Integrity Rehab Group

What Integrity Rehab Group does

Integrity Rehab Group (IRG), founded in 2000 and headquartered in Birmingham, Alabama, is a B2B practice management company that delivers physical, occupational, and hand therapy services to physician practices and hospital systems. The company operates a turnkey management model, providing clinical, financial, compliance, administrative, HR, recruiting, billing, credentialing, and growth strategy services to partner practices across 18 states. IRG positions itself as the nation's leading provider dedicated exclusively to the practice-based therapy model, serving 100+ physician practices and hospital systems with a 101-250 person team.

The company's core technical asset is a proprietary Clinical Tracking Software that captures standardized clinical outcomes and operational efficiency metrics in real time, including patient satisfaction, goals met, functional improvement, and assessment tool scores across the patient journey from evaluation to discharge. This dataset, built over nearly a decade, supports data-driven decision-making and growth planning. Service offerings span sports medicine, industrial rehabilitation, hand therapy, back and spine, total joint replacement, joint reconstruction, arthritis, chronic pain, neurological rehabilitation, and wellness/community fitness. A travel clinician program (Journey by Upstream) extends the talent acquisition and staffing surface.

IRG generates revenue through performance-based management agreements with partner practices, taking a share of the profits of the therapy departments it manages. The go-to-market motion is sales-led and consultative, beginning with a no-cost assessment to evaluate and optimize therapy services before transitioning to a multi-year management agreement. Distribution is direct and enterprise-focused, with no consumer or retail channel. IRG operates as a brand within Upstream Rehabilitation, a family of 20+ rehabilitation brands with 1,000+ US locations, which provides shared back-office infrastructure in HR, accounting, billing, recruiting, marketing, compliance, and purchasing.

Name

Integrity Rehab Group

Legal name

Upstream Rehabilitation

Website

https://irg.urpt.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

101–250 employees

Short description

Integrity Rehab Group is a Birmingham, Alabama-based practice management company founded in 2000 that delivers turnkey physical, occupational, and hand therapy management services to 100+ physician practices and hospital systems across 18 states. Operating as a brand within Upstream Rehabilitation, IRG provides performance-based management, clinical outcomes tracking, and growth strategy under multi-year agreements.

Ownership category

akta.pro rank

Product category

Physical Therapy Practice Management

NAICS

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

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Outpatient Rehabilitation Clinics (PT/OT/SLP) (HLAFAFAG)

Keywords

• Physical therapy management
• Occupational therapy services
• Hand therapy services
• Practice management solutions
• Rehabilitation management services

Headquarters

HQ city

Birmingham

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Practice Management Services: IRG generates revenue through management agreements with physician practices and hospital systems. The company manages all aspects of therapy departments (clinical, financial, compliance, administrative) in exchange for a portion of profits generated by the therapy program. This is a performance-based model where IRG shares in the financial success of optimized therapy departments.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Integrity Rehab Group provides turnkey practice management for physical, occupational, and hand therapy departments within physician practices and hospital systems. Under multi-year management agreements, IRG handles clinical, financial, compliance, billing, recruiting, and administrative operations for partner therapy departments, earning a share of the profits from the therapy program. The company also offers joint-venture partnership models, acquisition support, and a national travel physical therapy program called Journey by Upstream.

Product overview

Integrity Rehab Group operates as a comprehensive physical and occupational therapy management company offering a unified platform of services centered on physical therapy practice management solutions for physician practices and hospitals. The core offering is the Physical Therapy Management Solutions platform, which encompasses turnkey management, proprietary clinical tracking software for outcome measurement, and growth strategies. Supporting service specialties include sports medicine, industrial rehabilitation, hand rehabilitation, back and spine care, total joint replacement, neurological rehabilitation, and wellness programs. The company also operates Journey by Upstream, a national travel PT program. Joint-venture and acquisition opportunities are available for practices seeking partnership or exit strategies. All services are delivered in-house with no outsourcing of components.

Differentiator

Problem solved

Functional benefit

Products and services

• Physical Therapy Management Solutions Comprehensive practice management solution for physician and hospital-based physical and occupational therapy services, including clinical, financial, compliance, billing, recruiting, and administrative oversight delivered through multi-year management agreements.
• Journey by Upstream National travel physical therapy program offering clinicians opportunities to work in diverse settings across different locations while advancing their careers as part of the Upstream Rehabilitation family.
• Joint-Venture Partnerships Collaborative business model in which IRG pools resources and expertise with partner practices to grow physical therapy presence while sharing economic rewards through aligned incentive structures.
• Acquisition Opportunities Acquisition services including fair market valuations, transition support, and post-acquisition optimization of clinic operations for practices considering selling their physical therapy ancillary.
• No-Cost Assessment Complimentary evaluation service for practices that currently offer physical therapy services or are looking to develop them, providing recommendations to optimize therapy department performance.

Quantifiable outcome

• Profitability more than doubled for OrthoSouth after switching to IRG management
• +4 more outcomes

Named customers7 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

One partnership is on record.

• Upstream Rehabilitationparent_companyOthersIntegrity Rehab Group is part of Upstream Rehabilitation, a family of 20+ brands providing world-class rehabilitation services with compassion and care across 1,000+ locations throughout the US. Upstream provides centralized resources including HR, compliance, billing, accounting, and purchasing support.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Athletico Physical Therapy: Athletico operates a large network of outpatient physical and occupational therapy clinics across the U.S. with comparable specialty programs in orthopedics, sports medicine, and industrial rehab—direct overlap with IRG's partner-practice service offering.
• ATI Physical Therapy: ATI Physical Therapy is a large national outpatient PT/OT operator with ~900+ clinics. It directly competes with IRG for patients in markets where IRG's partner practices operate, and overlaps in orthopedic, sports medicine, and workers' comp service lines.
• CORA Health Services: CORA operates 200+ outpatient PT/OT clinics across the Southeast and Midwest with a focus on orthopedic, sports, and industrial rehabilitation. It overlaps with IRG's service specialty mix and competes in several of the same regional markets.
• Physiotherapy Associates: Physiotherapy Associates is Select Medical's outpatient PT brand with a national footprint of clinics. It directly competes for the same physician-referred outpatient rehabilitation patient volume that IRG's partner practices depend on.
• Ivy Rehab Network: Ivy Rehab is a private, multi-brand outpatient PT/OT/speech operator with a partnership and de novo growth model. Its expansion strategy—partnering with or acquiring existing practices—competes head-to-head with IRG's physician-based therapy management thesis.
• U.S. Physical Therapy: U.S. Physical Therapy (USPH) operates ~650+ outpatient physical and occupational therapy clinics and is one of the few publicly traded pure-play PT operators. Its mix of company-owned clinics and partner-clinic management arrangements most closely mirrors IRG's physician- and hospital-based practice model.

Broad incumbents

• Select Medical: Select Medical is a large publicly traded diversified rehab provider that operates critical illness recovery hospitals, inpatient rehab, and a national outpatient rehab division (including the Physiotherapy Associates brand). It competes with IRG for hospital and health system therapy contracts at much greater scale.
• Encompass Health: Encompass Health is the largest U.S. operator of inpatient rehabilitation hospitals and a major home health provider. While its core model is inpatient rather than physician-practice-based, it is the dominant scaled incumbent in the broader rehabilitation services market where IRG operates.

Emerging players

• Hinge Health: Hinge Health is a digital MSK and virtual physical therapy platform that contracts with employers and payers. It represents a partial, technology-enabled substitution threat to IRG's in-clinic, physician-based PT model, particularly for self-insured employer populations.

Others

• WebPT: WebPT is the leading EMR and practice management software platform purpose-built for outpatient physical therapy practices. It is an enabling technology layer for many of the same physician-based therapy clinics that IRG's partner network operates in, and a potential ecosystem participant rather than a direct competitor.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles16 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 Integrity Rehab Group