Cioffredi & Associates

What Cioffredi & Associates does

Cioffredi & Associates is a family-owned outpatient physical therapy and wellness practice headquartered in Lebanon, New Hampshire, founded in 1985 by Billy Cioffredi, PT. The practice operates two physical clinic locations — a full-service clinic in Lebanon and a smaller clinic in Grantham opened in 2018 — and serves the Upper Valley region of New Hampshire. The core service is evidence-based physical therapy across orthopedic, neurological/balance, and sports rehabilitation subspecialties, delivered through one-on-one extended sessions with highly credentialed clinicians (multiple staff hold the OCS certification, which is held by only 5% of PTs nationwide, along with McKenzie Method/MDT, dry needling, Graston, and TPI credentials). Adjacent services include massage therapy, custom orthotics ($299), personal fitness training, sports performance evaluations (TPI Golf Evaluations and Running Evaluations at $299), and Blood Flow Restriction training.

The practice's clinical technology stack is built around specialized rehabilitation modalities rather than a software platform — most notably early adoption of the NEUBIE Neuro-biologic Electrical Stimulation system, dry needling, BFR training, and biomechanical video analysis. Operationally, the practice runs on Prompt EMR for scheduling and patient payments and integrates with FOTO (Focus on Therapeutic Outcomes) for outcomes benchmarking against a national database of over 30 million assessments. There is no proprietary software, no mobile app, no public API, and no disclosed AI/ML capability.

The business model is a hybrid professional services and direct patient care model. The majority of revenue is generated through insurance-billed physical therapy services (in-network with Anthem BCBS, Medicare, Cigna, among others), supplemented by self-pay visits, out-of-network reimbursements facilitated via HCFA claim forms, package-priced massage therapy, unit-priced add-on products (orthotics, golf and running evaluations at $299 each), and a smaller B2B workplace wellness channel providing on-site physical therapy, ergonomic assessments, and injury prevention programming to employer clients such as Simon Pearce. The practice is independently owned (no external investors), led by CEO Amy Hayward with founder Billy Cioffredi still active, and has maintained continuous recognition including 10 consecutive years of Valley News Reader's Choice Awards (2016-2025), national ADVANCE Top 4 Practice honors (2015-2016), and three FOTO Commitment to Quality Outcomes Awards.

Name

Cioffredi & Associates

Legal name

Cioffredi & Associates

Website

https://cioffredi.com

Company type

Private

Founded year

1985

Operating status

Operating

Headcount range

11–50 employees

Short description

Cioffredi & Associates is a family-owned outpatient physical therapy and wellness practice in Lebanon and Grantham, New Hampshire, founded in 1985. It provides orthopedic, neurological, and sports rehabilitation plus massage, custom orthotics, and sports performance services, serving the Upper Valley region through insurance-billed visits, self-pay, and workplace wellness contracts.

Ownership category

akta.pro rank

Product category

Outpatient Physical Therapy and Rehabilitation Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340), Other Ambulatory Health Care Services (6219)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Misc Health & Allied Services, Nec (8090), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Orthopedic & Sports Rehabilitation Centers (HLAFAFAI)

akta.pro secondary industries

Sports Medicine, Athletic Training & Rehabilitation Services (EDALAIAH), Medical/Therapeutic Massage (Rehab/Pain Management) (HSALAEAO)

Keywords

• Physical therapy services
• Orthopedic rehabilitation
• Sports injury rehabilitation
• Massage therapy services
• Workplace wellness programs

Headquarters

HQ city

Lebanon

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Physical Therapy Services: Physical therapy evaluation and treatment services provided at two clinic locations. Services are billed to insurance for in-network plans or paid directly by patients on a self-pay basis. The practice is in-network with several major insurance providers including Anthem BCBS, Medicare, Cigna, and others.
2. Massage Therapy: Therapeutic and relaxation massage services offered as standalone or complement to physical therapy.
3. Custom Orthotics: Custom-casted orthotic inserts priced at $299, provided as a standalone product or alongside physical therapy.
4. Sports Performance Evaluations: TPI Golf Evaluations and Running Evaluations with video analysis and biomechanical assessment. Golf evaluation priced at $299 including screening and programming.
5. Workplace Wellness Services: On-site physical therapy, massage, ergonomic assessments, and wellness programming provided to corporate clients.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

Cioffredi & Associates provides outpatient physical therapy and rehabilitation services across orthopedic, neurological/balance, and sports specialties at two clinic locations in Lebanon and Grantham, New Hampshire. The practice supplements clinical therapy with wellness services including massage therapy, custom orthotics, sports performance evaluations (TPI Golf, Running), and personal fitness training, and delivers on-site workplace wellness programs to corporate clients. Services are billed to insurance for in-network plans or self-pay, with extended one-on-one treatment sessions using advanced techniques such as the NEUBIE electrical stimulation system and dry needling.

Product overview

Cioffredi & Associates operates as a unified physical therapy and wellness practice offering a continuum of services across two main categories: Physical Therapy (including Orthopedic, Neuro & Balance, and Sports Rehabilitation subspecialties) and Performance & Wellness (including Custom Orthotics, Massage Therapy, Sports Performance, Personal Fitness Training, and Workplace Wellness). The practice also provides specialized evaluation services such as TPI Golf Evaluations and Running Evaluations. Services are delivered at two clinic locations in Lebanon and Grantham, NH, with one-on-one therapist treatment sessions.

Differentiator

Problem solved

Functional benefit

Products and services

• Physical Therapy Comprehensive physical therapy services covering orthopedic, neurological, and sports rehabilitation, delivered through evidence-based, individualized one-on-one treatment to relieve pain and restore function.
• Neuro & Balance Rehabilitation Specialized neurological physical therapy for vestibular disorders including BPPV, dizziness, balance dysfunction, concussion, traumatic brain injury, stroke, multiple sclerosis, Parkinson's disease, and cerebral palsy.
• Sports Rehabilitation Sports injury rehabilitation using advanced techniques and technologies including NEUBIE treatments, dry needling, cupping, and manual therapy to restore motion and optimize muscle function for athletes.
• Massage Therapy Therapeutic and relaxation massage services including prenatal massage and Hot Stone add-on, combining techniques to customize sessions for stress management, pain relief, and injury recovery. Package pricing available.
• Custom Orthotics Custom foot orthotics casted from professional handcrafted molds of the foot, providing contoured support and pain relief for active adults; priced at $299 and includes evaluation, casting, and follow-up.
• Sports Performance Elite athletic performance training including sport-specific biomechanical assessments, TPI Golf Evaluations, and Running Evaluations with video analysis and individualized performance improvement programs.
• Personal Fitness Training One-on-one individualized fitness training bridging rehabilitation to long-term wellness, with flexible scheduling and programs designed for home, gym, or clinic settings.
• Workplace Wellness Occupational health services for businesses including on-site physical therapy, massage, ergonomic assessments, pre-employment screenings, and injury prevention programs delivered at employer locations.

Quantifiable outcome

• Best Physical Therapy Practice - Valley News Reader's Choice Awards 2016-2025 (10 consecutive years)
• +3 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature4 records

Partnerships

Five partnerships are on record, tiered minor and core.

• Upper Valley Trails AllianceminorOthersCioffredi & Associates volunteers recovery services to finishing bikers at the Upper Valley Trails Alliance's Tour de Taste event. Community support partnership.
• CHaD (Children's Hospital at Dartmouth)minorOthersSponsorship and participation in CHaD Hero event supporting the Children's Hospital at Dartmouth.
• Lebanon GearShiftersminorOthersCommunity partnership providing warmup exercises and support to the Lebanon GearShifters cycling team.
• Good Neighbor Health CliniccoreOthersFounder Billy Cioffredi serves on the board and volunteers clinically. This nonprofit provides primary care for adults without means to pay.
• Simon PearcecoreStrategic or Co-development PartnerOn-site physical therapy and workplace wellness program. Cioffredi therapists visit Simon Pearce monthly. This pro-active approach has significantly reduced workers' compensation recordable claims.

Scale indicators3 records

Recent moves8 records

Expansion highlights4 records

Broad incumbents

• Hospital for Special Surgery (HSS) Rehabilitation: Hospital-affiliated orthopedic and sports rehabilitation network with national reputation for clinical expertise and outcomes. Comparable on the talent and credentialing axis (OCS-equivalent expertise, FOTO-style outcomes), though hospital-based rather than independent.
• Ivy Rehab Network: Rapidly scaling national outpatient PT platform (orthopedic, pediatric, sports) backed by private equity. Offers a direct comparison to the alternative growth-via-acquisition model versus Cioffredi's organic independent model.
• Athletico Physical Therapy: Large national outpatient orthopedic PT chain with overlapping services (orthopedics, sports rehab, vestibular, workplace services). Represents the well-capitalized incumbent model Cioffredi competes against for talent and patients.
• ATI Physical Therapy: Large publicly-traded national outpatient PT chain with similar service breadth including sports performance, workplace wellness, and clinical education programs. Direct incumbent comparable for scale and service-line mix.
• Select Medical / Concentra: Public healthcare services company operating outpatient rehab and occupational health/workplace wellness services through Concentra. Direct overlap with Cioffredi's B2B workplace wellness offering.

Direct peers

• Professional Physical Therapy: Multi-state outpatient PT practice offering orthopedic, sports, and neurological rehabilitation with cash-pay performance and wellness add-ons. Operates in adjacent Northeast geographies and competes for the same patient demographic and referral sources.
• Spear Physical Therapy: Specialty outpatient PT practice with a similar clinical expertise brand, one-on-one treatment model, and reputation for clinical outcomes; positioned as a comparable independent operator in a different metro.
• Bay State Physical Therapy: Regional multi-location outpatient physical therapy practice serving the Northeast with comparable service breadth (orthopedic, sports, neurological PT) and similar family-/physician-owned heritage. Closest peer in scale and geographic footprint.

Regional players

• Olympic Sports & Spine Rehabilitation: Independently-owned multi-clinic PT group in the Pacific Northwest with comparable clinical expertise focus, sports rehabilitation emphasis, and similar community-rooted brand. Useful regional scale and operating model comparable.

Emerging players

• ATI Physical Therapy - TPI Performance Services: TPI-certified performance screening and golf biomechanics services are offered by various PT operators; competitors like ATI's sports performance division directly compete for the cash-pay golf/running evaluation segment Cioffredi monetizes at $299.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/CioffrediPT
• Instagraminstagram.com/cioffrediPT

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 Cioffredi & Associates