Therapy services for children from birth through adolescence to improve coordination, strength, and balance and to support developmental milestones across neuromuscular, genetic, and developmental conditions.
• Pre and Post-Surgical Rehabilitation Pre- and post-surgical rehabilitation programs to increase strength and range of motion before and after orthopedic and other surgeries, supporting faster recovery and reduced complications.
• ACL Bridge Program Comprehensive ACL injury recovery program providing expert-led assessment, customized treatment plans, and collaborative care with orthopedic surgeons throughout prehab and rehabilitation toward return-to-sport.
• Custom Orthotic Fabrication & Splinting Custom-fabricated upper extremity orthotics and splints for hand and wrist injury support and recovery, delivered within the Hand Therapy service line.
• Continuing Education and Certification Courses Continuing education and certification workshops (including splinting workshops hosted at Wallingford and BFR Certification courses hosted at the Sports Institute in Seattle) for licensed PT, PTA, AT, DC, MD, DO, NP, PA, and OT professionals; registration fees apply.

Quantifiable outcome

• 24-hour response time commitment for patient communications
• +2 more outcomes

Named customers8 records

Segments8 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Ola Grimsby InstitutecoreStrategic or Co-development PartnerIRG connects employees to industry leaders in physical and occupational therapy education through partnership with the Ola Grimsby Institute. IRG supports therapists pursuing fellowships and residencies through this partnership, helping clinicians reach professional goals with advanced orthopedic and manual therapy training.
• Gary Gray InstitutecoreStrategic or Co-development PartnerIRG partners with the Gary Gray Institute to provide advanced clinical education for its therapists, supporting professional development pathways and specialized certifications in physical therapy.
• CandidlyminorOthersIRG partners with Candidly to offer a comprehensive student loan platform for employees, providing financial wellness support. IRG contributes $50-$100 per month directly toward employees' student loans depending on tenure (less than 1 year: $50/month; 1-3 years: $75/month; over 3 years: $100/month). Candidly advisors also help benefit-eligible employees organize and streamline their student loans, including refinancing for lower interest rates.
• OnusOneminorOthersIRG uses intelligent compensation through OnusOne, allowing staff therapists to add flexibility to their schedule and maximize earnings through an incentive-based compensation platform. Staff can contact Craig Shelton to learn more about OnusOne benefits.
• Spinal Manipulation (Continuing Education Provider)minorStrategic or Co-development PartnerIRG partners with Spinal Manipulation (spinalmanipulation.org) as the registration and hosting platform for its BFR Certification course (Cert. BFR) taught at IRG's Sports Institute in Seattle. The course is open to licensed PT, PTA, AT, DC, MD, DO, NP, PA, and OT professionals.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• ATI Physical Therapy: Largest U.S. outpatient physical therapy chain with hundreds of clinics across multiple states. Directly comparable to IRG as a multi-site outpatient PT provider offering orthopedic, sports, hand, and industrial therapy services, though ATI operates at significantly greater scale and geographic breadth.
• Select Physical Therapy (Select Medical): Outpatient rehabilitation division of Select Medical, one of the largest U.S. operators of specialty hospitals and rehab clinics. Comparable to IRG as a multi-state outpatient PT and hand therapy network serving similar patient populations including workers' comp and post-surgical cases.
• U.S. Physical Therapy: Public operator of ~600 outpatient PT clinics across the U.S. through a partnership model. Highly comparable to IRG in core service mix (orthopedic PT, hand therapy, industrial rehab) and clinic-level economics, but operates at much greater scale.
• Athletico Physical Therapy: Large outpatient orthopedic PT chain with clinics across the Midwest and beyond. Comparable to IRG in specialty service lines (vestibular, hand therapy, pelvic floor, sports therapy) and direct-to-consumer marketing, with comparable clinic count and similar multi-region operating model.

Direct peers

• Benchmark Physical Therapy: Multi-site outpatient PT provider operating across the Southeast U.S. Directly comparable to IRG in service portfolio (orthopedic PT, hand therapy, sports performance, industrial rehab) and clinic-network operating model, though in a different geography.
• CORA Physical Therapy: Outpatient PT operator with hundreds of clinics across the Southeast and Mid-Atlantic. Comparable to IRG in core services (orthopedic PT, hand therapy, sports medicine, workers' comp), private-pay/insurance model, and PE-backed roll-up growth strategy.
• Pivot Physical Therapy: Outpatient PT and sports medicine network with clinics across the Mid-Atlantic. Comparable to IRG in service breadth (PT, hand therapy, sports performance, industrial rehab) and in-network insurance model, though operating in a different region.
• NW Sport & Spine: Pacific Northwest outpatient PT practice and IRG subsidiary. Closest direct comparable within IRG's own network — same geography, similar orthopedic and sports therapy focus, illustrating the type of regional practice IRG continues to integrate.

Emerging players

• Concentra (Select Medical): Occupational health and physical therapy provider serving employers, including on-site athletic training and workers' comp rehab. Partial overlap with IRG's Workplace Services, Industrial Rehab, and Athletic Training offerings; competes for the same employer contracts in some markets.
• Therapy Partners Group: Private equity-backed outpatient PT roll-up partnering with clinics across the U.S. Directly comparable to IRG's acquisition-and-integration growth playbook and clinical/operational structure, though at earlier stage and smaller scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/integrated-rehabilitation-group
• Xx.com/irgpt
• Facebookfacebook.com/integrated-rehabilitation-group-295833806715

Compliance1 record

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 IRG Physical & Hand Therapy (Integrated Rehabilitation Group)