Smart Rehab

What Smart Rehab does

Smart Rehab is a privately-held, therapist-owned healthcare services company founded in 2017 by Kevin and Theresa Finlay, headquartered in Kirkwood, Missouri. The company delivers in-home physical therapy and occupational therapy to older adults (primarily Medicare beneficiaries) through licensed PTs and OTs in the patient's own home, differentiating from clinic-based outpatient therapy and from home health agencies by not requiring homebound certification. Core products include In-Home Physical Therapy, In-Home Occupational Therapy, Fall Prevention and Balance Training, Post-Surgical Recovery, Family and Caregiver Training, and Initial Evaluations, all conducted as 60-minute one-on-one sessions with no aides or assistants substituting for licensed therapists.

Operations span two markets: the St. Louis, Missouri metropolitan area (headquarters at 524 South Crescent Drive, Kirkwood, MO 63122) and Northern Kentucky (regional office at 409 West 6th Street, Suite 200, Covington, KY 41011). Revenue is generated primarily through Medicare Part B billing as an approved provider, with a secondary private-pay channel priced at $125 per standard visit and $175 per initial evaluation. Distribution is exclusively direct, via phone-based scheduling, online contact/referral forms, healthcare-professional referrals (physicians, discharge planners, social workers, senior-living staff), and family/friend referrals.

The clinical team is led by founder Theresa Finlay (25+ years PT experience) as Clinical Market Director for St. Louis and Jill Vonderhaar Nader (25+ years experience, formerly of The Christ Hospital Cincinnati) as Clinical Market Director for Northern Kentucky, supported by an additional roster of senior PTs and OTs and a Therapy Services Coordinator. The company has no app, no API, no proprietary software platform, and no disclosed AI/ML capabilities; the core "technology" is the human-delivered clinical service model executed in the patient's home environment.

Name

Smart Rehab

Legal name

Smart Rehab

Website

https://thesmartrehab.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

1–10 employees

Short description

Smart Rehab is a therapist-owned, Medicare Part B-certified provider of in-home physical and occupational therapy for older adults in St. Louis and Northern Kentucky, delivering 60-minute one-on-one licensed-therapist sessions in patients' homes.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Home Health Physical Therapy & Mobile PT (HSADAIAO)

akta.pro secondary industries

Balance, Fall Prevention & Gait Training In-Home (HSABADAH), Orthopedic & Musculoskeletal Rehab In-Home (HSABADAF), Geriatric Rehabilitation Programs (HLADAJAL)

Keywords

• In-home physical therapy
• Occupational therapy services
• Geriatric rehabilitation
• Fall prevention therapy
• Home health services

Headquarters

HQ city

St Louis

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations

Revenue model

1. Medicare Part B Billing: Services are billed under Medicare Part B, similar to outpatient clinic therapy. Patients covered by Medicare or Medicare Advantage plans are eligible. Patients may be responsible for deductibles or coinsurance depending on their specific plan.
2. Private Pay / Out-of-Pocket: Private pay options available at standard rates of $125 per visit and $175 for initial evaluations. This provides an alternative payment method for patients without Medicare coverage or those preferring to pay directly.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Smart Rehab provides in-home physical and occupational therapy services to older adults, delivered one-on-one by licensed therapists (with no aides) in patients' residences. Service offerings include physical therapy, occupational therapy, fall prevention and balance training, post-surgical recovery, family and caregiver training, and initial evaluations across the St. Louis, MO and Northern Kentucky markets.

Product overview

Smart Rehab operates as a single, unified service offering: in-home physical and occupational therapy for older adults. The company provides two interconnected core services—Physical Therapy and Occupational Therapy—both delivered through licensed therapists in patients' homes. Physical Therapy focuses on mobility, balance, strength, and fall prevention, while Occupational Therapy addresses daily living activities and independence. Additional services include post-surgical recovery, family/caregiver training, and initial evaluations. All services are Medicare Part B certified outpatient therapy provided in a one-on-one, 60-minute session format, differentiating from home health agencies by not requiring homebound status.

Differentiator

Problem solved

Functional benefit

Products and services

• In-Home Physical Therapy Licensed physical therapists deliver one-on-one rehabilitation in the patient's home for older adults needing help with mobility, balance, strength, or post-surgical recovery.
• In-Home Occupational Therapy Licensed occupational therapists provide in-home therapy focused on regaining independence with activities of daily living for older adult patients.
• Fall Prevention and Balance Training Specialized in-home program that assesses fall risk and delivers balance, strength, and home-safety interventions for older adults.
• Post-Surgical Recovery Services In-home rehabilitation therapy delivered by licensed therapists to support recovery following surgery, provided as a Medicare Part B therapy service.
• Family and Caregiver Training Hands-on education and training for family members and caregivers to support the patient's therapy goals, daily safety, and continuity of care at home.
• Initial Evaluation Comprehensive first-visit clinical assessment used to develop a personalized therapy plan, priced at $175 per initial evaluation.

Named customers5 records

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Select Medical: Operates specialty hospitals, outpatient rehabilitation clinics, and occupational medicine centers. Competes with Smart Rehab for outpatient PT referrals, particularly for post-surgical recovery cases, though primarily through clinic-based delivery.
• ATI Physical Therapy: One of the largest outpatient physical therapy providers in the U.S. with hundreds of clinic locations. Competes with Smart Rehab for the same Medicare-eligible senior population seeking outpatient PT, though ATI delivers primarily clinic-based rather than in-home care.
• Encompass Health: Largest owner and operator of inpatient rehabilitation hospitals in the U.S., with a growing home health and hospice segment. Competes for post-acute and senior rehab referrals in overlapping geographies even though the core delivery model is inpatient.
• LHC Group: Major home health and hospice provider (now part of Optum). Provides in-home therapy services under the Medicare home health benefit—adjacent to Smart Rehab's Medicare Part B outpatient positioning but serving overlapping senior patient populations.
• CenterWell Senior Primary Care (Humana): Humana's senior-focused care delivery arm including home health (formerly Kindred at Home). Targets the same Medicare Advantage senior population with integrated in-home therapy services, often with payer-aligned referral pipelines.
• Amedisys: National home health, hospice, and high-acuity care provider delivering in-home skilled nursing and therapy. Adjacent regulatory model (home health benefit) but competes for the same senior in-home care demand and physician referral relationships.

Emerging players

• Sword Health: Digital musculoskeletal care company combining AI-enabled virtual PT with at-home device delivery. Competes for the same senior MSK and post-surgical rehab demand via a tech-first delivery model rather than in-person in-home visits.
• Hinge Health: Digital MSK care platform providing virtual physical therapy and exercise programs. Targets similar senior and chronic-condition patient populations for PT needs, though delivered digitally rather than through in-home clinician visits.
• Luna Physical Therapy: Venture-backed on-demand in-home physical therapy provider matching patients with licensed PTs who deliver care in the patient's home. Closest direct competitor to Smart Rehab's in-home, one-on-one PT model with a technology-enabled scheduling layer.

Direct peers

• Bayada Home Health Care: Large home health services organization providing in-home nursing, therapy, and aide services. Overlaps directly with Smart Rehab on the home-delivered Medicare-eligible therapy market, though Bayada operates under the home health benefit (homebound-required) rather than outpatient Part B.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/thesmartrehabpt
• YouTubeyoutube.com/channel/UCED23BsalXIvWHUNB4ZES5Q
• Facebookfacebook.com/thesmartrehab
• LinkedInlinkedin.com/company/smartrehab

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 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 Smart Rehab