BIG SKY PHYSICAL THERAPY, PLLC
Big Sky Physical Therapy, PLLC is a single-location, founder-owned orthopedic and hand therapy clinic in Missoula, Montana, employing 6 doctorate-level physical therapists to deliver in-person rehabilitation, hand therapy, dry needling, ASTYM, and StemWave shockwave services to individual patients through insurance and self-pay.
- Company typePrivate
- Founded2009
- HeadquartersMissoula, United States
- Headcount11–50
- GTM typeB2C
- OfferingServices
What BIG SKY PHYSICAL THERAPY, PLLC does
Big Sky Physical Therapy, PLLC is a privately held, single-location physical therapy clinic in Missoula, Montana, founded in March 2009 by Dawn Christian, DPT, CHT. The practice employs approximately 11 staff including 6 doctorate-level physical therapists and an office coordinator, operating from one clinic at 316 W. Spruce St. It serves patients recovering from orthopedic injuries, post-surgical rehabilitation, sports and work injuries, hand/upper extremity dysfunction, TMJ disorders, and dance-related injuries. The clinic differentiates through Certified Hand Therapist credentials (one of few in Missoula), private treatment rooms with one-on-one care, and specialty services including hand therapy, dry needling, ASTYM/IASTM, StemWave shockwave therapy, TMJ/craniofacial treatment, dance medicine, fall prevention, and bike fitting.
The service model is delivered in-person at the clinic with no telehealth or digital product offering. Revenue is generated through insurance reimbursement (in-network with most carriers) and self-pay at a discounted flat rate. Free 15-minute consultations are offered as a top-of-funnel conversion tool. Patient acquisition relies on physician and surgeon referrals (particularly into hand therapy), Google/local search, Opencare verification, patient testimonials, and word-of-mouth within the Missoula community. The clinic uses Jane App for patient scheduling, intake forms, and online bill pay, and recently brought billing operations in-house. Operationally the business is a mature founder-owned specialty PT practice with no disclosed external investors, no funding rounds, and no expansion beyond its original Missoula footprint in over 15 years.
The practice has no public financial disclosures, no patents or trademarks on file, and no partnerships/alliances on record. Its brand is anchored in the founder's 30+ year community presence in Missoula, a 2015 Patients' Choice award, and Opencare verification. The technology base is clinical equipment and a third-party SaaS patient portal rather than proprietary software.
BIG SKY PHYSICAL THERAPY, PLLC firmographics
Firmographics- Name
- BIG SKY PHYSICAL THERAPY, PLLC
- Legal name
- Big Sky Therapy, PLLC
- Website
- https://bigskypt.com
- Company type
- Private
- Founded year
- 2009
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Big Sky Physical Therapy, PLLC is a single-location, founder-owned orthopedic and hand therapy clinic in Missoula, Montana, employing 6 doctorate-level physical therapists to deliver in-person rehabilitation, hand therapy, dry needling, ASTYM, and StemWave shockwave services to individual patients through insurance and self-pay.
- Ownership category
- akta.pro rank
BIG SKY PHYSICAL THERAPY, PLLC industry classification
Industry- Product category
- Outpatient Physical Therapy
- NAICS
- Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Hand & Upper Extremity Therapy (OT/CHT) (HSADAIAH)
Keywords
Where BIG SKY PHYSICAL THERAPY, PLLC is headquartered
LocationHeadquarters
- HQ city
- Missoula
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
BIG SKY PHYSICAL THERAPY, PLLC business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Infrastructure, Technology or R&D
Revenue model
- Insurance-Based Physical Therapy Services: Clinic accepts most insurance plans and is in-network with most insurance companies. Services billed through health insurance for covered treatments.
- Self-Pay/Cash Pay Services: Clinic accepts self-pay patients and offers discounted flat rates for those paying out of pocket, bypassing insurance billing.
- In-House Billing Services: Clinic now offers in-house billing services for patient billing inquiries, with dedicated billing department contact.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Pay-as-you-go | Insurance-Based Care |
| One time/ perpetual license | Pay-as-you-go | Self-Pay/Cash Pay |
| Freemium | Pay-as-you-go | Free Consultation |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels5 records
BIG SKY PHYSICAL THERAPY, PLLC product offering
Product offeringCore offering
Big Sky Physical Therapy, PLLC is a private outpatient physical therapy clinic in Missoula, Montana that provides one-on-one, evidence-based orthopedic, hand/upper extremity, sports, and TMJ rehabilitation services. Treatments are delivered by doctorate-level physical therapists and include manual therapy, ASTYM, StemWave, dry needling, and condition-specific programs such as dance medicine, fall prevention, bike fitting, and post-surgical or work-injury rehab.
Product overview
Big Sky Physical Therapy is a physical therapy clinic offering a comprehensive range of rehabilitation services rather than a software product platform. The practice operates as a single unified service model with specialized therapy offerings including hand/upper extremity therapy (provided by Certified Hand Therapists), dry needling, ASTYM treatment, StemWave/shockwave therapy, TMJ/craniofacial treatment, dance medicine, fall prevention, bike fitting, and sports/work injury rehabilitation. All services are delivered through private treatment rooms with one-on-one care from doctoral-level physical therapists. The clinic also provides a patient portal powered by Jane App for appointment scheduling and patient management.
Differentiator
Problem solved
Functional benefit
Products and services
- Orthopedic Physical Therapy Evidence-based outpatient rehabilitation for musculoskeletal injuries and post-surgical recovery, delivered one-on-one by doctorate-level physical therapists. Targeted at adults and adolescents with orthopedic conditions.
- Hand and Upper Extremity Therapy Specialized rehabilitation of the hand, wrist, elbow, and shoulder led by a Certified Hand Therapist (CHT). Targeted at patients with hand or upper extremity injuries, post-surgical recovery, or chronic conditions.
- Sports Injury Rehabilitation Rehabilitation for athletic and recreational sports injuries aimed at returning patients to sport. Targeted at athletes and active individuals recovering from acute or overuse injuries.
- Dance Medicine Program Specialized rehabilitation addressing the injuries and movement demands unique to dancers. Targeted at dancers and performing-arts patients.
- TMJ Treatment Physical therapy for temporomandibular joint pain and dysfunction, often co-managed with referring dentists. Targeted at patients with TMJ disorders.
- Fall Prevention Program Balance assessment and exercise-based intervention to reduce fall risk in older adults. Targeted at seniors and balance-impaired patients.
- Professional Bike Fitting Physiotherapy-informed bicycle fit assessment to address injury, discomfort, and performance issues. Targeted at cyclists with overuse or fit-related injuries.
- Dry Needling Trigger-point dry needling technique used to relieve pain and muscle tension. Targeted at patients with myofascial pain and movement impairments.
- ASTYM Therapy Instrument-assisted soft tissue mobilization to stimulate regeneration of soft tissues and address tendinopathies and scarring. Targeted at patients with chronic soft tissue dysfunction.
- StemWave Therapy Acoustic wave therapy applied to musculoskeletal pain and soft tissue conditions. Targeted at patients with chronic pain or tendon conditions.
- Work Injury Rehabilitation Rehabilitation for work-related injuries, typically under physician referral and workers' compensation. Targeted at employees recovering from on-the-job injuries.
- Free 15-Minute Consultation Complimentary 15-minute in-person or virtual consultation to determine whether physical therapy is appropriate for the prospective patient's condition. Targeted at prospective new patients.
Quantifiable outcome
- 80-90% pain reduction in sciatica patients within 4 visits
- +1 more outcomes
Companies that use BIG SKY PHYSICAL THERAPY, PLLC
Customer profileNamed customers5 records
Segments5 records
Ideal customer profiles1 record
BIG SKY PHYSICAL THERAPY, PLLC technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature6 records
BIG SKY PHYSICAL THERAPY, PLLC partnerships and signals
Strategic signalScale indicators4 records
Recent moves5 records
Expansion highlights4 records
BIG SKY PHYSICAL THERAPY, PLLC competitors and assessment
Company assessmentBroad incumbents
- U.S. Physical Therapy: Public company operating a large network of outpatient physical and occupational therapy clinics. Provides the same orthopedic, hand, and sports rehabilitation services as Big Sky PT, but through a corporate platform of 600+ clinics with no niche specialization in TMJ or dance medicine.
- Professional Physical Therapy: Regional outpatient PT provider across the Northeast offering orthopedic, hand, and sports rehabilitation with a clinician-ownership model. Closely comparable to Big Sky PT in service mix and the use of therapist partners/owners, though at a much larger footprint.
- Benchmark Physical Therapy: Regional outpatient PT chain across the Southeast and Midwest offering orthopedic, sports, and hand therapy. Comparable in core service mix to Big Sky PT, particularly in hand therapy, but lacks the boutique private-room, single-clinic identity.
- ATI Physical Therapy: One of the largest US outpatient physical therapy chains, offering orthopedic, sports, and workers' comp rehabilitation across hundreds of clinics. Overlaps broadly with Big Sky PT's core orthopedic services but operates at national scale without specializing in hand therapy, dance medicine, or TMJ niches.
- Ivy Rehab Network: Rapidly expanding pediatric and adult outpatient PT network with a hand therapy and orthopedic specialty focus. Comparable to Big Sky PT in service breadth (orthopedics, hand therapy, sports) and operates through a hybrid of owned and partner clinics in the Northeast/Mid-Atlantic and beyond.
- Select Physical Therapy (Select Medical): National outpatient rehabilitation chain owned by Select Medical, providing orthopedic PT, hand therapy, sports medicine, and workers' comp services. Comparable service menu to Big Sky PT but at national scale, with deeper payor contracts and broader geographic reach.
- Results Physiotherapy: Outpatient PT chain in the Southeast emphasizing hands-on manual therapy and orthopedic rehabilitation. Comparable to Big Sky PT on orthopedic focus and use of advanced manual techniques (similar to ASTYM/IASTM), though without the CHT/dance/TMJ specialty depth.
- Athletico Physical Therapy (now BAYADA): National outpatient orthopedic and sports PT chain, recently merged into BAYADA. Directly comparable to Big Sky PT on orthopedic, sports, and workers' comp services, but offers a much broader footprint and standardized clinical model.
Direct peers
- FYZICAL Therapy & Balance Centers: Franchise-based network of independently owned PT clinics specializing in balance, vestibular, and orthopedic rehabilitation. Closely comparable to Big Sky PT in operating model (independent owner-operated clinic) and in offering balance/fall prevention and specialty services as a differentiator.
- Spear Physical Therapy: Mid-Atlantic outpatient PT practice with explicit specialization in hand and upper extremity therapy, TMJ, and orthopedic sports rehabilitation. Most directly comparable to Big Sky PT in specialty mix, private treatment model, and clinician-led culture, though operating at a larger urban scale.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
BIG SKY PHYSICAL THERAPY, PLLC social profiles
Digital presenceBIG SKY PHYSICAL THERAPY, PLLC financial estimates
Financial estimateRevenue estimate
Valuation estimate
BIG SKY PHYSICAL THERAPY, PLLC leadership team
Management profileNumber of profiles
Profiles1 record
BIG SKY PHYSICAL THERAPY, PLLC funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
BIG SKY PHYSICAL THERAPY, PLLC M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about BIG SKY PHYSICAL THERAPY, PLLC
What does BIG SKY PHYSICAL THERAPY, PLLC do?
Big Sky Physical Therapy, PLLC is a private outpatient physical therapy clinic in Missoula, Montana that provides one-on-one, evidence-based orthopedic, hand/upper extremity, sports, and TMJ rehabilitation services. Treatments are delivered by doctorate-level physical therapists and include manual therapy, ASTYM, StemWave, dry needling, and condition-specific programs such as dance medicine, fall prevention, bike fitting, and post-surgical or work-injury rehab.
Is BIG SKY PHYSICAL THERAPY, PLLC a public or private company?
BIG SKY PHYSICAL THERAPY, PLLC is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was BIG SKY PHYSICAL THERAPY, PLLC founded?
BIG SKY PHYSICAL THERAPY, PLLC was founded in 2009. It employs 11 to 50 people.
Where is BIG SKY PHYSICAL THERAPY, PLLC based?
BIG SKY PHYSICAL THERAPY, PLLC is headquartered in Missoula, United States, in the North America region.
How does BIG SKY PHYSICAL THERAPY, PLLC make money?
Three revenue lines are on record. Insurance-Based Physical Therapy Services are the primary driver. The others are self-Pay/Cash Pay Services and in-House Billing Services.
Who are BIG SKY PHYSICAL THERAPY, PLLC's main competitors?
Broad incumbents on record are U.S. Physical Therapy, Professional Physical Therapy, Benchmark Physical Therapy, ATI Physical Therapy, Ivy Rehab Network, Select Physical Therapy (Select Medical), Results Physiotherapy and Athletico Physical Therapy (now BAYADA). Direct peers are FYZICAL Therapy & Balance Centers and Spear Physical Therapy.
Does BIG SKY PHYSICAL THERAPY, PLLC have an API?
No public API is recorded for BIG SKY PHYSICAL THERAPY, PLLC.
What industry is BIG SKY PHYSICAL THERAPY, PLLC in?
BIG SKY PHYSICAL THERAPY, PLLC's product category is Outpatient Physical Therapy. Its primary akta.pro industry code is HSADAIAH, Hand & Upper Extremity Therapy (OT/CHT). Its NAICS code is 621340 and its SIC code is 8000.