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Margins are tighter. Staffing is still fragile. Payers haven’t gotten any friendlier. And yet, despite all of that, rehab therapy practice growth is not only possible… it’s happening.
In recent years, the PT industry has started to break into 2 camps: Those who employ modern tactics and leverage technology to help them grow, and those who are holding out hope that “if you build it, they will come.”
In our recent Practice Growth Index, we analyzed responses from more than 550 outpatient rehab therapy practices nationwide. The results?
So what separates those high-growth practices from the rest?
It isn’t luck. And it isn’t one magic tactic.
It’s a set of consistent, repeatable strategies. Here are the 10 patterns we saw most clearly among high-growth practices.
High-growth practices don’t guess when it comes to clinician utilization.
They regularly track provider capacity and productivity, then use that data to make real decisions about scheduling, staffing, and growth. In contrast, low-growth practices were far more likely to measure this inconsistently (or not at all).
The takeaway is simple: You can’t optimize what you don’t measure.
Growth-oriented practices think carefully about how schedules impact both performance and people.
Instead of squeezing more visits into already-full days, they focus on:
This creates more consistency for patients, and less chaos for staff.
One of the biggest misconceptions we see is that “automation” starts and ends with notes.
High-growth practices go further.
They are nearly twice as likely to automate administrative workflows like:
Reducing admin friction frees up time, lowers error rates, and keeps teams focused on patient care instead of paperwork.
Operational discipline shows up clearly in revenue cycle performance.
High-growth practices are more likely to:
That speed compounds over time, improving cash flow, reducing stress, and creating more room to reinvest in the business.
Growth doesn’t come at the expense of clinicians. It includes them.
High-growth practices were significantly more likely to report:
Practices that grow sustainably understand that retention is a growth strategy, not a cost center.
High-growth practices don’t think in terms of “features.”
They think in terms of systems.
Rather than stitching together disconnected tools, they prioritize technology that:
The result? Fewer workarounds, less re-entry, and better visibility into the business.
From the first touchpoint to final payment, high-growth practices actively look for drop-off points.
They focus on:
Small reductions in friction add up to meaningful gains in volume and retention, without increasing marketing spend.
As practices grow, inconsistency becomes expensive.
High-growth organizations invest in:
This consistency makes onboarding easier, performance more predictable, and growth less dependent on individual heroics.
Burnout isn’t just a staffing issue. It’s a growth limiter.
Our data showed that high-growth and super-growth practices report lower burnout rates, especially when they pair automation with strong operational support.
They don’t ignore burnout signals. They design systems that reduce them.
High-growth practices aren’t chasing silver bullets.
They understand that growth is the result of:
None of these alone create scale, but together, they compound.
Most rehab therapy practices want to grow.
The difference is that high-growth practices build the infrastructure to support that growth before they hit breaking points.
The good news? These strategies aren’t theoretical. They’re already working across hundreds of practices today.
If you want to see how your practice compares and dive deeper into the data behind these insights, check out the full Practice Growth Index.
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