Hands on Rehab and Aquatics

What Hands on Rehab and Aquatics does

Hands on Rehab and Aquatics, Inc. is a privately held outpatient rehabilitation practice founded in 2002 in Orange County, California, and owned by physical therapist Suzanne Borgquist (MPT). The company delivers physical therapy, occupational therapy, and a broad suite of specialty services across four Orange County locations: a Huntington Beach headquarters, a Newport Beach clinic, and two dedicated aquatic therapy facilities at Waterworks Huntington Beach and Waterworks Irvine. Specialty offerings include hand and upper extremity therapy with custom splinting (15+ years of focused experience), aquatic therapy in heated 90°+ therapy pools, Pilates-based rehabilitation (Reformer), Redcord Neurac Method suspension therapy, pelvic health / pre- and post-natal therapy, pediatrics (ages 1 month to 18 years), massage therapy, acupuncture, and telehealth appointments. The firm also operates an adjacent Fitness & Wellness Center in Huntington Beach offering small group classes, semi-private and private training as a bridge for patients transitioning out of formal therapy.

Revenue is generated primarily through professional services billed to insurance (PPO, Medicare, HMO, Workers' Compensation, TriWest, Tricare, UCMG, Memorial Care Medical Group, personal injury cases) plus reasonable cash rates for uninsured patients. A secondary recurring-revenue stream comes from the cash-based Fitness & Wellness Center via monthly memberships ($79–$129), class packages ($25 single or $150 for 10 classes), and private/semi-private training ($70–$80 per session). Distribution is direct-to-consumer and referral-driven (physician referrals, patient testimonials, word-of-mouth, digital presence on Facebook, Instagram, Yelp, and Google Reviews), with patients able to self-schedule by phone with same-day or next-day availability. The practice serves highly fragmented end segments — individuals needing orthopedic or neurological rehabilitation, post-surgical recovery, sports injury rehab, chronic pain management, workers' compensation cases, prenatal/postnatal women, pediatric patients, and aquatic-therapy-appropriate populations including those with arthritis, MS, Parkinson's, and fibromyalgia.

Name

Hands on Rehab and Aquatics

Legal name

Hands on Rehab and Aquatics, Inc.

Website

https://handsonrehab.com

Company type

Private

Founded year

2002

Operating status

Operating

Headcount range

11–50 employees

Short description

Hands on Rehab and Aquatics is a privately held, founder-owned outpatient physical and occupational therapy practice operating four Orange County, CA locations, delivering aquatic therapy, hand therapy, Pilates-based rehab, pediatrics, pelvic health, acupuncture, telehealth, and an on-site fitness center to individual rehabilitation and wellness patients.

Ownership category

akta.pro rank

Product category

Outpatient Rehabilitation Services

NAICS

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

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Orthopedic & Sports Rehabilitation Centers (HLAFAFAI)

akta.pro secondary industries

Aquatic Physical Therapy & Hydrotherapy (HSADAIAL), Orthopedic Physical Therapy & Post-Op Rehab (HSADAIAA)

Keywords

• Physical therapy services
• Occupational therapy
• Aquatic therapy
• Hand therapy
• Rehabilitation services

Headquarters

HQ city

Huntington Beach

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. Physical Therapy Services: Insurance-billed physical therapy services including evaluations, treatments, manual therapy, and therapeutic exercises. Revenue generated through insurance reimbursement (PPO, Medicare, HMO, Workers Comp, TriWest) and patient co-pays.
2. Occupational Therapy Services: Insurance-billed occupational therapy services for helping patients participate in desired occupations through everyday activities.
3. Aquatic Therapy Services: Specialized water-based rehabilitation services at dedicated aquatic therapy facilities, billed through insurance.
4. Specialty Services: Additional specialty services including hand therapy, pelvic health, acupuncture, massage therapy, and Redcord therapy, many covered by insurance.
5. Fitness & Wellness Center: Monthly membership packages, small group classes, private training, and semi-private training for patients transitioning from therapy and community members. Cash-based model.
6. Telehealth Appointments: Virtual therapy appointments offered when patients cannot attend in-person, provided at same quality as in-clinic visits.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Hands on Rehab and Aquatics delivers outpatient physical therapy, occupational therapy, hand therapy, aquatic therapy, pediatric therapy, pelvic health therapy, massage, acupuncture, Pilates-based rehabilitation, and Red Cord (Neurac Method) suspension therapy across multiple Orange County locations. It supplements clinical care with an on-site Fitness & Wellness Center that bridges patients from therapy into community-based fitness, plus telehealth appointments for remote care delivery.

Product overview

Hands on Rehab and Aquatics is a physical therapy and rehabilitation practice offering a comprehensive suite of therapy services across multiple locations in Orange County since 2002. The core offering includes Physical Therapy, Occupational Therapy, Hand Therapy (with custom splinting), Aquatic Therapy (at Waterworks Huntington Beach and Waterworks Irvine facilities), Pilates-based rehab, Pediatrics, Massage Therapy, Red Cord (Neurac Method), Pelvic Health, Acupuncture, and Telehealth Appointments. The practice operates a complementary Fitness & Wellness Center adjacent to the Huntington Beach clinic offering small group classes, semi-private and private training as a bridge for patients transitioning from physical therapy back to activity. Services are provided at Huntington Beach, Newport Beach, and aquatic therapy locations in Huntington Beach and Irvine.

Differentiator

Problem solved

Functional benefit

Products and services

• Physical Therapy Personalized physical therapy treatment plans including special programs such as hand therapy, Redcord, wound care, work hardening, and sport enhancement, plus modalities including ultrasound, electrical stimulation, biofeedback, and cold laser. Targets adults and children needing rehabilitation for orthopedic, neurological, sports, work-related, and post-surgical conditions.
• Occupational Therapy Occupational therapy services that help patients participate in desired occupations through everyday activities, with individualized evaluations, customized interventions, and outcomes evaluation. Targets patients recovering from injury, surgery, or managing chronic conditions that impair daily functioning.
• Hand Therapy Specialized hand and upper extremity rehabilitation with over 15 years of experience, including custom upper extremity splinting, wound care, and treatment for conditions such as carpal tunnel, fractures, and tendon repairs. Targets patients with finger, hand, and elbow injuries.
• Aquatic Therapy Aquatic therapy delivered in heated 90°+ therapy pools at Waterworks Huntington Beach and Waterworks Irvine, offering shallow and deep-water rehab, non-weight-bearing exercises, deep-water decompression, and pool-lift wheelchair access. Targets patients with chronic pain, neurological conditions, orthopedic injuries, and those unable to tolerate land therapy.
• Pilates Rehabilitation programs using Reformer and Pilates movements to build core strength, stability, flexibility, and functional fitness recovery. Offered as part of physical therapy and frequently covered by insurance. Targets patients recovering from injury or surgery and those needing core stabilization.
• Pediatrics Pediatric physical and occupational therapy for children from 1 month to 18 years, treating developmental delays, behavioral issues, pain, and sports injuries in both land and aquatic settings. Targets infants through adolescents with rehabilitation needs.
• Massage Therapy On-site licensed massage therapy coordinated with physical therapists to direct treatment toward patient impairments, with some insurance coverage available. Targets patients needing soft-tissue work in conjunction with their rehab plan.
• Red Cord (Neurac Method) Suspension therapy using ropes, bungees, and slings (Redcord) to restore functional and pain-free movement patterns, improving motor control, flexibility, strength, and neuromuscular control while avoiding painful movements. Targets patients with chronic pain, weakness, or movement dysfunctions.
• Pelvic Health Pelvic floor rehabilitation including pre-natal and post-natal services for conditions such as back pain, sciatica, diastasis recti, urinary urgency, urinary leakage, and pelvic pain. Targets pregnant and postnatal women with pelvic floor and musculoskeletal concerns.
• Acupuncture Acupuncture services delivered by Rumiko Onishi, L.Ac., with over 10 years of experience, offering a holistic approach to health and pain-free living at the Huntington Beach office. Targets patients seeking complementary care for pain and wellness.
• Telehealth Appointments Virtual therapy appointments delivered via video consultation at the same quality as in-clinic visits, intended for patients who cannot attend in person due to illness or transportation issues. Typically available same day or next day.
• Fitness & Wellness Center Adjacent fitness facility in Huntington Beach offering small group classes (Pilates, yoga, balance, strength, conditioning, stretch, Fit Teens/Fit Kids), semi-private training, private personal training, Redcord sessions, and 1-on-1 Pilates with Reformer. Serves patients transitioning from physical therapy and community members seeking ongoing fitness, with monthly subscription packages and class bundles available.

Quantifiable outcome

• Multiple aquatic therapy locations throughout Orange County shorten overall treatment time according to patient and therapist experience
• +2 more outcomes

Named customers8 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• ATI Physical Therapy: Largest US outpatient physical-therapy operator with a multi-modality, multi-location model (land and aquatic therapy, hand therapy, occupational therapy) serving the same payer mix (PPO, Medicare, workers' comp). The closest scaled analog to Hands on Rehab's clinic-based, insurance-billed model.
• US Physical Therapy: Owns and operates ~600 outpatient PT clinics across the US, many featuring specialty services including aquatic therapy and hand therapy. Competes head-to-head for physician referrals, payer contracts, and specialty therapist talent.

Broad incumbents

• Hoag Health System: Major Orange County health system with outpatient rehabilitation services in Huntington Beach and Newport Beach. Competes directly for post-acute, orthopedic, and sports-rehabilitation referrals in Hands on Rehab's core market.
• MemorialCare: Large Orange County-based not-for-profit health system that operates outpatient rehabilitation and is explicitly listed as an accepted insurance referral channel for Hands on Rehab. Represents the hospital-system competitive vector in the same geography.
• Athletico: National outpatient orthopedic PT/OT chain with sub-specialty programming in aquatic therapy, hand therapy, and sports/orthopedic rehab. Same payer-driven clinic model but with multi-state footprint and brand-driven referral marketing.
• Select Medical: Diversified specialty care operator running outpatient rehabilitation clinics (including via the NovaCare, Kessler, and Physiotherapy Associates brands), critical illness recovery hospitals, and Concentra occupational health. Competes in the same specialty outpatient rehab market but with broader portfolio and significant capital base.
• BenchMark Physical Therapy: Multi-state outpatient PT operator offering orthopedic, sports, hand, and aquatic therapy across hundreds of clinics. Operates a clinic-based, insurance-billed model comparable to Hands on Rehab but at much greater scale and with PE backing.

Regional players

• ProActive Physical Therapy: Multi-location Southern California outpatient PT practice offering orthopedic, sports, and aquatic therapy with similar one-on-one treatment philosophy. Direct Orange County and greater LA competitor for physician referrals and specialty therapists.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/handsonrehabandaquatics
• Instagraminstagram.com/hands_on_rehab
• LinkedInlinkedin.com/company/hands-on-rehab-aquatics

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Hands on Rehab and Aquatics