Trilogy

What Trilogy does

Trilogy Physical Therapy is a multi-location private physical therapy practice founded in 1989 and headquartered in Grand Island, New York, operating across the Western New York region. The company delivers integrated outpatient rehabilitation, medically supervised fitness, and workplace health services through three coordinated lines: clinical Physical Therapy Services, the Medically Oriented Gym (MOG) membership program, and the Buffalo Ergonomics B2B division. Patient services span general orthopedic and post-surgical rehabilitation plus a broad specialty catalog — including LSVT Big for Parkinson's disease, oncology rehabilitation, lymphedema treatment, vestibular therapy, pelvic pain therapy, aquatic therapy, ASTYM, cold laser, electrical stimulation, kinesio taping, and a Titleist Performance Institute (TPI)-certified Golf Fitness Program — delivered across six clinic locations (Amherst, Williamsville, Grand Island, Kenmore, West Seneca, North Tonawanda) and via telehealth.

Revenue is generated from multiple streams: insurance-reimbursed PT services (Medicare, major commercial payers, workers' compensation, no-fault), discounted direct-pay for uninsured patients, recurring monthly MOG fitness memberships with add-ons such as personal training and nutrition consultations, and corporate contracts through Buffalo Ergonomics for functional capacity evaluations, work conditioning/hardening, post-offer testing, ergonomic assessments, and injury prevention programs. The go-to-market combines direct patient acquisition (physician referrals, direct access, self-referral, social/content marketing) with B2B employer outreach via the Buffalo Ergonomics division and a strategic partnership with WorkSTEPS for standardized workplace testing.

The company recently completed a merger in 2024 (one-year anniversary celebrated October 2025) consolidating regional capacity, and operates with 11–50 employees. No parent company, private equity ownership, funding rounds, or revenue figures are disclosed in the source data. Brand reputation is reinforced by the 2026 Buffalo Business First Excellence in Health Care Award for lymphedema specialist Josett Alfano, MSPT, CLT.

Name

Trilogy

Legal name

Trilogy Physical Therapy

Website

https://mytrilogy.org

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

11–50 employees

Short description

Trilogy Physical Therapy is a multi-location Western New York private practice, founded 1989, integrating outpatient physical therapy, the Medically Oriented Gym (MOG) fitness program, and the Buffalo Ergonomics workplace health division across six clinics.

Ownership category

akta.pro rank

Product category

Physical Therapy 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), Orthopedic & Sports Rehabilitation Centers (HLAFAFAI), Sports Medicine, Athletic Training & Rehabilitation Services (EDALAIAH)

Keywords

• Physical therapy services
• Medically oriented fitness
• Workplace ergonomics
• Neurological rehabilitation
• Pain management

Headquarters

HQ city

Grand Island

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Physical Therapy Services: Rehabilitation and treatment services for patients with injuries, chronic pain, post-surgical recovery, and various musculoskeletal conditions. Services are typically covered by health insurance, workers' compensation, or out-of-pocket payments.
2. Medically Oriented Gym (MOG) Memberships: Boutique fitness club memberships providing access to medically supervised exercise programs, personal training, fitness classes, and lifestyle coaching. Includes golf fitness program, SYNRGY Circuit, SilverSneakers classes, and specialized fitness evaluations.
3. Workplace Health Services: Corporate services including functional capacity evaluations, injury prevention programs, ergonomic assessments, work conditioning/hardening, post-offer testing, and on-site job analysis through Buffalo Ergonomics division.
4. Telehealth Services: Virtual physical therapy appointments for remote patient care, especially utilized during COVID-19 pandemic for continued treatment delivery.
5. Direct Pay/Out-of-Pocket: Discounted fee-for-service payment option for patients without insurance coverage, due at time of service.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels10 records

Core offering

Trilogy operates a multi-location physical therapy and medically supervised fitness practice in Western New York. Its core offerings include Physical Therapy Services (rehabilitation, pain management, post-surgical and injury recovery), the Medically Oriented Gym (MOG) providing medically supervised fitness and wellness programs, and Buffalo Ergonomics (workplace health services for employers). Treatments span manual therapy, aquatic therapy, ASTYM, cold laser, LSVT Big for Parkinson's, vestibular therapy, oncology rehabilitation, lymphedema care, and telehealth.

Product overview

Trilogy Physical Therapy operates as a multi-location physical therapy practice in Western New York offering an integrated healthcare model. The core offerings consist of Physical Therapy Services (rehabilitation, pain management, post-surgical care), the Medically Oriented Gym (MOG) fitness and wellness program, and Buffalo Ergonomics (workplace health services). The product portfolio includes specialized treatment modules such as Aquatic Therapy, LSVT Big for Parkinson's, Vestibular Therapy, Telehealth, and Kinesio Taping, alongside workplace services including Work Conditioning, Work Hardening, Functional Capacity Evaluations, Post-Offer Testing, and Injury Prevention Programs. The MOG offers fitness classes (Silver Sneakers, Chair Yoga, Circuit Training, Core Circuit, EnerChi), Personal Training, Restore Sessions, and Nutrition Consultations. All services are delivered across seven clinic locations in Amherst, Williamsville, Grand Island, Kenmore, West Seneca, North Tonawanda, and Buffalo.

Differentiator

Problem solved

Functional benefit

Brands

• Medically Oriented Gym (MOG): A boutique fitness club offering lifestyle coaching, personal training, golf fitness programs, restore sessions, nutrition consultations, and group fitness classes including SilverSneakers, chair yoga, circuit training, and MOG Stability classes.
• Buffalo Ergonomics

Products and services

• Physical Therapy Services Evidence-based physical therapy services for patients with musculoskeletal injuries, chronic pain, post-surgical recovery, and a wide range of conditions including back, neck, shoulder, hip, knee, foot, ankle, arthritis, balance disorders, neurological conditions, and sports injuries. Includes manual therapy, therapeutic exercise, joint mobilization, and spinal manipulation. Delivered at six clinic locations and via telehealth to individual patients.
• Medically Oriented Gym (MOG) A boutique fitness club providing medically supervised exercise programs, personal training, golf fitness with TPI assessments, restore sessions, nutrition consultations, and group fitness classes (SilverSneakers, chair yoga, circuit training, MOG Stability). Membership-based offering for health-conscious individuals and continuing PT patients.
• Buffalo Ergonomics (Workplace Health Services) B2B workplace health division offering functional capacity evaluations, work conditioning, work hardening, injury prevention programs, post-offer testing (with WorkSTEPS), ergonomic assessments, on-site job analysis, and return-to-work programming for employers across Western New York.
• LSVT BIG Therapy Program Specialized physical therapy program for patients with Parkinson's disease that uses amplified, large-amplitude movements to improve mobility, balance, speed of movement, and daily function. Delivered by certified LSVT BIG clinicians.
• Aquatic Therapy Physical therapy treatments performed in water to provide low-impact exercise and pain relief for patients with arthritis, joint issues, or those recovering from surgery. Delivered using the on-site pool at the West Seneca location.
• Vestibular Therapy Balance and dizziness treatment including vestibular rehabilitation for vertigo, BPPV (benign paroxysmal positional vertigo), and other balance disorders. Provided by vestibular-certified clinicians including Geoff Brown.
• Oncology Rehabilitation and Wellness Services

Quantifiable outcome

• 25% reduction in absenteeism, health care costs, and Workers' Compensation Claims for wellness program participants
• +4 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

Feature10 records

Partnerships

One partnership is on record.

• WorkSTEPScoreStrategic or Co-development PartnerTrilogy partners with WorkSTEPS to offer comprehensive workplace health services including Functional Fit for Duty testing, Functional Capacity Evaluations (FCEs), injury triage and medical case management, and WorkSTEPS EHS DataHub. This partnership enables employers to objectively determine what injured workers are capable of safely doing and when they are safe to return to full duty work. The collaboration provides pre-employment post-offer testing, return-to-work functional testing, and workplace safety assessments.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• US Physical Therapy (USPH): Public acquirer and operator of ~600 outpatient PT clinics across the US. Comparable as a scaled PT platform with employer services and specialty programs; broader geographic reach but similar patient-facing economics.
• Select Medical (Concentra): Large national operator of specialty hospitals, outpatient rehab, and Concentra occupational health clinics. Comparable through Concentra's workplace health and PT services that overlap with Buffalo Ergonomics.

Direct peers

• Ivy Rehab Network: Multi-state outpatient PT and pediatric therapy platform with a partnership/clinic acquisition model. Comparable as a growing regional-to-national PT operator with mixed consumer and B2B service lines.
• Athletico Physical Therapy: National outpatient PT chain offering orthopedic, sports, occupational therapy, and specialty programs (e.g., vestibular, work-related injury). Comparable specialty breadth and multi-location delivery model to Trilogy's.
• CORA Physical Therapy: Multi-state outpatient PT chain with strong specialty programs (vestibular, lymphedema, work injury) and an active clinic acquisition strategy. Closely mirrors Trilogy's service mix and insurance-driven model.
• Drayer Physical Therapy Institute: Outpatient PT brand owned by USPH, focused on multi-state clinic operations with orthopedic and sports specialty programs. Comparable multi-site, multi-specialty outpatient PT operating model.
• ATI Physical Therapy: Largest US-branded outpatient physical therapy provider with hundreds of clinics across multiple states. Directly comparable as a multi-site PT operator offering orthopedic, sports, and specialty rehab services with insurance-based reimbursement.
• Professional Physical Therapy: Northeast US outpatient PT practice with clinics across New York, New Jersey, and Connecticut. Most direct geographic overlap with Trilogy's Western NY footprint and similar specialty mix.
• Pivot Physical Therapy: Regional-to-national outpatient PT provider offering orthopedic, sports, industrial/workers' comp, and specialty programs. Directly comparable mix of consumer and employer-facing services.

Regional players

• Spear Physical Therapy: New York City-based outpatient PT brand offering sports, orthopedic, and specialty therapy with insurance contracts. Comparable specialty breadth and urban patient mix, though operating in a different NY metro.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/pt_mog_trilogy
• Facebookfacebook.com/TrilogyPTMOG
• LinkedInlinkedin.com/company/ptmogtrilogy
• Instagraminstagram.com/trilogyptmog

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 Trilogy