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Upstream Rehabilitation

Outpatient physical therapy clinic network

Overview

Upstream Rehabilitation operates a national network of outpatient physical therapy clinics across the U.S., delivered through well-known regional brands. The company also offers specialized services, including PT program management for healthcare systems, workers' compensation rehabilitation, and practice partnership options for independent PT owners. What sets Upstream apart is pairing national scale with the trusted, local identity of each clinic brand. The goal is to help patients move forward with confidence and return to what they love.

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About Upstream Rehabilitation

Simplify's Rating
Why Upstream Rehabilitation is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Company Size

N/A

Company Stage

N/A

Total Funding

N/A

Headquarters

N/A

Founded

2004

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Simplify's take

What believers are saying

  • Raintree's October 2026 renewal gives Upstream AI scribes, scheduling, and referral tools.
  • Upstream's partnership model attracts practice sellers seeking equity rollovers and higher valuations.
  • Its 2026 positioning as the largest outpatient PT provider strengthens employer and payer negotiations.

What critics are saying

  • Upstream depends on fragmented physician referrals and health-system partners like Ascension Saint Thomas.
  • ScribeIQ covers over 40% of evaluations; documentation failures hit coding, revenue, and clinician throughput.
  • A severe labor shortage or reimbursement compression could shrink clinic margins and stall expansion.

What makes Upstream Rehabilitation unique

  • Upstream runs 1,200-plus clinics across 28 states, the largest dedicated outpatient PT network.
  • Its brands include BenchMark, Drayer, Results, SERC, Integrity Rehab Group, and Physiofit.
  • Raintree renewal on October 27, 2026 deepens workflow integration across documentation, scheduling, and referrals.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Paid Vacation
  • Paid Holidays
  • Student Loan Assistance
  • Life Insurance
  • Disability Insurance
  • Professional Development Budget

Company News

Health Technology Net
Nov 9th, 2026
Medical Solutions names Adrian Bartella Chief Financial Officer.

Medical Solutions names Adrian Bartella Chief Financial Officer. OMAHA, Neb., Nov. 9, 2026 /PRNewswire/ - Medical Solutions, one of the nation's largest healthcare workforce solutions partners, has named Adrian Bartella its new Chief Financial Officer. Bartella will lead the company's finance function, including financial planning and analysis, accounting, treasury and other financial operations. Bartella brings more than 20 years of finance leadership experience across public and private companies, including serving as Chief Financial Officer of Upstream Rehabilitation, The Fresh Market and Hudson Group. His background spans financial strategy, mergers and acquisitions, capital management and business transformation. "Adrian brings the financial expertise and collaborative approach we need as we build for the future," said Rebecca Rogers Tijerino, CEO of Medical Solutions. "I'm looking forward to working with him to pursue the opportunities that will make the greatest difference for our business and the healthcare facilities, clinicians and communities we serve." "Having worked on the provider side of healthcare, I've seen how much the right clinical team matters to patients and to the organizations that care for them," Bartella said. "Medical Solutions helps facilities build those teams every day. I'm excited to get to know the people across the business and to work with Rebecca and the leadership team to shape a financial strategy that supports the facilities and clinicians who rely on us." Throughout his career, Bartella has successfully helped organizations strengthen financial performance, navigate change and complete complex transactions. At Medical Solutions, he will work alongside the executive leadership team to guide financial decisions and align resources with the company's strategic priorities. Bartella earned graduate degrees in corporate finance and commerce from European University Viadrina in Germany and Lincoln University in New Zealand. Medical Solutions helps healthcare organizations build and manage their workforces through travel nursing, allied health staffing and other workforce solutions. The company works with healthcare facilities to address staffing challenges, support care teams and connect clinicians with meaningful career opportunities. Who is the new Chief Financial Officer of Medical Solutions? Adrian Bartella is the new Chief Financial Officer of Medical Solutions, one of the nation's largest healthcare workforce solutions partners. What will Adrian Bartella oversee at Medical Solutions? Bartella will lead Medical Solutions' finance function, including financial planning and analysis, accounting, treasury and other financial operations. He will also work with the executive leadership team to align financial decisions and resources with the company's strategic priorities. What experience does Adrian Bartella bring to Medical Solutions? Bartella brings more than 20 years of finance leadership experience across public and private companies. He previously served as Chief Financial Officer of Upstream Rehabilitation, The Fresh Market and Hudson Group. His experience includes financial strategy, mergers and acquisitions, capital management and business transformation. What healthcare experience does Adrian Bartella have? Bartella previously served as Chief Financial Officer of Upstream Rehabilitation, bringing experience from the provider side of healthcare to his role at Medical Solutions. What does Medical Solutions do? Medical Solutions helps healthcare organizations build and manage their workforces through travel nursing, allied health staffing and other workforce solutions. The company supports healthcare facilities with staffing challenges and connects clinicians with career opportunities. ABOUT MEDICAL SOLUTIONS Medical Solutions is one of the nation's leading healthcare workforce partners, delivering workforce solutions, advisory services, technology, recruiting, and staffing. With expertise across managed services, internal resource pools, virtual health, workforce disruption, contingent staffing (including PRN, local, and travel), interim leadership, domestic and international direct hire, and dedicated managed staffing, Medical Solutions empowers healthcare systems to optimize labor costs, improve patient care, and prepare for future workforce needs. Learn more at www.medicalsolutions.com. SOURCE Medical Solutions LLC

GlobeNewswire
Oct 10th, 2023
US Occupational & Physical Therapy Services Market Size to Surpass USD 92.38 Billion by 2030, at a CAGR of 8.2%

June 2022 - Upstream Rehabilitation Inc. partnered with Ascension Saint Thomas to include BenchMark Physical Therapy.

Edge Media Group
Jul 12th, 2023
Results Physiotherapy to open location in Hopkinsville

Results Physiotherapy was founded in Nashville, Tennessee in 1996 and was acquired by Upstream Rehabilitation, the leading operator of outpatient physical therapy clinics in the United States, in 2021.

PennLive
Jan 26th, 2023
Central Pa. healthcare company buys 2-story building

Alabama-based Upstream Rehabilitation Inc. acquired Drayer in 2018.

Upstream Rehabilitation
Feb 15th, 2022
Urpt hires Lisa Dombro as Chief of Strategic Growth

Upstream Rehabilitation, the leading provider in the country dedicated to outpatient physical therapy services, announced the appointment of Lisa Dombro as Chief of Strategic Growth to lead the organization’s initiatives designed to expand its value-based relationships with health plans, employers, primary care physicians and specialists.

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