FYZICAL Therapy & Balance Centers

What FYZICAL Therapy & Balance Centers does

FYZICAL Therapy & Balance Centers is a privately held physical therapy franchise company headquartered in Sarasota, Florida, founded in 2012. It sells franchise rights and provides ongoing operational support to entrepreneurs, licensed physical therapists, and investors who own and operate FYZICAL-branded clinics delivering balance/vestibular therapy, orthopedic rehabilitation, sports therapy, and wellness services. The company has scaled to 500+ open centers operating in 46 states, with 600+ franchisees in the system as of 2025.

The company's core technology assets are the proprietary Balance Paradigm (a vestibular rehabilitation program applying Sensory Mismatch Theory and clinical treatment algorithms) and the Safety Overhead Support System (a specialized overhead rail and harness apparatus for fall-safe balance training). These are supplemented by FYZICAL College, a learning management system delivering three levels of clinical certification to franchisees at no cost, and a Marketing Suite providing patient acquisition campaigns and tools.

FYZICAL generates revenue through (1) one-time franchise fees tiered from $49,000 (single unit) to $20,000 per unit (three-plus units) up to $300,000-$500,000 for master franchise territories; (2) a recurring 6% royalty on each franchisee's collected gross revenue; and (3) add-on service fees from ENT/audiology practices integrating balance therapy. Average gross revenue per franchisee-owned center was $522,212 in fiscal 2025 (per 286 of 489 reporting centers), while company-owned centers averaged $984,482. The company is led by CEO Brian Belmont, formerly part of the Planet Fitness management team, alongside CDOs Scott Wendrych and Lauren Johnson, both hired from the franchise development ranks of WellBiz Brands.

Name

FYZICAL Therapy & Balance Centers

Legal name

FYZICAL Therapy & Balance Centers

Website

https://fyzicalfranchise.com

Company type

Private

Founded year

2012

Operating status

Operating

Short description

FYZICAL Therapy & Balance Centers is a Sarasota-based physical therapy franchisor that licenses its proprietary Balance Paradigm, clinical training, and brand to franchisees operating 500+ clinics across 46 states, generating revenue via franchise fees and 6% royalties on franchisee gross revenue.

Ownership category

akta.pro rank

Product category

Physical Therapy Franchise Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Ambulatory Health Care Services (621), Offices of Other Health Practitioners (6213)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)

akta.pro primary industry

Outpatient Physical Therapy (PT) Clinics (HLADAJAD)

Keywords

• Physical therapy franchise
• Balance and vestibular therapy
• Healthcare franchise opportunities
• Vestibular rehabilitation services
• Orthopedic physical therapy

Headquarters

HQ city

Sarasota

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, Infrastructure, Supply Chain

Revenue model

1. Franchise Fees: One-time franchise fees paid upon signing: $49,000 for 1 unit, $35,000 for 2 units, $20,000 for 3+ units. Fees decrease with multi-unit commitments, incentivizing larger territory development.
2. Royalty Fees: Ongoing royalty equal to 6% of the center's gross revenue collected. This recurring revenue stream scales with franchisee performance and clinic growth.
3. Add-On Balance Center Fees: One-time fee of $49,000 plus 6% royalty from collected center revenue for ENT/AuD practices adding balance therapy as an ancillary service to their existing practice.
4. Ancillary Services Revenue: Franchisees can generate additional revenue through cash-pay services including dietitians, massage therapy, and other wellness services beyond insurance-based physical therapy.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels9 records

Core offering

FYZICAL Therapy & Balance Centers sells physical therapy franchise rights and operates a national franchise system of 600+ PT clinics across 46 states. Its core franchise offering combines a proprietary Balance Paradigm program and Safety Overhead Support system with comprehensive franchisee support including territory planning, real estate, vendor networks, FYZICAL College training, a Marketing Suite, and three franchise models (Single Unit, Multi-Unit, Master Franchise), plus add-on programs for ENT practices.

Product overview

FYZICAL Therapy & Balance Centers operates as a physical therapy franchise system offering three primary franchise models (Single Unit, Multi-Unit, and Master Franchise) plus specialized ownership paths. The core offering includes proprietary Balance and Vestibular Therapy, Safety Overhead Support Systems, and comprehensive support including the Marketing Suite and FYZICAL College training platform. Additional offerings include the Partnership Advantage Program for PT-entrepreneur partnerships and the Add-On Service Model for ENTs to integrate balance therapy. The company provides 500+ open centers across 46 states.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• $520K+ average gross revenue for qualifying franchisee-owned centers
• +9 more outcomes

Named customers15 records

Segments6 records

Ideal customer profiles5 records

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Three partnerships are on record, tiered core.

• Area RepresentativescoreChannel Partner/ Reseller/ DistributorRegional Area Representatives (such as Bill Capraro for Chicagoland) guide franchisees through setup and growth, provide local business and clinical guidance, and support multi-unit expansion strategies.
• Local Real Estate BrokerscoreStrategic or Co-development PartnerFYZICAL partners with local broker partnerships to identify and secure prime clinic locations through proprietary mapping and market analysis.
• Equipment & Supply VendorscoreStrategic or Co-development PartnerFYZICAL leverages group purchasing power to provide franchisees with discounted rates on equipment, software, and marketing resources through established vendor partnerships.

Scale indicators15 records

Recent moves9 records

Expansion highlights6 records

Broad incumbents

• ATI Physical Therapy: One of the largest U.S. outpatient physical therapy operators with hundreds of clinics nationwide. Comparable to FYZICAL as a scaled PT clinic system but operates via direct corporate ownership rather than franchising, and offers a broader range of rehab services.
• U.S. Physical Therapy, Inc. Public company (NYSE: USPH) operating a network of ~600 outpatient physical and occupational therapy clinics across the U.S. Closest public proxy for FYZICAL's clinic-network economics, although it is direct-operated rather than franchised.
• Select Physical Therapy (Select Medical): Outpatient PT division of Select Medical (NYSE: SEM), one of the largest U.S. rehab providers. Competes with FYZICAL clinics for patients and therapists, and represents the type of well-capitalized incumbent that pressures franchise brands.

Direct peers

• Ivy Rehab Network: Fast-growing private outpatient PT and pediatric therapy platform with hundreds of clinics across the Northeast and Midwest. Comparable to FYZICAL as a multi-state PT clinic operator competing for patients, therapists, and payer contracts.
• Results Physiotherapy: Outpatient physical therapy chain with clinics across the Southeast and beyond. Comparable to FYZICAL as a multi-state PT clinic operator focused on orthopedic and manual therapy services.
• PT Solutions: Private outpatient PT provider with locations across the Eastern U.S. Comparable to FYZICAL in service mix and multi-state clinic footprint, though direct-operated rather than franchised.
• Physio (formerly Physiotherapy Associates): Outpatient physical therapy clinic network operating across multiple states. Comparable to FYZICAL clinics in scope of services and target patient population.
• Athletico Physical Therapy: Large outpatient orthopedic and physical therapy provider with hundreds of clinics across the Midwest and beyond. Comparable to FYZICAL in patient mix (orthopedic, sports, vestibular therapy) and clinic-network economics.
• BenchMark Physical Therapy (Upstream Rehabilitation): Outpatient PT operator owned by Upstream Rehabilitation with clinics across the Southeast and Midwest. Comparable to FYZICAL as a regional/super-regional PT clinic operator.

Emerging players

• The Joint Chiropractic: Public chiropractic franchise (NASDAQ: JYNT) with 800+ clinics. Comparable to FYZICAL as a healthcare franchise targeting similar franchisee demographics (semi-absentee investors, multi-unit operators) and competing for franchise capital in the consumer health/wellness segment.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/fyzicaltv
• Facebookfacebook.com/FYZICAL

Revenue estimate

Valuation estimate

Number of profiles

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 FYZICAL Therapy & Balance Centers