Launch your new PT practice with PTBS

Startups are what we do. Let PTBS guide you through each key step in establishing your practice.

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150+ yrs

of combined PT experience

100+

Independent practices served

50%+

of our clients launch as startups

Billing is the largest hurdle in starting your practice

Launching your PT practice with a billing expert makes sure you get the most important thing right: getting paid for the work you do.

Even with modern PT EMR software, billing is difficult to master.

Almost all startup clinics have issues getting paid by insurers

Most solo practices get their credentialing wrong on the first try

Expert guidance for each step in establishing your practice

CAQH & NPPES Portability to New Practice

When starting a new physical therapy practice, you’ll need to update your CAQH (Council for Affordable Quality Healthcare) profile and NPPES (National Plan & Provider Enumeration System) records.

CAQH serves as a central repository for credentialing information used by insurance payers, while NPPES manages your National Provider Identifier (NPI). If you were previously affiliated with another practice, updating these records ensures continuity in payer enrollment and claims processing.

Maintaining accurate data will help avoid credentialing delays and reimbursement issues.

New Entity, EIN, and NPI Creation

Establishing your practice as a legal entity is one of the first steps in launching your business. You’ll need to determine your business structure (e.g., sole proprietorship, LLC, or corporation) and register it with your state.

Then, apply for an Employer Identification Number (EIN) from the IRS for tax purposes. If your practice will bill insurance, you’ll also need an NPI Type 2 (for organizations) in addition to your personal NPI. These identifiers are critical for tax filing, payroll setup, and insurance credentialing.

PMS/EMR Selection, Onboarding, and Training

Selecting the right software is one of the essential factors for efficient operations. EMRs, or Electronic Medical Records software, help with scheduling, documentation and compliance. PMSs, or Practice Management Software, help with billing and analytics. PTBS will help you choose the best ones for you; we can work with any software.

Choose a solution tailored for physical therapy that integrates well with insurance billing and reporting requirements. Once selected, proper onboarding and staff training ensure smooth implementation.

Investing time in learning the system early will help avoid administrative headaches and streamline patient care.

Payor Selection and Entity Credentialing

Getting your insurance payor selection right is one of the most important factors in your practice's profitability. Credentialing your new practice with insurance payers is a crucial step in getting reimbursed for services.

This involves submitting applications and documentation to insurance networks, Medicare, and Medicaid. The process can take several months, so starting early is key. If your CAQH profile is complete and up to date, it can expedite approvals.

PTBS offers a full-service credentialing, offering to handle submissions and follow-ups to minimize delays.

Business Licensure and Insurance

To operate legally, your practice must obtain the necessary business licenses and permits based on state and local regulations.

This may include a professional license, business registration, and zoning permits. Additionally, securing proper insurance—such as malpractice, general liability, workers’ compensation, and cybersecurity coverage—is essential for protecting your practice against potential risks.

Compliance with legal and insurance requirements ensures smooth operations and mitigates financial and legal liabilities.

Revenue Optimization

Running a successful physical therapy practice involves more than just treating patients. PTBS’s operational consulting can help you optimize workflows and enhance patient experience.

Key areas include financial planning, payor analysis, staff management, compliance, marketing, and growth strategies. Our experience will help you avoid common pitfalls, set up efficient systems, and scale your practice effectively.

Whether it’s refining your billing process or developing patient retention strategies, a solid operational foundation is crucial for long-term success.

Client Success Stories

Why our clients choose a real US-based team over faceless alternatives

We're more than a billing service—we're an extension of your team.

"I am beyond impressed with the support and encouragement I received from Jean and PT Billing Services. Jean has been a huge help every step of the way and is extremely responsive and encouraging. She gave the support I needed to make the leap to starting my own practice. Knowing the steps and when to take them in the credentialing process would have been overwhelming without her support. Her knowledge and expertise is irreplaceable, I would absolutely recommend PTBS to anyone looking for start-up, credentialing or billing support!"

Ryan DeHaan, DPT | PT Central PLLC

"It's always a pleasure working with PT Central and Ryan. I find it incredibly rewarding to support new practices as they grow and thrive. Guiding Ryan through the startup process has been very satisfying. I enjoy answering his questions, offering encouragement along the way, and seeing him succeed."

Jean Case | Credentialing Manager, PTBS

“We’ve been with PTBS since our grand opening in 2011. From minute one, they helped us learn everything we needed to open and be successful. What I love most is the human voice on the other end of the line—knowledgeable, kind, and always willing to help. We truly feel you’re part of our office team.”

Melissa Heiler | Office Manager/Owner, Elite Physical Therapy

"For over a decade, I have worked closely with Elite Physical Therapy and Sports Performance, forging a strong partnership that has allowed us to provide the necessary support and assistance for their success, even without being physically present on-site. As their organization has continued to grow, my team has grown alongside them, enabling us to work seamlessly across multiple revenue cycle management (RCM) programs and develop highly efficient workflows."

Tanya Henry | HR, Billing Leader, Office Manager, PTBS

“Before PT Billing Services stepped in, our billing process was a chaotic mess—hit-or-miss payments, a mountain of rejected claims, and constant stress. But within a short time, they completely turned things around. Partnering with PT Billing Services was hands-down one of the smartest moves we’ve made.”

Tonee Weber | GO! Physical Therapy

"I have enjoyed helping GO! Physical Therapy work through their previous billing problems and finding solutions to keep their clinic moving forward with their success."

Briana Allen | Senior Billing Specialist