Axes Physical Therapy

What Axes Physical Therapy does

Axes Physical Therapy is a private, physical therapist owned and operated multi-site outpatient rehabilitation practice founded in 2016 and headquartered in O'Fallon, Missouri. As of May 2026 the company operates 24 clinic locations across Greater St. Louis, Mid-Missouri, and Southern Illinois, employing 101–250 staff with an average therapist tenure of 15+ years. The company is governed by five founding partners (Bill Franzen, Bruce Watson, Derrick Wolk, John Teepe, and Brian Freund) and has no disclosed external investors, private equity backing, or parent company.

The service portfolio is anchored on general outpatient orthopedic physical therapy and extends into specialty programs including hand therapy (via Certified Hand Therapists), advanced work rehabilitation, sports therapy, spine specialty, vestibular therapy, TMJ dysfunction treatment, and pre/post-surgical rehabilitation. Notable clinical techniques include Trigger Point Dry Needling, Blood Flow Restriction Training (BFRT), Instrument Assisted Soft Tissue Mobilization (IASTM), Kinesio Taping, and DorsaVi Video Motion Analysis — a sensor-based assessment platform offered at six locations with premium pricing ($149 for Athletic Movement Index, $249 for Running Gait Analysis). All services are delivered in-person by licensed physical and occupational therapists.

The revenue model is fee-for-service professional services billed per session, predominantly through insurance reimbursement, supplemented by direct-pay specialty assessments, workers' compensation case revenue, and athletic training outreach contracts with St. Louis area schools. The go-to-market is primarily direct-to-consumer with a no-referral-required access model and free injury screenings as the top-of-funnel conversion mechanism, complemented by physician referral relationships and SEO-optimized local search presence. Customer segments span individual patients (post-surgical, geriatric, athletes, chronic pain), workers' compensation cases, and institutional athletic programs, with no material customer concentration.

Name

Axes Physical Therapy

Legal name

Axes Physical Therapy, LLC

Website

https://axespt.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

101–250 employees

Short description

Axes Physical Therapy is a private, therapist-owned outpatient rehabilitation practice operating 24 clinics across Greater St. Louis, Mid-Missouri, and Southern Illinois, delivering orthopedic physical therapy, hand therapy, sports rehabilitation, workers' compensation programs, and specialty assessments to individual patients and institutional clients.

Ownership category

akta.pro rank

Product category

Outpatient Physical Therapy & Rehabilitation Services

NAICS

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

SIC

Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industries

Orthopedic Physical Therapy & Post-Op Rehab (HSADAIAA), Vestibular Rehabilitation & Balance Therapy (HSADAIAF), Hand & Upper Extremity Therapy (OT/CHT) (HSADAIAH), Neurologic Rehabilitation (Stroke, TBI, Parkinson’s, MS) (HSADAIAC)

Keywords

• Outpatient physical therapy
• Orthopedic rehabilitation services
• Sports injury therapy
• Workers compensation rehab
• Vestibular therapy

Headquarters

HQ city

O Fallon

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. Physical Therapy Services: Fee-for-service physical therapy and occupational therapy sessions. Revenue generated from direct patient visits, with services billed per session or through insurance claims.
2. Workers' Compensation Services: Advanced work rehabilitation services for injured workers, integrated with the workers' compensation system. Revenue from employer and insurance payers for work conditioning and hardening programs.
3. Specialty Assessments: Premium specialty services including dorsaVi Video Motion Analysis (AMI at $149, RGA at $249) offered as additional paid assessments.

Pricing tiers

Go-to-market motion3 records

Distribution channels1 record

Marketing channels5 records

Core offering

Axes Physical Therapy operates 24 outpatient physical and occupational therapy clinics across Greater St. Louis and Mid-Missouri, delivering individualized rehabilitation services for movement dysfunction, post-surgical recovery, sports injuries, work-related injuries, vestibular disorders, TMJ dysfunction, and chronic pain. Services are delivered by licensed therapists with 15+ years of average experience per therapist, supplemented with specialty techniques such as trigger point dry needling, blood flow restriction training, instrument-assisted soft tissue mobilization, and DorsaVi video motion analysis.

Product overview

Axes Physical Therapy is a multi-location physical therapy practice operating 24 clinics across Greater St. Louis and Mid-Missouri. The company offers a comprehensive suite of rehabilitation services organized around core physical therapy alongside specialty services including hand therapy, sports therapy, spine specialty, vestibular therapy, and TMJ dysfunction treatment. The service portfolio includes therapeutic techniques (dry needling, instrument-assisted soft tissue mobilization, blood flow restriction training, Kinesio taping), diagnostic technologies (DorsaVi video motion analysis), and specialized programs (work rehabilitation, functional capacity evaluations, injury screenings). All services are delivered by licensed physical and occupational therapists with an average of 15+ years of experience per therapist.

Differentiator

Problem solved

Functional benefit

Products and services

• Physical Therapy General outpatient physical therapy for treating movement dysfunction, acute and chronic injuries, post-surgical recovery, and age-related conditions, delivered by licensed physical or occupational therapists with individualized treatment plans.
• Hand Therapy Specialized upper extremity rehabilitation provided by Certified Hand Therapists (CHT) for managing acute, chronic, and post-surgical conditions of the hand, wrist, and elbow.
• Advanced Work Rehabilitation Workers' compensation-focused therapy program designed to return injured workers safely and effectively to employment through job-specific conditioning, work hardening, and return-to-work protocols.
• Pre/Post Surgical Rehabilitation Orthopedic rehabilitation program for patients undergoing or recovering from surgery, including spine surgery, tendon repair, and fracture repair, covering both prehabilitation and post-surgical recovery.
• Sports Therapy Athletic rehabilitation program addressing sports injuries, post-surgical recovery for athletes, overuse injuries, and return-to-sport protocols.
• Spine Specialty Manual therapy-focused treatment for back and neck pain using joint mobilization, manipulation, dry needling, soft tissue mobilization, and guided exercise programs.
• TMJ Dysfunction Treatment Temporomandibular joint treatment including jaw mobility exercises, postural correction, facial muscle relaxation, and coordination with dental professionals.
• Vestibular Therapy Treatment for vestibular disorders, dizziness, vertigo, balance problems, and post-concussion syndrome including BPPV and vestibular hypofunction.
• DorsaVi Video Motion Analysis Video-based movement analysis technology using sensors to capture biometric data for Athletic Movement Index (AMI) and Running Gait Analysis (RGA) assessments, available at 6 Axes locations.
• Functional Capacity Evaluations Research-based comprehensive assessment of an individual's physical capabilities and return-to-work abilities, evaluating strength, mobility, and functional movements for workers' compensation determinations.

Quantifiable outcome

• Early physical therapy intervention can reduce opioid use by 75-90%
• +1 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators5 records

Recent moves9 records

Expansion highlights5 records

Direct peers

• Ivy Rehab Network: Multi-state outpatient PT provider with de novo and acquisition-driven growth model, strong specialty services portfolio (ortho, sports, pediatrics, hand therapy). Directly comparable partnership-friendly operating model.
• CORA Physical Therapy: Outpatient PT platform with hundreds of clinics across the Southeast and Midwest. Comparable orthopedic and sports therapy focus, workers' comp programs, and employer contracting strategy.
• Athletico Physical Therapy (Empower): National outpatient PT chain with strong Midwest presence, now part of Empower. Comparable specialty service mix (orthopedic, sports, hand therapy, vestibular) and employer contracting approach.
• Drayer Physical Therapy Institute: Outpatient PT operator with clinics across multiple states, focused on orthopedic, sports, and industrial/workers' comp services. Comparable regional-clinic-network operating model and payer mix.
• ATI Physical Therapy: Largest US-owned outpatient physical therapy provider with hundreds of clinics across multiple states. Directly comparable multi-specialty PT practice model, insurance-based fee-for-service revenue, and employer/workers' comp contracting.
• Results Physiotherapy: Multi-state outpatient PT practice with strong manual therapy and orthopedic focus, comparable clinic-level service mix and insurance-based fee-for-service model.

Emerging players

• Hinge Health: Digital MSK platform employer offering virtual PT, exercise therapy, and coaching. Not a direct brick-and-mortar competitor but increasingly competing for employer healthcare dollars and self-insured patient referrals in Axes' market.

Regional players

• SSM Health Physical Therapy: Hospital-affiliated outpatient PT network with strong St. Louis-area presence and overlapping service lines (orthopedic, sports, hand therapy). A primary local competitor in the same geography.
• BJC Medical Group Physical Therapy: Hospital-system-affiliated outpatient PT services in the St. Louis market, leveraging BJC's physician referral network. Comparable orthopedic and post-surgical rehabilitation services in the same geography.

Broad incumbents

• Select Medical / Concentra: Large publicly traded post-acute care and occupational health platform with outpatient rehab and workers' comp expertise. Competes for the same employer contracts and workers' comp case flow as Axes' Advanced Work Rehabilitation program.

Market position

Strengths5 records

Weaknesses2 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/axespt
• Facebookfacebook.com/axespt

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 Axes Physical Therapy