Rock Valley Physical Therapy

What Rock Valley Physical Therapy does

Rock Valley Physical Therapy is a therapist-owned and therapist-led outpatient physical therapy practice founded in 1984 in Moline, Illinois. The company operates more than 60 clinic locations across four Midwestern states — Illinois, Iowa, Nebraska, and South Dakota — and employs 500+ staff including 300+ licensed clinicians covering physical therapy, occupational therapy, speech therapy, and athletic training. Its core service portfolio spans 21+ specialty clinical services (vestibular, concussion management, Parkinson's/LSVT BIG, pelvic floor, EDS/hypermobility, hand therapy, chronic pain, TMJ, lymphedema, amputee rehab, geriatrics, pediatrics, sports injury, workers' compensation), five specialty treatment methods (Blood Flow Restriction, Postural Restoration, dry needling, lymphedema therapy, aquatic therapy), and 11 body-area pain service lines. The practice operates a direct-access model in Iowa, Illinois, and Nebraska that allows patients to self-refer without physician gatekeeping.

The company's technology stack is primarily clinical rather than digital: treatment is delivered through evidence-based manual therapy, therapeutic exercise, and specialized modalities. Notable proprietary-adjacent methods include BFR training (cited as supported by 820+ research studies), Postural Restoration Institute (PRI) methodology, and LSVT BIG for Parkinson's. On the B2B side, Rock Valley operates Employer Health Solutions (onsite injury prevention, ergonomic assessments, work comp, functional capacity evaluations, fit-for-duty testing, post-offer employment testing) and Corporate Health & Wellness programs (biometric screenings, health coaching, medical nutrition therapy, online wellness portals with fitness trackers). The company also runs Athletic Training Services delivered onsite at schools and sports organizations, providing a feeder channel into the clinic network. Sub-brands include Rock Valley Kids (pediatric PT/OT/speech), Slate (specialty/chronic pain), and Rock Valley Health (wellness).

Revenue is generated primarily through fee-for-service PT billed to insurance, Medicare, and Medicaid, supplemented by workers' compensation rehabilitation, B2B employer services contracts, and direct self-pay collections processed via InstaMed. No external private equity or venture capital investment is disclosed; ownership remains with the therapist-employee base. The leadership team is entirely clinician-led: CEO Mike Horsfield, CFO Randy Boldt, CPO Debbie Healy, COO Eric Sacia, all licensed PTs, supported by VPs for Employer Services, Slate, and Growth. Specific pricing is not publicly disclosed; patients pay insurance-based copays and deductibles per session.

Name

Rock Valley Physical Therapy

Legal name

Rock Valley Physical Therapy

Website

https://rockvalleypt.com

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Therapist-owned outpatient physical therapy practice founded in 1984 in Moline, Illinois, operating 60+ clinics across four Midwestern states with 300+ licensed clinicians delivering specialty PT, OT, speech therapy, and B2B employer health services.

Ownership category

akta.pro rank

Product category

Outpatient Physical Therapy Services

NAICS

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

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro industry

PRIMARYHLAFABAB

Outpatient Rehabilitation & Physical/Occupational/Speech Therapy Centers

Healthcare & Life Sciences/Healthcare Providers & Systems/Ambulatory & Outpatient Care Centers

SECONDARYHSADAIAE

Pediatric Physical Therapy & Developmental Rehab

Home & Personal Services/Fitness, Wellness & Personal Training/Physical Therapy, Rehabilitation & Corrective Exercise

SECONDARYHSADAIAF

Vestibular Rehabilitation & Balance Therapy

Home & Personal Services/Fitness, Wellness & Personal Training/Physical Therapy, Rehabilitation & Corrective Exercise

SECONDARYHSADAAAK

Rehabilitation Return-to-Exercise Training (Non-Clinical)

Home & Personal Services/Fitness, Wellness & Personal Training/Personal Training (In-Person & Virtual)

Keywords

• Physical therapy services
• Outpatient rehabilitation
• Occupational therapy
• Employer health solutions
• Specialty clinical therapy

Headquarters

HQ city

Moline

HQ country

United States

HQ region

North America

Offices12 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Physical Therapy Services: Fee-for-service physical therapy treatments billed to insurance, Medicare, Medicaid, or paid out-of-pocket by patients. Services include evaluation, manual therapy, therapeutic exercise, and specialized treatments across all clinic locations.
2. Workers Compensation Rehabilitation: Physical therapy services for workplace injuries billed through workers compensation insurance. Includes injury treatment, functional capacity evaluations, work hardening, and return-to-work programs.
3. Employer Services / Corporate Wellness: B2B services including onsite injury prevention, ergonomic assessments, wellness programs, post-offer employment testing, drug screening, and corporate wellness sold as contracts to employers to reduce workplace injuries and healthcare costs.
4. Self-Pay and Copay Collection: Direct patient payments including copays, deductibles, and out-of-pocket expenses collected at time of service. Online payment portal available through InstaMed.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels6 records

Core offering

Rock Valley Physical Therapy operates a multi-location outpatient physical therapy practice delivering evidence-based evaluation, manual therapy, therapeutic exercise, and specialized treatment methods (e.g., vestibular, pelvic floor, aquatic, BFR, dry needling, LSVT BIG). It also provides B2B employer health solutions including onsite injury prevention, ergonomic assessments, functional capacity evaluations, workers' compensation rehab, and corporate wellness programs, with direct-access self-referral available in Iowa, Illinois, and Nebraska.

Product overview

Rock Valley Physical Therapy operates as a therapist-owned and led multi-location physical therapy practice offering a comprehensive, unified service portfolio organized around specialty clinical services, specialty treatment methods, body-area pain treatment, and B2B employer solutions. The core clinical offering spans 21 specialty services including vestibular therapy, concussion management, Parkinson's therapy, balance and fall prevention, speech therapy, pelvic floor therapy, EDS/hypermobility treatment, worker's compensation rehab, occupational and hand therapy, sports injury prevention, chronic pain management, TMJ therapy, geriatric PT, amputee rehabilitation, and a full pediatric service line (physical, occupational, and speech therapy for children marketed under the Rock Valley Pediatrics sub-brand). These clinical services are delivered using five distinct specialty treatment methods: Blood Flow Restriction Training, Postural Restoration, Dry Needling, Lymphedema Therapy, and Aquatic Physical Therapy (with a separate Aquatic Maintenance Program membership). Direct access — the ability to self-refer without a physician's referral — is a core feature of the service model across Iowa, Illinois, and Nebraska. Body-area pain services address 11 regions (head, neck, back, shoulder, elbow, wrist, hand, hip, knee, ankle, foot). On the B2B side, Rock Valley offers Employer Health Solutions (injury prevention, work comp, functional capacity evaluations, fit for duty testing) and Athletic Training Services for schools and organizations, alongside a Corporate Health & Wellness program. A related sub-brand called Slate is referenced separately. Founded in 1984 and headquartered in Moline, IL, the organization operates 60+ clinics across Iowa, Illinois, Nebraska, and South Dakota.

Differentiator

Problem solved

Functional benefit

Brands

• Rock Valley Kids: Pediatric physical therapy, occupational therapy, and speech therapy services for infants and children.
• Slate
• Rock Valley Health

Products and services

• Vestibular Therapy Specialty physical therapy service that evaluates and treats inner ear dysfunction and vestibular disorders, including vertigo, dizziness, and balance deficits, using positional maneuvers, eye coordination exercises, habituation exercises, and static/dynamic balance training.
• Concussion Management Specialty program designed to help patients recover safely from concussions (mild traumatic brain injuries), addressing physical, cognitive, and emotional symptoms through tailored rehabilitation including balance training, vision exercises, and gradual activity progression.
• Neurological / Parkinson's Therapy (LSVT BIG) Neurological physical therapy program for Parkinson's disease and related conditions, featuring LSVT BIG therapy (16 one-on-one sessions over four weeks), gait retraining, balance coordination, and ongoing support groups for motor and non-motor symptom management.
• Balance and Fall Prevention One-on-one physical therapy focused on reducing fall risk and restoring stability through balance exercises, strength training, coordination improvement, and dizziness reduction techniques, targeting vestibular disorders, neurological conditions, and age-related changes.
• Speech Therapy Speech and language therapy addressing speech sound production, language use, and social language (pragmatics) for children and adults, including services for articulation disorders, fluency issues, voice disorders, aphasia, cognitive-communication difficulties, and swallowing disorders (dysphagia).
• Pelvic Floor Therapy Pelvic health physical therapy service treating bladder, bowel, and sexual dysfunction, prenatal/postpartum conditions, genital/rectal/groin pain, osteoporosis, constipation, and coccydynia for women, men, transgender, and elderly populations.
• EDS Hypermobility Treatment Specialized physical therapy for Ehlers-Danlos Syndrome (EDS) and joint hypermobility, focusing on joint stability, pain relief, movement control, gentle strengthening, posture and breathing work, and balance training.
• Workers' Compensation Rehabilitation Personalized workers' compensation rehabilitation program focused on restoring strength, mobility, and safe return-to-work goals for job-related injuries including low back pain, shoulder injuries, carpal tunnel, sprains, and post-surgical recovery.
• Occupational and Hand Therapy Specialized upper extremity rehabilitation for conditions including carpal tunnel syndrome, tendonitis, arthritis, trigger finger, wrist/hand fractures, nerve injuries, and post-surgical recovery, including custom splinting, wound care, scar management, and sensory re-education.
• Sports Injury Prevention and Evaluation Athletic physical therapy program providing injury recovery, movement evaluation, injury prevention programs, and return-to-sport guidance, working with athletic trainers, coaches, and healthcare providers for sprains, strains, tendonitis, shin splints, stress fractures, and post-surgical rehab.
• Chronic Pain Management Chronic pain treatment program addressing the whole person through pain science education, guided exercise, nervous system retraining, and hands-on techniques to manage conditions including fibromyalgia, arthritis, chronic back/neck pain, CRPS, and post-surgical pain.
• TMJ / TMD Therapy Physical therapy for temporomandibular joint dysfunction (TMD), using soft tissue mobilization, joint mobilizations, stretching, ROM exercises, and dry needling to reduce jaw pain, improve jaw movement, and relieve associated headaches and neck pain.
• Geriatric Physical Therapy Physical therapy tailored for older adults addressing arthritis, osteoporosis, balance and gait problems, joint replacement recovery, chronic pain, neurological conditions (Parkinson's, stroke), and general weakness, with a focus on maintaining independence and fall prevention.
• Amputee Rehabilitation Comprehensive amputee rehab program supporting patients from post-surgical healing through prosthetic training, including pre-prosthetic preparation, balance/gait training, residual limb care, core strengthening, phantom limb pain management, and prosthetic training for daily mobility tasks.
• Pediatric Physical Therapy Interdisciplinary pediatric therapy for infants and children addressing developmental delays, torticollis, cerebral palsy, hypotonia, scoliosis, sports injuries, and coordination/balance problems, featuring free developmental screenings and coordination with Area Education Agency (AEA) services.
• Pediatric Occupational and Hand Therapy Play-based pediatric occupational therapy helping children build fine motor skills, sensory processing, self-care, feeding, visual-motor integration, and emotional regulation for daily activities at home, school, and play.
• Blood Flow Restriction (BFR) Training Specialized training technique using a pneumatic cuff to restrict venous blood flow while allowing arterial inflow, enabling muscle strength and hypertrophy gains at loads as low as 20% of 1 rep max, used for post-surgical recovery, ACL repairs, rotator cuff repairs, and joint replacement rehab.
• Postural Restoration (PRI) Whole-body approach addressing asymmetrical postural and movement patterns caused by breathing dysfunction, muscle imbalances, and alignment issues, using specific exercises, breathing strategies, and manual techniques to restore natural alignment for chronic pain, scoliosis, hip pain, and TMJ.
• Dry Needling Physical therapy technique using thin monofilament needles to penetrate skin and treat underlying muscular trigger points, inducing twitch responses to reduce muscle activity, relieve pain, restore motion, and release endogenous opiates for healing.
• Lymphedema Physical Therapy Lymphedema management using manual lymphatic drainage, compression therapy, therapeutic exercise, and skin care education to reduce swelling, improve mobility, and prevent infection for patients with cancer-related or primary lymphedema.
• Aquatic Physical Therapy One-on-one individualized physical therapy conducted in a warm pool using water properties (buoyancy, resistance, warmth) to reduce pain, improve range of motion, and build strength, endurance, and balance, with underwater treadmill, resistance jets, and massage wand available.
• Aquatic Maintenance Program Monthly membership program for patients who have completed aquatic physical therapy, allowing continued independent use of the therapy pool for aquatic exercises under self-directed supervision.
• Direct Access Physical Therapy Self-referral access to licensed physical therapists without requiring a physician referral, available in Iowa, Illinois, and Nebraska, enabling patients to seek care as soon as pain or injury begins and reducing healthcare costs and recovery time.
• Employer Health Solutions B2B suite of employer-facing services including post-offer employment testing, drug screening, onsite injury prevention, onsite PT/OT, hearing testing, corporate wellness, tactical fitness programs, traditional work comp, functional capacity evaluations, work hardening and conditioning, and fit for duty testing.
• Corporate Health and Wellness Corporate wellness programs providing biometric screenings, health coaching, medical nutrition therapy, personal training, group fitness classes, mental wellness resources, online wellness portals with fitness trackers, on-site education, and nationwide coverage through dedicated health coaches, registered dietitians, nurses, and exercise specialists.
• Athletic Training Services On-site athletic training services for schools, teams, and organizations providing injury prevention, immediate injury evaluation, on-site rehabilitation guidance, and return-to-play support, with direct access to the Rock Valley PT network of physical and occupational therapists.
• Rock Valley Pediatrics Interdisciplinary pediatric service line combining pediatric physical therapy, pediatric occupational therapy, and pediatric speech therapy under one brand for comprehensive infant and child development care, offering free developmental screens without physician referral.

Quantifiable outcome

• Direct access eliminates referral delays, enabling patients to start treatment sooner
• +1 more outcomes

Named customers4 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

Feature5 records

Partnerships

Three partnerships are on record, tiered minor.

• MercyOne GenesisminorStrategic or Co-development Partner · 1 May 2026Collaboration with MercyOne Genesis healthcare system to provide sports physicals for student-athletes at local schools for the upcoming school year. Rock Valley PT clinicians perform physical evaluations while MercyOne Genesis provides medical oversight.
• SlateminorOthersReferral relationship or partnership with Slate (slatept.com) for patients who may benefit from their specialized services. Listed in the 'Partner With Us' section of the website.
• Traekos Workforce MedicineminorImplementation/ SI/ Consulting PartnerPartnership with Traekos Workforce Medicine for Occupational Medicine Physician services supporting employer services and workplace health programs. Rock Valley provides PT/OT services with Traekos providing medical oversight.

Scale indicators3 records

Recent moves4 records

Expansion highlights7 records

Direct peers

• Drayer Physical Therapy Institute: Multi-state outpatient PT operator owned by Upstream Rehabilitation with comparable orthopedic, sports, and industrial/employer service offerings, directly competing with Rock Valley for clinic-level patient volume and employer contracts.
• Athletico Physical Therapy: Midwest-headquartered outpatient physical and occupational therapy chain with comparable specialty service breadth and employer-services capabilities, directly competing for patients, clinicians, and employer contracts in Rock Valley's core Illinois/Iowa footprint.
• ATI Physical Therapy: One of the largest U.S. outpatient physical therapy chains, offering comparable orthopedic, sports, workers' comp, and specialty PT services across multiple regions; competes with Rock Valley for employer contracts, clinician talent, and patient referrals.
• Ivy Rehab Network: Multi-state outpatient PT/OT/speech provider with strong pediatric and orthopedic specialty offerings; directly comparable sub-brand strategy (e.g., Ivy Rehab for Kids) mirrors Rock Valley Kids and competes for specialty referrals and employer relationships.
• BenchMark Physical Therapy (Upstream Rehabilitation): Outpatient PT chain operating across the Southeast and Midwest with comparable specialty services (manual therapy, vestibular, pelvic health) and employer health solutions, directly competing in markets overlapping Rock Valley's geography.

Emerging players

• Hinge Health: Digital musculoskeletal care platform providing virtual PT and chronic pain programs; competes with Rock Valley for employer-sponsored MSK spend and represents a disruptive channel that could divert upstream patient referrals from brick-and-mortar clinics.
• Sword Health: AI-enabled virtual MSK and pelvic health provider contracting directly with employers and health plans; competes for the same employer wellness and chronic-pain budgets and threatens to commoditize certain Rock Valley specialty service lines (e.g., pelvic floor, chronic pain).

Broad incumbents

• Concentra (Select Medical): Occupational health and urgent care operator within Select Medical that overlaps with Rock Valley's employer services, workers' compensation, post-offer testing, and onsite injury-prevention offerings, competing for the same employer budgets.
• Select Medical / NovaCare Rehabilitation: Large publicly traded post-acute and outpatient rehab provider whose NovaCare division offers PT/OT/speech services nationally; overlaps with Rock Valley in workers' compensation and outpatient rehab but operates a broader hospital and inpatient portfolio.
• U.S. Physical Therapy: Publicly traded partnership that owns and operates hundreds of outpatient PT clinics across the U.S., with a roll-up acquisition model that competes for independent clinic acquisitions and represents a potential strategic acquirer for Rock Valley.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/rockvalleypt

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries2 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 Rock Valley Physical Therapy