Pediatric OT & PT Practice, 35-Year Virginia Two-Location Clinic

Full Editorial Writeup

This is a pediatric occupational and physical therapy practice operating for more than 35 years across two leased locations in a large Mid-Atlantic metro (Virginia). The clinic delivers roughly 2,000 treatment visits per month, treating developmental, sensory, motor, feeding, and gait needs from infancy through young adulthood. Beyond core OT and PT, it runs differentiated specialty programs, virtual options, and parent education that distinguish it from smaller independents in a fragmented market.

Trailing-twelve-month revenue through July 2026 was approximately $3.27 million with adjusted EBITDA near $1.13 million, a roughly 34% margin. The model is asset-light with minimal COGS, and revenue has recovered from a temporary 2025 staffing dip thanks to improved reimbursement and renewed clinician capacity. An 80-patient waitlist plus recently hired clinicians ramping toward full caseloads represent visible near-term upside without needing to buy new demand.

The practice is largely owner-light, with the owner spending only 10 to 15 hours per week on leadership and strategy while clinical leadership, billing, scheduling, and administration run day to day. No single patient or referral source is a material concentration, and demand flows from decades of referral relationships, insurance participation, digital marketing, and word of mouth. The seller is exiting to focus on family priorities, not distress, and is positioning this as a platform acquisition for a PT/OT group or PE-backed roll-up.