The best marketing agency for most physical therapy clinics is E-rehab: physical-therapy-only since 2003, founded by a practicing DPT, with 2,496 clinic websites built, more than 20,000 customer ratings and a flat "No Contracts" promise. Breakthrough is the better pick if your growth plan runs on Facebook and Instagram demand generation — it is one of only two here that publishes a price, starting at $700/month. Practice Promotions is the strongest option if you want a Google Premier Partner with 1,200+ clinic locations behind it. All eight agencies below were verified against their own live sites in September 2026.
Full disclosure
No agency paid for placement on this list, and there are no affiliate links or referral fees on this page. Karbon Agency publishes this list and appears on it; we are placed by the same score as everyone else, and on several of our lists that means we are not first.
The ranking, side by side
Ranked by the score below, which is explained in full under “How we ranked these”. The pricing and lock-in columns are the reason this page exists — almost no other list in this category will tell you what these agencies charge.
#
Agency
Score
Best for
Pricing
Lock-in
1
E-rehab
73/100
private PT practices that want a long-established physical-therapy-only vendor and the freedom to leave any month
Pricing not published — quoted after a call
None — "No Contracts" stated on site
2
Practice Promotions
70/100
clinics that want the most-credentialed PT-only agency and a named success manager on the account
Own prices not published; publishes market ranges and a 5–8%-of-revenue budget rule
Not published
3
Breakthrough
68/100
clinics that want to create demand with workshops and paid social rather than wait for search traffic
Published: plans start at $700/month
Not published
4
Karbon Agency *
62/100
clinics that want Google and Meta patient-acquisition ads with a live dashboard tying spend to booked evaluations
Published: intro tiers from $500/month
None — month-to-month
5
WebFX
58/100
multi-location clinic groups that want a large agency with a published rate card and deep reporting
Published: SEO $2,900–$9,200/mo by tier; PPC management not published
6-month commitment stated on the SEO pricing table
6
Cardinal Digital Marketing
54/100
multi-location provider groups and PE-backed clinic platforms that need attribution across dozens of sites
Pricing not published — quoted after a call
Not published
7
PatientPartners
52/100
small clinics that want to be measured on cost per booked appointment rather than leads
Pricing not published — quoted after a call
Month-to-month after a stated 3-month minimum
8
Direct Response PT
46/100
clinics whose bottleneck is the phone — an AI receptionist catching the calls the front desk misses
Pricing not published — quoted after a call
Not published
9
Propel Marketing & Design
40/100
clinic owners who want local and AI search done properly, or who would rather learn SEO than buy it forever
Pricing not published — quoted after a call
Not published
* Karbon Agency publishes this list — see the disclosure above. All other rows are based on each agency’s own published materials as of September 14, 2026.
Best for: private PT practices that want a long-established physical-therapy-only vendor and the freedom to leave any month
Strengths
The narrowest focus on this list: "Since 2003, E-rehab.com is the number one provider of physical therapy websites and online marketing services for physical therapy private practices"
Publishes a "No Contracts" guarantee, plus 2,496 websites developed, 20,987 customer ratings and a 98% support rating
Founded and run by David Straight, PT, DPT, OCS — a physical therapist, not a marketer who found the niche
Considerations
No pricing at all is published; everything routes through a scheduled call
The service mix is search- and retention-led (SEO, local search, AdWords, email, reputation, print newsletters, physician-referral training) — Meta and Instagram ads are not named as a managed channel
Pricing: Pricing not published — quoted after a call · Lock-in: None — "No Contracts" stated on site
Best for: clinics that want the most-credentialed PT-only agency and a named success manager on the account
Strengths
The strongest published proof in the category: 15 years in business, 1,200+ clinic locations, 311 Google reviews at 5.0, and Google Premier Partner status
Founded by PT owners Neil and Amy Trickett, who sold their own Florida clinic in 2008 — and staffed entirely on PT marketing, down to a dedicated success manager per account
Publishes real volume figures from its own book: 40,000 patient leads in 2024 and 500,000 patient clicks from Google Ads
Considerations
Its own cost article publishes market ranges (PT-specific agencies $1,500–$8,000+/month) and a 5–8% of gross revenue budget rule, but never its own prices — "Request Pricing" is the only route
That same article nudges toward longer terms ("if you can agree to a longer contract term to keep your cost stable for a few years that's great") while publishing no contract terms of its own
Pricing: Own prices not published; publishes market ranges and a 5–8%-of-revenue budget rule · Lock-in: Not published
Best for: clinics that want to create demand with workshops and paid social rather than wait for search traffic
Strengths
Publishes a starting price: "Plans start at $700 per month and are based on the marketing solutions that are best for your practice growth goals"
The broadest paid-media coverage here — "Tap into Facebook, Google, Instagram and YouTube" — plus email automation, SMS, landing pages and cold-traffic campaigns
Built around educating a market rather than discounting it, which suits cash-pay and out-of-network clinics that cannot compete on copay
Considerations
Software plus service, not a pure agency — several campaigns are tools you run rather than work done for you, so confirm exactly what is done-for-you at your tier
Beyond the $700 starting figure there is no tier detail, no contract term, no client count and no founding year published
Pricing: Published: plans start at $700/month · Lock-in: Not published
Best for: clinics that want Google and Meta patient-acquisition ads with a live dashboard tying spend to booked evaluations
Strengths
AI-driven reporting — a live dashboard shows what every ad dollar did, down to the lead
No lock-in: month-to-month terms, cancel anytime
Published intro tiers starting at $500/month, so you know the cost before the first call
Considerations
Small, newer team — we don't have a decade-deep case-study library yet
Not physical-therapy-exclusive, and we do not integrate with WebPT, Prompt or Jane — the PT-only shops above understand referral relationships and plan-of-care economics better than we do
Best for: multi-location clinic groups that want a large agency with a published rate card and deep reporting
Strengths
The most complete published pricing on this list: SEO plans at $2,900, $6,150, $7,400 and $9,200 per month (after higher first-two-month figures), plus a custom enterprise tier
The biggest verifiable footprint anywhere here — 750+ specialists, 30 years in business, a 4.9 Clutch rating from 1,100+ client reviews, and 98,500+ hours of stated healthcare experience
Has a dedicated physical therapy page covering SEO, local SEO, content, social and conversion-rate optimisation
Considerations
A generalist with a PT page, not a PT specialist — physical therapy is one vertical among hundreds, which is why it scores lowest here on specialization
The published SEO table specifies a 6-month commitment, and PPC management pricing is not published at all
Pricing: Published: SEO $2,900–$9,200/mo by tier; PPC management not published · Lock-in: 6-month commitment stated on the SEO pricing table
Best for: multi-location provider groups and PE-backed clinic platforms that need attribution across dozens of sites
Strengths
Healthcare-exclusive — "patient acquisition strategy is our only strategy" — with a dedicated physical therapy specialty page
The widest paid-media stack here: Google Ads, Meta, display and TikTok alongside SEO and AI search optimisation, websites and measurement
Its RevRx business-intelligence tool is built for the multi-location attribution problem rather than single-clinic lead counting
Considerations
Built for scale — it names multi-location groups, health systems, DSOs and private-equity-backed practices, so a single-site clinic is not its centre of gravity
No pricing, contract term or client count is published; it also now operates as Power Digital's healthcare division rather than as an independent shop
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: small clinics that want to be measured on cost per booked appointment rather than leads
Strengths
Positions squarely against generalists — "Specialists in Physiotherapy. Not Generalists" — and reports on cost per booked appointment rather than clicks or form fills
Month-to-month terms, with a stated minimum of three months rather than an annual lock-in
Covers local SEO, Google Ads, web design, social, email, analytics and AI search optimisation from one small team
Considerations
Also serves chiropractic, massage therapy, occupational therapy, counselling and dental, so "physiotherapy specialist" is a lead vertical rather than the only one
The thinnest published proof on this list — no founding year, no client count, no review count, only about 15 client logos
Pricing: Pricing not published — quoted after a call · Lock-in: Month-to-month after a stated 3-month minimum
Best for: clinics whose bottleneck is the phone — an AI receptionist catching the calls the front desk misses
Strengths
Pairs the usual website, SEO and Google Ads work with an AI receptionist, which is a rarer answer to the missed-call problem in rehab than another ad campaign
Publishes an AI-search (GEO) offering alongside conventional SEO, and has been "helping healthcare businesses since 2015"
Holds a 5.0 Google rating with named clinic testimonials
Considerations
Serves healthcare businesses broadly rather than physical therapy only, and Facebook or Instagram advertising is not named as a service
No pricing, contract terms, review count or exact client count is published — "hundreds of successful projects" is the only scale figure
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: clinic owners who want local and AI search done properly, or who would rather learn SEO than buy it forever
Strengths
A genuine local-SEO specialist for clinics: Google Business Profile audits, AI search optimisation, content marketing and blogging
Offers a DIY path as well as done-for-you — its "Ready. Set. Rank!" program teaches clinic owners to run their own SEO, which is rare and honest
Has operated under the same brand since at least 2011 per its own site copyright
Considerations
Organic only — no Google Ads and no Meta Ads appear in its service list, so it cannot be your acquisition partner on its own
Physical therapy is one of several clinic types it serves alongside chiropractic, acupuncture and wellness, and it publishes no pricing, terms or client count
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
How we ranked these
Every agency is scored out of 100 across five weighted dimensions. The weights are fixed across every list on this site, so a 78 here means the same thing as a 78 on any other niche.
Niche specialization30 points
How much of the agency's actual business is this one industry. A shop that works only in this niche scores full marks; a generalist that lists it among twenty verticals scores about half.
Pricing transparency20 points
Does it publish what it charges on its own website. Full marks for real numbers you can read before a sales call, partial for a published budget framework or starting-at figure, zero for "contact us".
Proof and reviews20 points
Verifiable evidence on its own site: years in business, client counts, named case studies, third-party review counts, Google/Meta partner badges. Unsourced hype counts for nothing.
Service fit20 points
Whether the service mix matches what this industry actually needs to get customers, rather than what is easiest to sell.
Contract flexibility10 points
Month-to-month terms and client ownership of the website, ad accounts and data score highest; undisclosed or multi-year terms score lowest.
Every agency here was checked against its own live website. Pricing, contract terms, client counts and review counts are only stated where the agency publishes them — everything else is recorded as "not published" rather than guessed at. Scores are ours, they are subjective, and the rubric above is published so you can disagree with them.
Last reviewed by Seva Kogan, Founder. We refresh these lists when something real changes — a price, a contract term, an agency going dark — not on a schedule.
Frequently asked questions
What does physical therapy marketing cost?
Two agencies here publish figures. Breakthrough states plans start at $700/month. WebFX publishes a full SEO rate card at $2,900, $6,150, $7,400 and $9,200 a month by tier, with higher first-two-month figures and a 6-month commitment. For the rest, the most useful published anchor is Practice Promotions' own market article: DIY tools $100–$500/month, freelancers $500–$2,000, generalist agencies $1,000–$5,000 and PT-specific agencies $1,500–$8,000+. As a share of revenue it suggests 5–8% of gross for established clinics and closer to 10% for new ones in competitive markets. What PT clinic marketing costs →
Which physical therapy marketing agencies publish their prices?
Two of the eight verified in September 2026: Breakthrough (from $700/month) and WebFX (a complete SEO table). E-rehab, Practice Promotions, Cardinal, PatientPartners, Direct Response PT and Propel all quote after a call. Practice Promotions goes furthest without naming its own number — it publishes competitor ranges and a percentage-of-revenue rule, then sends you to a form.
Are physical therapy ads restricted on Facebook and Instagram?
Yes, on two counts. Meta's Advertising Standards on privacy violations and personal attributes state that ads "must not contain content that asserts or implies personal attributes," and that list expressly includes "physical or mental health (including medical conditions)" and "disability." Copy written at the reader — "Still living with knee pain?" — is the single most common rejection in rehab advertising. Separately, Meta's health and wellness rules require that ads "promoting or marketing dietary, health, or weight loss or weight gain products and services must be targeted to people at least 18 years or older." Describe the service and who it helps; do not address the reader's condition.
Can a PT clinic run before-and-after or patient-progress images?
More often than agencies assume. Meta's health and wellness standards permit before-and-after transformation imagery for cosmetic procedures aimed at adults 18+, to "illustrate people using the product or the service, and its impact." What is prohibited sits elsewhere in the same policy: "statements of inferiority about physical appearance," sensational or exaggerated claims, and zoomed-in body imagery such as a "close up on specific body area by pinching fat." Posture and weight-loss angles usually fail on the inferiority rule. Patient imagery also needs written HIPAA authorisation before it goes anywhere near an ad account — that is a separate obligation from Meta's rules.
Do patients need a physician referral to book physical therapy?
Usually not, and this changes the whole case for direct-to-consumer advertising. APTA states that "as of July 1, 2025, all 50 states, the District of Columbia, and the U.S. Virgin Islands have either provisional or unrestricted direct access to physical therapist services for evaluation and treatment." The caveat matters for ad copy: APTA also notes that "some provisions tied to treatment absent a referral still persist in a number of states." Check your own state's provisions before an ad promises treatment without a referral.
Should a PT clinic advertise to patients or to referring physicians?
Both, but not with the same budget. Direct access means consumer search and paid social now produce evaluations on their own, which is why E-rehab, Breakthrough and Practice Promotions have all built consumer funnels. Physician referral development is relationship work, not media spend — E-rehab is the only agency here that names physician-referral training as a service. A reasonable split for a single clinic is consumer acquisition as the paid line and referral development as a staff responsibility.
What should I ask a PT marketing agency before signing?
Five things. Who owns the website, ad accounts and Google Business Profile at the end — only E-rehab publishes plain "No Contracts" terms. What is the contract term in writing. Do you report booked evaluations or just leads, which is the distinction PatientPartners builds its reporting on. Does anything connect to WebPT, Prompt or Jane, because none of these agencies publishes a practice-management integration. And who actually does the work, since two of the eight here are software platforms with services attached.
Should a clinic hire an agency or an in-house marketer?
A single-site clinic rarely has enough work for a senior full-time marketer, so in-house hires skew junior — and juniors cannot run ads, local SEO and creative equally well. Agencies spread senior specialists across the account. In-house begins to win somewhere around five locations, which is roughly where Cardinal's multi-location clients start. We wrote out the full math. Agency vs. hiring in-house →
Want the honest version for your business?
Talk to us and we’ll tell you plainly whether we’re the right fit — and if one of the agencies above suits you better, we’ll say so.