Big Stone Therapies

What Big Stone Therapies does

Big Stone Therapies is a privately held, multi-location outpatient rehabilitation provider founded in 1990 in Big Stone City, South Dakota, and headquartered at 500 Cross Street. The company delivers physical therapy, occupational therapy, and speech-language pathology services across 50+ clinic locations spanning four states — Minnesota, North Dakota, South Dakota, and Michigan — with an employee base of 251–500 clinicians and staff. Its service catalog extends well beyond the core three disciplines into specialty programs including pelvic floor therapy, vestibular rehabilitation, concussion care, dry needling, LSVT BIG/LOUD for Parkinson's, lymphedema, hand therapy, pain neuroscience education, swallowing/FEES assessments, low vision therapy, cognitive rehabilitation, dementia care, and pediatric therapy. The company is led by CEO Wade VanDover, with co-founder Paul Treinen (PT) referenced in long-running company materials, and supports clinical-education partnerships with University of Mary and Concordia University St. Paul DPT programs.

The business model is a fee-for-service professional-services model: revenue is generated through direct patient visits billed to insurance, Medicare, Medicaid, and self-pay, supplemented by employer-facing occupational health services (work injury rehab, work conditioning, pre-employment screens, ergonomic assessments), outsourced therapy-department partnerships with hospitals, skilled nursing, and assisted living facilities, and school-based therapy services. Go-to-market is sales-led, combining direct patient acquisition (phone, online appointment requests, complimentary 15-minute screenings), physician and healthcare-provider referrals, and direct B2B employer contracts. The company also operates Big Stone Staffing, a separate channel offering nationwide travel-therapy placements for PTs, PTAs, OTs, OTAs, and speech-language pathologists, extending its service surface beyond its four-state clinic footprint. Marketing relies on content (educational blog), organic social (Facebook, Instagram, X, LinkedIn), patient testimonials, and a long-running annual mission trip to San Lucas Tolimán, Guatemala — its 30th trip was documented in October 2023 — that functions as both community engagement and employer branding.

Core technology is described as "not publicly disclosed" and there is no proprietary software platform, app, or AI/ML capability referenced in the input. The company's competitive positioning rests on its regional clinic density in rural Midwest markets, a 30+-year brand ("Rock Solid Rehab"), advanced-clinician certifications, and its clinical-education pipeline rather than technology differentiation. Ownership is private and undisclosed, with no reported funding rounds, institutional investors, or M&A activity.

Name

Big Stone Therapies

Legal name

Big Stone Therapies

Website

https://bigstonetherapies.com

Company type

Private

Founded year

1990

Operating status

Operating

Headcount range

101–250 employees

Short description

Big Stone Therapies is a privately held outpatient rehabilitation provider founded in 1990, operating 50+ clinics across Minnesota, North Dakota, South Dakota, and Michigan. It delivers physical, occupational, and speech therapy plus specialty programs to individual patients, employers, healthcare facilities, and schools, and runs a national travel-therapy staffing arm.

Ownership category

akta.pro rank

Product category

Outpatient Rehabilitation Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Offices of Other Health Practitioners (6213), Ambulatory Health Care Services (621)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industries

Related Therapy Services (Speech, Occupational, Physical, Feeding) (EDAJAKAD), Neurological Rehabilitation Therapy In-Home (e.g., Stroke, Parkinson’s) (HSABADAE)

Keywords

• Outpatient rehabilitation services
• Physical therapy services
• Occupational therapy services
• Speech language pathology
• Occupational health services

Headquarters

HQ city

Big Stone City

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Therapy Services: Big Stone Therapies generates revenue through providing physical therapy, occupational therapy, speech therapy, and specialty services at their 50+ outpatient clinic locations across Minnesota, North Dakota, South Dakota, and Michigan. Services include orthopedic rehabilitation, neurological rehabilitation, pediatric therapy, pelvic floor therapy, vestibular rehabilitation, and occupational health services. Revenue is generated through direct patient visits billed to insurance, Medicare, Medicaid, and self-pay patients.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Big Stone Therapies provides outpatient rehabilitation therapy — physical therapy, occupational therapy, and speech-language pathology — across more than 50 clinic locations in Minnesota, North Dakota, South Dakota, and Michigan. It serves patients of all ages (pediatric to geriatric) and supplements core therapy with specialty programs such as hand therapy, pelvic floor therapy, vestibular rehabilitation, concussion care, LSVT BIG/LOUD for Parkinson's, dry needling, lymphedema therapy, and pediatric therapy. The company also delivers occupational health services to employers and operates Big Stone Staffing for nationwide travel therapy placements.

Product overview

Big Stone Therapies operates as a multi-location physical rehabilitation and therapy network offering a comprehensive suite of services. The core offerings include Physical Therapy, Occupational Therapy, and Speech Language Pathology, supplemented by specialized services such as Hand Therapy, Occupational Health, Concussion Care, Pelvic Floor Therapy, Vestibular Rehabilitation, and specialized programs like LSVT BIG/LOUD for Parkinson's disease. The company also provides pediatric therapy services and athletic training. The brand promise 'Rock Solid Rehab' represents their commitment to excellence in rehabilitation through caring, hands-on healing. Services are delivered across 50+ locations in Minnesota, North Dakota, South Dakota, and Michigan.

Differentiator

Problem solved

Functional benefit

Products and services

• Physical Therapy

Named customers9 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Six partnerships are on record, tiered core and minor.

• Albert Lea Healthcare CoalitioncoreStrategic or Co-development Partner · 13 May 2021Partnership to bring rehabilitation services to Albert Lea, Minnesota. Big Stone Therapies is partnering with the Albert Lea Healthcare Coalition to open a private practice location, serving the local community with physical therapy, occupational therapy, speech language pathology, and athletic training services. Construction on the new space began after the announcement.
• MercyOneminorStrategic or Co-development PartnerMercyOne is mentioned as part of the Albert Lea Healthcare Coalition partnership, collaborating with Big Stone Therapies to bring rehabilitation services to Albert Lea, Minnesota.
• University of MarycoreStrategic or Co-development PartnerPartnership with University of Mary for clinical education and student rotations. PT students from University of Mary participate in Guatemala mission trips with Big Stone Therapies clinicians, gaining hands-on experience while providing community service.
• Concordia University, St. PaulcoreStrategic or Co-development PartnerPartnership with Concordia University, St. Paul Doctor of Physical Therapy Program for clinical rotations and student education. Ramy Vandendriessche from Big Stone Therapies received Clinical Instructor of the Year award from this university.
• Concordia St. Paul PT StudentsminorStrategic or Co-development PartnerPT students from Concordia St. Paul work alongside Big Stone Therapies clinicians during Guatemala mission trips, providing collaborative learning and service opportunities.
• San Lucas Tolimán MissioncoreStrategic or Co-development PartnerLong-standing mission partnership with San Lucas Tolimán, Guatemala. Big Stone Therapies has conducted 30+ mission trips to this location, providing rehabilitation services to local communities. The mission provides accommodation, food, and local coordination for volunteer therapists.

Scale indicators4 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• ATI Physical Therapy: Large U.S. outpatient physical therapy chain offering PT, OT, and specialty services across dozens of states. Directly comparable business model, multi-clinic delivery, and payer mix to Big Stone Therapies, with much greater scale.
• Athletico Physical Therapy: Midwest-headquartered outpatient PT provider with strong specialty service mix (vestibular, concussion, pelvic health). Highly comparable to Big Stone on service breadth and upper Midwest footprint overlap.
• CORA Health Services: Outpatient PT chain operating across the southeastern U.S. with similar multi-specialty service mix (orthopedic, sports, neuro, pelvic health). Comparable business model and clinic-level economics to Big Stone.
• BenchMark Physical Therapy: Outpatient PT provider operating across the Southeast and Midwest with comprehensive orthopedic, neurologic, and specialty services. Comparable delivery model and clinic footprint strategy.
• Drayer Physical Therapy Institute: Outpatient PT operator owned by Upstream Rehabilitation with multi-state clinic network and broad service mix. Comparable in scale, geography strategy, and specialty offerings to Big Stone.

Broad incumbents

• Select Medical / NovaCare Rehabilitation: Large diversified rehabilitation provider operating outpatient PT clinics (NovaCare, Physiotherapy Associates) alongside IRFs and outpatient rehab. Comparable clinic services but at materially greater scale and corporate breadth.
• U.S. Physical Therapy (USPH): Public holding company that owns and operates hundreds of outpatient PT clinics via majority-clinic partnerships. Closely comparable clinic economics, partner-clinic structure, and specialty service expansion playbook.
• Concentra: Largest U.S. occupational health and work-injury provider offering PT, OT, and employer services. Closely comparable occupational health and employer-partnership GTM motion to Big Stone's employer services.

Emerging players

• FYZICAL Therapy & Balance Centers: Franchise-based PT network emphasizing vestibular, balance, and specialty services. Comparable specialty service positioning (vestibular, neuro) and clinic-level economics, though operates via franchising rather than direct ownership.

Others

• RehabCare / Kindred Rehab Services: Provider of contract therapy management for hospitals, SNFs, and senior living facilities. Comparable on the facility-partnership/contract staffing motion that Big Stone pursues with healthcare facilities and through Big Stone Staffing.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/BigStoneInc
• Facebookfacebook.com/BigStoneTherapies
• LinkedInlinkedin.com/company/big-stone-therapies-inc.
• Instagraminstagram.com/big.stone.therapies

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 Big Stone Therapies