What Cognitive FX does

Cognitive FX is a single-location, research-oriented rehabilitation clinic headquartered in Provo, Utah, founded in 2014 by Dr. Mark Allen, Dr. Alina Fong, and Dr. Lynn Gaufin to commercialize a clinical-grade functional MRI protocol called fNCI (functional NeuroCognitive Imaging). The clinic specializes in post-concussion syndrome (PCS) and has expanded into adjacent brain-injury and mental-health indications including POTS, TIA/mini-stroke, viral brain injuries (Long COVID, post-Lyme, encephalitis), and treatment-resistant depression via fMRI-guided transcranial magnetic stimulation. Core clinical intellectual property centers on fNCI, which measures neurovascular coupling by comparing patient brain activation across 27 functional systems and 100+ regions against a normative healthy-control database collected 2005-2007, and on the EPIC Treatment protocol, an intensive 1-2 week multidisciplinary program structured around a Prepare-Activate-Recovery cycle combining aerobic exercise with neuromuscular, cognitive, vestibular, and vision therapy. Outcomes are independently validated, with a University Medical Center Groningen study of 270+ patients reporting 75% average improvement in brain function severity index and 62% symptom reduction, and clinic-disclosed metrics including 77% normalization on cognitive baselines and 94% symptom reduction. The business model is direct-to-consumer professional services: patients complete intake, a free 30-minute consultation, and logistics coordination before traveling to the Provo clinic for a one-time intensive treatment priced between $3,500 and $25,000 depending on indication and program. Marketing relies heavily on educational blog content, free symptom-assessment quizzes, third-party validated research, and patient testimonials rather than referral networks or payer reimbursement. Throughput stood at approximately 15 patients per week as of 2020-2021, with clinical staffing of 14 doctors and therapists and a small back-office support team (total headcount 11-50), serving patients primarily from the United States with active international recruitment and a nearby hotel partnership for accommodations.

Name

Cognitive FX

Legal name

Cognitive FX

Website

https://cognitivefxusa.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

11–50 employees

Short description

Cognitive FX operates a single rehabilitation clinic in Provo, Utah, providing fMRI-guided post-concussion syndrome treatment via its proprietary EPIC protocol, plus TMS for depression, POTS, and viral brain injury programs to individual patients traveling domestically and internationally.

Ownership category

akta.pro rank

Product category

Neurorehabilitation Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Neurologic Rehabilitation Centers (Stroke/TBI/SCI/MS/Parkinson’s) (HLADAJAH)

akta.pro secondary industries

Neurologic Rehabilitation (Stroke, TBI, Parkinson’s, MS) (HSADAIAC), Cognitive & Behavioral Neurology (Dementia/Memory Disorders) (HLAKAIAH)

Keywords

• Post-concussion treatment
• Brain injury rehabilitation
• Functional neuroimaging
• TMS depression therapy
• Neurological recovery services

Headquarters

HQ city

Provo

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. EPIC Treatment Program: Intensive 1-2 week treatment program for post-concussion syndrome, depression, and other brain injuries. Pricing ranges from $3,500 to $25,000 depending on specific needs and treatment options selected during consultation. One-time treatment with post-care follow-up included.
2. fNCI Brain Scan: Diagnostic functional brain imaging scan that serves as the foundation for personalized treatment planning. Included as part of the overall treatment program.
3. TMS Depression Treatment: Transcranial Magnetic Stimulation treatment for depression, including both standard protocols and accelerated one-day treatment protocol.
4. Free Consultation: 30-minute consultation with doctors to determine patient eligibility and treatment fit. No commitment required for initial consultation.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels8 records

Core offering

Cognitive FX operates a specialized brain rehabilitation clinic that uses proprietary functional NeuroCognitive Imaging (fNCI) scans to identify dysregulated brain regions in patients suffering from post-concussion syndrome, other brain injuries, and treatment-resistant depression. Based on scan results, the clinic delivers the EPIC Treatment protocol — an intensive 1–2 week multidisciplinary rehabilitation program combining aerobic exercise, neuromuscular, cognitive, vestibular, and vision therapies, plus fMRI-guided TMS for depression cases.

Product overview

Cognitive FX offers a unified treatment platform centered on EPIC (Enhanced Performance in Cognition) Treatment, an intensive multidisciplinary rehabilitation program for post-concussion syndrome and related brain injuries. The core diagnostic capability is fNCI (Functional NeuroCognitive Imaging), an advanced functional MRI that identifies specific dysfunctional brain regions to guide personalized treatment. The company provides specialized treatment programs for various conditions including POTS, TIA/mini strokes, viral brain injuries, and depression using TMS. Additionally, the company offers free digital tools including symptom trackers for post-concussion and POTS patients, and an online headache management course.

Differentiator

Problem solved

Functional benefit

Products and services

• EPIC Treatment (Enhanced Performance in Cognition) Intensive 1–2 week multidisciplinary rehabilitation program for post-concussion syndrome and brain injuries. Uses fNCI-guided personalized therapy combining physical exercise, cognitive therapy, neuromuscular therapy, vestibular therapy, vision therapy, and other targeted treatments in a Prepare-Activate-Recover cycle.
• fNCI Brain Scan (Functional NeuroCognitive Imaging) Advanced functional MRI scan that measures neurovascular coupling (NVC) and brain activation patterns during cognitive tasks. Identifies which specific brain regions are hypoactive or hyperactive compared to healthy controls, providing a detailed map to guide personalized treatment.
• Post-Concussion Syndrome Treatment Evidence-based treatment program using the EPIC protocol for patients experiencing persistent concussion symptoms lasting more than 3 months, including headaches, brain fog, fatigue, and cognitive difficulties.
• POTS Treatment

Quantifiable outcome

• 77% of patients return to normal cognitive baseline testing (SCAT 5) after treatment
• +5 more outcomes

Named customers9 records

Segments6 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Five partnerships are on record, tiered minor.

• Methodist Health SystemminorStrategic or Co-development Partner · 1 April 2022Cognitive FX participated in a community health initiative providing free health screenings including post-concussion and brain injury assessments to former NFL players in the Dallas area, in collaboration with The Living Heart Foundation and the NFL Players Association.
• The Living Heart FoundationminorStrategic or Co-development Partner · 1 April 2022Non-profit organization focused on heart health and athlete wellness. Partnered with Cognitive FX and Methodist Health System to provide comprehensive health screenings for former NFL players.
• NFL Players AssociationminorGTM or Marketing Partner · 1 April 2022Professional athletes' union that facilitated access to former NFL players for health screenings. Dr. Alina Fong joined The Living Heart Foundation at these screening events.
• Pink ConcussionminorStrategic or Co-development Partner · 1 January 2022Organization focused on concussion research and education for women. Dr. Fong serves as an advisor to Pink Concussions and participated in interviews discussing advances in neuroimaging for concussion and Long COVID treatment.
• Nearby Hotel PartnerminorOthersCognitive FX has established a close partnership with a nearby hotel to offer patients exclusive rates and a convenient shuttle service that transports patients to and from the clinic during their treatment week.

Scale indicators8 records

Recent moves9 records

Expansion highlights6 records

Emerging players

• SyncThink: Neurotechnology company offering eye-tracking-based concussion assessment (Eyes-Through), with FDA clearance and adoption across college and professional sports. A diagnostic-side competitor to fNCI in identifying concussions, but does not provide a comparable intensive treatment program.
• ImPACT Applications: Provider of ImPACT, the most widely used computerized concussion assessment tool in U.S. sports and clinical practice. Not a treatment clinic, but a complementary/adjacent player in the concussion pathway that competes for patient attention and clinician mindshare alongside Cognitive FX's fNCI-based approach.
• Headway / Neuroworx (and similar TBI specialty clinics): Specialty neurological rehabilitation clinics (e.g., Neuroworx) focused on traumatic brain injury, stroke, and post-concussion recovery, often using intensive activity-based therapy models. Comparable niche positioning to Cognitive FX with a similar outcomes-driven, intensive-therapy orientation, though typically without fNCI-based diagnostics.

Regional players

• Centria Healthcare: U.S. provider of in-home and center-based therapy for autism, brain injury, and behavioral health conditions, including post-concussion and neurological rehabilitation. Less specialized than Cognitive FX in post-concussion care, but operates in adjacent rehab verticals with broader payer relationships.

Direct peers

• Carrick Institute / Carrick Brain Centers: Chiropractic neurology and functional brain-injury treatment network using advanced diagnostics and multidisciplinary therapy for post-concussion and neurological patients. Highly comparable niche positioning to Cognitive FX, with a similarly specialized, cash-pay, outcomes-focused clinical model.
• Plasticity Brain Centers: Multi-location specialty clinic offering fNCI-based neurological rehabilitation for post-concussion and brain injury patients. Operates the same core diagnostic-and-treatment model as Cognitive FX, including personalized multi-modality therapy programs, and is the closest direct competitor.

Broad incumbents

• Cleveland Clinic Concussion Center: Major academic medical center running a dedicated concussion and brain injury program with multidisciplinary clinical teams, neuroimaging, and rehabilitation services. Competes for the same patient pool as Cognitive FX, but with greater payer access, research infrastructure, and brand recognition.
• Mayo Clinic Neurology / Concussion Program: Nationally recognized neurology and concussion program within Mayo Clinic, offering advanced imaging, diagnostics, and rehabilitation for post-concussion syndrome and related brain injuries. A premium incumbent that patients may consider alongside Cognitive FX, especially given Mayo's payer network and research reputation.
• Spaulding Rehabilitation Network: Large specialty rehabilitation network (affiliated with Harvard Medical School) providing inpatient and outpatient neurological rehabilitation, including brain injury and post-concussion care. Comparable patient population and therapy disciplines to Cognitive FX, but with a broader rehab portfolio and academic-medical-center infrastructure.
• UPMC Sports Medicine Concussion Program: Large, well-resourced academic concussion program inside the UPMC health system, treating athletes and civilians with post-concussion symptoms. Overlaps with Cognitive FX in patient population and condition, but operates within a broader hospital network with insurance contracts and research scale Cognitive FX lacks.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/cognitivefx
• Instagraminstagram.com/cognitive_fx
• Xx.com/cognitivefx

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 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 Cognitive FX