Cotrel

What Cotrel does

Clínica Cotrel (legal entity Cotrel Ortopedia e Fisioterapia LTDA, CNPJ 65.058.406/0001-70) is a privately held Brazilian orthopedic and physiotherapy clinic founded circa 1980 and operating for over 45 years, headquartered in São José dos Campos, São Paulo state, with a second unit opened in Taubaté in 2023. The clinic delivers the full orthopedic care continuum — consultation, surgical treatment across 9 subspecialties (spine, shoulder/elbow, hand/wrist, hip, knee, foot/ankle, pediatric orthopedics, orthopedic oncology, and general orthopedics/traumatology), and post-operative rehabilitation — through a clinical team of 20 specialist physicians and in-house orthopedic and pelvic physiotherapist teams. Its service portfolio extends beyond conventional orthopedics to include the dedicated Espaço Mulher women's health program (pelvic floor physiotherapy, post-mastectomy rehabilitation, postpartum and pregnancy care, acupuncture for gynecological conditions), plus complementary therapies (shockwave therapy, viscosupplementation, dry needling, RPG, osteopathy, chiropractic, acupuncture, magnetotherapy).

The business operates a direct-to-consumer model in the Vale do Paraíba region of São Paulo state. Patients book appointments through a centralized WhatsApp scheduling desk and phone lines; the clinic accepts both private pay and a broad in-network roster of 18+ Brazilian health insurance plans (Amil, Bradesco Saúde, SulAmérica, Porto Seguro, Petrobras, Omint, Care Plus, Cassi, Saúde Caixa, Allianz, among others), with insurance billing handled via a reimbursement policy for out-of-network patients. Revenue is generated on a fee-for-service basis from consultations, surgical procedures, and physiotherapy sessions. Patient acquisition is supported by digital channels — Google AdWords remarketing, educational e-books on lumbar, shoulder, and knee conditions, and an active presence on Facebook, Instagram, and YouTube — with WhatsApp as the primary booking call-to-action. The company is independently owned with no disclosed institutional investors, no parent or subsidiary structure, and is led by Technical Director Dr. Fabiano F. Chagas (CRM-SP 111321), a shoulder and elbow specialist.

Name

Cotrel

Legal name

Cotrel Ortopedia e Fisioterapia LTDA

Website

https://clinicacotrel.com.br

Company type

Private

Founded year

1980

Operating status

Operating

Headcount range

11–50 employees

Short description

Clínica Cotrel is a privately held Brazilian orthopedic and physiotherapy clinic operating two units in São José dos Campos and Taubaté (São Paulo state), serving private-pay and insured patients with 20 specialist physicians across 9 orthopedic subspecialties, plus dedicated women's health and pelvic rehabilitation services.

Ownership category

akta.pro rank

Product category

Orthopedic and Physiotherapy Healthcare Services

NAICS

Offices of Physicians (6211), Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Ambulatory Specialty Clinics (Multi-Specialty & Single-Specialty) (HLAFABAA)

akta.pro secondary industry

Outpatient Physical Therapy (PT) Clinics (HLADAJAD)

Keywords

• Orthopedic surgery services
• Physiotherapy rehabilitation
• Women's health clinic
• Pelvic floor therapy
• Musculoskeletal treatment

Headquarters

HQ city

São José Dos Campos

HQ country

Brazil

HQ region

Latin America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Infrastructure, Supply Chain

Revenue model

1. Consultation and Procedure Fees: Revenue is generated through fees charged for medical consultations, orthopedic surgeries, and physiotherapy sessions. The clinic operates on a fee-for-service basis, serving both private pay patients and those covered by health insurance. Insurance billing is facilitated through an extensive network of health plan partnerships.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Clínica Cotrel is a private orthopedic and physiotherapy clinic providing diagnostic consultations, surgical treatment, and rehabilitation across nine orthopedic subspecialties (spine, shoulder/elbow, hand/wrist, hip, knee, ankle/foot, pediatric orthopedics, orthopedic oncology, and general orthopedics). It also delivers complementary therapies (shockwave therapy, viscosupplementation, dry needling, acupuncture, RPG, osteopathy, chiropractic, magnetotherapy) and operates a dedicated women's health program (Espaço Mulher) covering pelvic physiotherapy, post-mastectomy rehabilitation, and pre/post-natal care. Services are delivered in person at two units in São José dos Campos and Taubaté to private-pay and insured patients.

Product overview

Clínica Cotrel is an orthopedic and physiotherapy clinic operating two units in São José dos Campos and Taubaté, Brazil, with over 40 years of experience. The clinic offers a comprehensive portfolio of orthopedic surgical services (spine, shoulder/elbow, hand/wrist, ankle/foot, hip, and knee surgery), alongside specialized physiotherapy treatments (orthopedic, pelvic/urology, dry needling, RPG, acupuncture, osteopathy, and chiropractic care). The Espaço Mulher unit provides specialized women's health services. The clinic accepts multiple health insurance plans (convênios) and private patients, featuring free parking and WhatsApp-based appointment scheduling.

Differentiator

Problem solved

Functional benefit

Products and services

• Cirurgia de Coluna (Spine Surgery) Spine surgery services for treatment of herniated discs, scoliosis, kyphosis, lordosis, spinal trauma, spinal arthrosis, and fractures. Targeted at adult orthopedic patients requiring surgical intervention for spinal conditions.
• Cirurgia de Ombro e Cotovelo (Shoulder and Elbow Surgery) Surgical treatment for shoulder and elbow conditions including tendinitis, bursitis, rotator cuff tears, shoulder instability, fractures, and tennis/golfer's elbow. Targeted at adult orthopedic patients.
• Cirurgia de Mão e Punho (Hand and Wrist Surgery) Surgical treatment for hand and wrist injuries including synovial cysts, tendinitis, trigger finger, Dupuytren's contracture, and wrist arthrosis. Targeted at adult orthopedic patients.
• Cirurgia de Tornozelo e Pé (Ankle and Foot Surgery) Surgical treatment for ankle and foot conditions including ankle sprains, Achilles tendon ruptures, arthrosis, heel spurs, fractures, and bunions. Targeted at adult orthopedic patients.
• Cirurgia de Quadril (Hip Surgery) Hip arthroplasty procedures including total and partial hip replacement for arthrosis relief and fracture correction. Targeted at adult orthopedic patients with hip joint degeneration or fracture.
• Cirurgia de Joelho (Knee Surgery) Knee surgery services for ligament injuries, meniscus lesions, cartilage wear, and arthrosis treatment. Targeted at adult orthopedic patients.
• Tratamento por Ondas de Choque (Extracorporeal Shock Wave Therapy) Extracorporeal shock wave therapy (ESWT) for chronic tendon inflammations, calcifications at muscle/tendon insertion points, and delayed or non-union fractures. Non-invasive therapeutic treatment for orthopedic patients.
• Viscossuplementação (Viscosupplementation) Hyaluronic acid intra-articular injection therapy that lubricates joints, reducing friction and relieving pain and discomfort for arthrosis sufferers. Targeted at adult orthopedic patients with joint degeneration.
• Fisioterapia Ortopédica (Orthopedic Physiotherapy) Treatment of musculoskeletal and tendon dysfunctions from trauma, fractures, repetitive strain injuries, and orthopedic pathologies using electrothermal phototherapy, manual therapy, and kinesiotherapy. Targeted at patients requiring rehabilitation.
• Fisioterapia Uroginecológica/Pélvica (Pelvic/Urogynecological Physiotherapy) Pelvic floor rehabilitation for urinary incontinence and retention, fecal incontinence, constipation, pre/post-operative urological and gynecological surgery care, pelvic pain, and pregnancy/postpartum support. Targeted at women across all life stages and post-surgical patients.
• RPG (Reeducação Postural Global) Postural reeducation method developed in France that corrects posture problems through specific muscle stretching techniques. Targeted at patients with postural dysfunction and chronic musculoskeletal complaints.
• Acupuntura (Acupuncture) Ancient Chinese therapy using fine needles inserted at specific body points for therapeutic and preventive purposes, stimulating natural pain relief substances. Targeted at patients seeking complementary pain management.
• Agulhamento a Seco (Dry Needling) Technique using thin acupuncture needles inserted into muscle trigger points to relieve tension, increase blood flow, and interrupt pain cycles. Targeted at patients with myofascial pain and trigger points.
• Osteopatia (Osteopathy) Manual diagnostic and treatment method using hands as the primary tool, focused on rebalancing body functions by addressing the origin of pain. Targeted at patients with musculoskeletal dysfunction.
• Quiropraxia (Chiropractic) Alternative medicine approach for diagnosis and treatment of musculoskeletal conditions, primarily spinal manipulation and joint/soft tissue manipulation. Targeted at patients with spinal and joint complaints.
• Espaço Mulher (Women's Health Program) Specialized women's health unit offering pelvic physiotherapy, dry needling, complementary physiotherapy, acupuncture, post-mastectomy physiotherapy, and post-prostate surgery physiotherapy. Targeted at women across all life stages (adulthood, pregnancy, postpartum, and seniority).
• Oncologia Ortopédica e Doenças Osteometabólicas (Orthopedic Oncology & Metabolic Bone Disease) Orthopedic oncology service treating bone tumors and metabolic bone diseases including osteoporosis, benign and malignant tumors, stress fractures, and pathological fractures. Targeted at patients with bone tumors or metabolic bone disease.
• Ortopedia Infantil (Pediatric Orthopedics) Pediatric orthopedic consultations and treatment for congenital and acquired deformities in children. Targeted at pediatric patients with congenital or acquired orthopedic conditions.

Quantifiable outcome

• Patients treated with shockwave therapy typically show symptom improvement within the first week and symptoms may disappear approximately 30 days after starting treatment.

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

18 partnerships are on record, tiered core.

• AllianzcoreChannel Partner/ Reseller/ DistributorAllianz is a major international insurance company providing health insurance plans. Clínica Cotrel is an in-network provider for Allianz health plan holders, allowing insured patients to access the clinic's orthopedic and physiotherapy services using their insurance coverage.
• AmilcoreChannel Partner/ Reseller/ DistributorAmil is one of Brazil's largest health insurance operators. Clínica Cotrel serves Amil-insured patients as an in-network provider for orthopedic and physiotherapy consultations and procedures.
• Bradesco SaúdecoreChannel Partner/ Reseller/ DistributorBradesco Saúde is a leading health insurance provider in Brazil. The clinic accepts Bradesco Saúde insurance plans, serving insured patients for orthopedic and physiotherapy care.
• Porto SegurocoreChannel Partner/ Reseller/ DistributorPorto Seguro is a major Brazilian insurance company offering health plans. Clínica Cotrel is an in-network provider for Porto Seguro health insurance holders.
• SulAméricacoreChannel Partner/ Reseller/ DistributorSulAmérica is one of Brazil's largest independent health insurers. Clínica Cotrel accepts SulAmérica health plans for orthopedic and physiotherapy services.
• Care PluscoreChannel Partner/ Reseller/ DistributorCare Plus is an international health insurance and benefits management company operating in Brazil. Clínica Cotrel is an in-network provider for Care Plus members.
• PetrobrascoreChannel Partner/ Reseller/ DistributorPetrobras, Brazil's state-owned oil company, offers health insurance plans to its employees. Clínica Cotrel is an in-network provider serving Petrobras health plan beneficiaries.
• OmintcoreChannel Partner/ Reseller/ DistributorOmint is a premium health insurance provider in Brazil. Clínica Cotrel accepts Omint health insurance plans for orthopedic and physiotherapy care.
• CassicoreChannel Partner/ Reseller/ DistributorCassi is the health plan operator for Banco do Brasil employees. Clínica Cotrel serves Cassi-insured patients as an in-network provider.
• Saúde CaixacoreChannel Partner/ Reseller/ DistributorSaúde Caixa is the health plan for Caixa Econômica Federal employees. Clínica Cotrel accepts Saúde Caixa for orthopedic and physiotherapy services.
• EconomuscoreChannel Partner/ Reseller/ DistributorEconomus is a health plan operator primarily serving petrochemical sector workers. Clínica Cotrel is an in-network provider for Economus beneficiaries.
• Gama SaúdecoreChannel Partner/ Reseller/ DistributorGama Saúde is a health insurance operator. Clínica Cotrel accepts Gama Saúde plans for orthopedic and physiotherapy services.
• Saúde LeadercoreChannel Partner/ Reseller/ DistributorSaúde Leader is a health plan operator. Clínica Cotrel is an in-network provider serving Saúde Leader members.
• MedServicecoreChannel Partner/ Reseller/ DistributorMedService is a health insurance and healthcare management company. Clínica Cotrel accepts MedService health plans for orthopedic and physiotherapy consultations.
• AvampcoreChannel Partner/ Reseller/ DistributorAvamp is a health insurance plan. Clínica Cotrel serves Avamp-insured patients as an in-network provider.
• CabespcoreChannel Partner/ Reseller/ DistributorCabesp is the health plan for employees of the Bank of Brazil (Banco do Brasil). Clínica Cotrel accepts Cabesp health plans.
• AbascoreChannel Partner/ Reseller/ DistributorAbas is a health insurance plan. Clínica Cotrel is an in-network provider for Abas beneficiaries.
• PASAcoreChannel Partner/ Reseller/ DistributorPASA is a health plan. Clínica Cotrel accepts PASA health insurance for orthopedic and physiotherapy care.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• ITB - Instituto de Tratamento da Coluna Vertebral: Specialty spine care provider offering consultations, surgery, and rehabilitation — comparable on the spine subspecialty and integrated rehabilitation model.
• Hospital Orthoservice: Specialty orthopedic hospital in São José dos Campos offering surgical and physiotherapy services — direct regional competitor for orthopedic patients in Cotrel's home market.

Direct peers

• Instituto Cohen Ortopedia: Brazilian orthopedic specialty clinic group with multiple units offering orthopedic consultations, surgery, and physiotherapy — directly comparable to Cotrel's multi-subspecialty, multi-clinic ambulatory model.
• COE - Centro de Ortopedia Especializada: Orthopedic specialty clinic offering consultations and surgery across subspecialties with physiotherapy support — direct peer in the multi-subspecialty orthopedic clinic category.

Regional players

• AACD - Associação de Assistência à Criança Deficiente: Specialty rehabilitation hospital network with strong orthopedic and physiotherapy focus in São Paulo; comparable on the rehabilitation side of Cotrel's offering.
• Clínica de Fisioterapia São José: Regional physiotherapy clinic in the same Vale do Paraíba geography as Cotrel; competes directly for outpatient rehab patients in São José dos Campos.
• Rede Sarah de Hospitais de Reabilitação: Specialty rehabilitation hospital network with strong orthopedic and physiotherapy capabilities; comparable on rehabilitation depth and physiotherapy-led care delivery.

Broad incumbents

• Hospital Israelita Albert Einstein: Large Brazilian hospital system with comprehensive orthopedic surgery and rehabilitation departments; competes for insured patients in São Paulo state with broader service portfolios.
• Rede D'Or São Luiz: Largest private hospital network in Brazil with extensive orthopedic offerings across its São Paulo state hospitals; competing incumbent for insured orthopedic and physiotherapy patients.
• Hospital Sírio-Libanês: Premium São Paulo hospital with strong orthopedic and rehabilitation service lines; competes for high-end insured patients in the same Vale do Paraíba referral catchment.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/channel/UCC-m8S_BK5_zfvaS9SB6E0g
• Facebookfacebook.com/clinica.cotrel
• Instagraminstagram.com/clinicacotrel
• LinkedInlinkedin.com/company/clinica-cotrel-ortopedia-fisioterapia

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 Cotrel