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FRANCHISE RESALES

Buy a Fyzical Therapy & Balance Centers Franchise

FYZICAL Therapy & Balance Centers is a physical therapy franchise founded in 2012 and headquartered in Sarasota, Florida. Its clinics provide outpatient rehabilitation, balance and vestibular retraining, sports therapy and preventative wellness, built around the proprietary Balance Paradigm protocols.

The network spans more than 600 clinics across 46 states, making it one of the larger physical-therapy franchise systems in the US. Clinics treat patients referred by physicians alongside self-referred clients seeking pain relief, improved mobility and fall prevention, with revenue tied to ongoing treatment plans and insurance reimbursement.

FYZICAL offers several entry routes: entrepreneurs without a clinical background, licensed physical therapists opening a first practice, and existing practice owners converting to the brand. Territories are exclusive and protected, and the model pairs healthcare delivery with franchise operating systems, group purchasing and marketing support.

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Why buy a Fyzical Therapy & Balance Centers Franchise?

Buying a FYZICAL franchise gives access to an established healthcare brand in a category with durable, demographically driven demand. The Balance Paradigm and the brand’s balance and vestibular specialism set FYZICAL apart from general PT clinics, while its scale brings purchasing power, referral credibility and a national franchisee network to draw on.

Owners benefit from group purchasing on equipment, software and marketing, a dedicated marketing portal with the option to add FYZICAL’s Exclusive Marketing Suite, and Area Representative field support. The conversion route means many clinics join with an existing patient base, and owners without clinical training get an operational and clinical support layer while licensed staff deliver care.

Fyzical Therapy & Balance Centers Franchise Costs & Information

Based on 2024 data reported in the 2025 FDD

  • Brand Profile

    • Year Founded

      2012

    • Franchising Since

      2013

    • New Startup Cost

      $167,850 – $418,600

    • Avg. Resale Price

      Contact us for details

  • Franchise Fees

    • Initial franchise Fee

      $20,000 – $49,000

      for new territories

    • Transfer Fee

      10%

      of the then-current Initial Franchise Fee

    • Royalty Fee

      6%

      of Gross Revenue or monthly min

    • Marketing Fee

      Not Collected

  • Unit Performance

    • Total Units *

      580

    • New Units Opened *

      81

    • Units Transferred *

      14

    • Avg. Unit revenue *

      $604,438

    * Based on 2024 data reported in the 2025 FDD

Fyzical Therapy & Balance Centers – Additional  Information

  1. Training & Support

    FYZICAL's initial program runs four weeks and includes 24+ hours of classroom instruction, a 3-day immersive hands-on lab, on-site education at the clinic and online courses. Area Representatives provide local field support, and owners access group purchasing, a marketing portal, the Balance Paradigm clinical system and national and regional conferences for ongoing training. Resale buyers should confirm with FYZICAL what onboarding and transfer training an incoming owner receives and whether existing staff are certified in the Balance Paradigm protocols.

  2. Ideal Owner

    FYZICAL suits operators who can run a healthcare business, build physician referral relationships and lead a clinical team. A clinical background is not required, and many owners come from business, healthcare or investment careers; licensed physical therapists opening or converting a practice also fit. The brand rewards growth-minded operators comfortable with insurance billing, staff management and multi-unit expansion, rather than passive investors.

  3. Recognition & Awards

    FYZICAL ranks annually in Entrepreneur's Franchise 500, named #1 in the Physical Therapy category in 2026 after placing #192 overall in 2025, and is recognized by Franchise Business Review for franchisee satisfaction. It has also appeared on Entrepreneur's Top Recession-Proof Franchise, Top Culture and Top Brands for Multi-Unit Owners lists in 2024. For resale buyers, brand recognition should be weighed alongside the specific clinic's local reputation, online reviews and referral strength.

  4. Industry / Market

    The US physical therapy market was valued around $65 billion in 2025 and is forecast to grow at double-digit annual rates toward roughly $128 billion by 2032, driven by an aging population, rising chronic conditions and a shift toward outpatient and preventative care. The sector is highly fragmented, with no operator holding meaningful national share. For resale buyers, local referral networks, payer relationships and therapist availability shape a clinic's performance more than national trends.

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