Business phone system for physical, occupational and speech therapy clinics
How physical, occupational and speech therapy clinics use the phone, how big their teams are, where they operate, and what calling and texting cost on Callata versus per-seat pricing.
- U.S. establishments
- 52,058CBP 2023
- Employees
- 466,903mid-March 2023
- Avg. team
- 9.0employees per establishment
- Metro areas
- 827with published counts
Physical, occupational and speech therapy clinics in the United States
County Business Patterns counted 52,058 physical, occupational and speech therapy clinics in the U.S. in 2023 (NAICS 621340, Offices of Physical, Occupational and Speech Therapists, and Audiologists). They employed 466,903 people in mid-March and paid $22.9 billion in annual payroll. The average establishment has 9.0 employees. That is 15.3 establishments for every 100,000 residents.
California has the most (5,369), followed by Florida (4,399), New York (4,013), and Texas (3,286). Relative to population, Wyoming leads with 30.1 per 100,000 residents, and Ohio has the fewest at 9.7.
| Measure | United States |
|---|---|
| Establishments | 52,058 |
| Mid-March employees | 466,903 |
| Annual payroll | $22,909,546,000 |
| Payroll per employee | $49,067 |
| Employees per establishment | 9.0 |
Source: Census County Business Patterns 2023.
Why the phone matters for physical, occupational and speech therapy clinics
Therapy plans of care involve many visits over several weeks, so clinics spend a large share of phone time scheduling and confirming. Referral sources and payers also call to check on authorizations and progress.
Calls physical, occupational and speech therapy clinics commonly handle:
- A patient calls with a new referral after surgery.
- A patient calls to reschedule several visits around travel.
- A physician's office calls to send a referral.
- The clinic calls patients to fill a cancelled slot.
- A case manager calls about a workers' compensation patient.
Texting and after-hours calls
Reminder texts and quick reschedule replies help keep a full schedule full.
After-hours calls are usually scheduling requests or questions about the first visit.
Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.
How big physical, occupational and speech therapy clinics are
56.8% of U.S. physical, occupational and speech therapy clinics with employees had fewer than five people in March 2023. 78.2% had fewer than ten. Most phone decisions in this industry are made for small teams, where one shared number and sensible routing matter more than a desk phone per person.
| Employment size | Establishments | Share |
|---|---|---|
| 1–4 employees | 29,545 | 56.8% |
| 5–9 employees | 11,145 | 21.4% |
| 10–19 employees | 7,291 | 14.0% |
| 20–49 employees | 3,120 | 6.0% |
| 50 or more employees | 957 | 1.8% |
Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.
Physical, occupational and speech therapy clinics by state
Establishment counts for the 51 states (and DC) where Census published a figure, with the rate per 100,000 residents.
| State | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| California | 5,369 | 45,901 | 13.6 |
| Florida | 4,399 | 27,118 | 18.8 |
| New York | 4,013 | 31,853 | 20.2 |
| Texas | 3,286 | 42,525 | 10.5 |
| Illinois | 2,545 | 24,701 | 20.0 |
| New Jersey | 2,127 | 20,701 | 22.4 |
| Pennsylvania | 2,085 | 20,345 | 15.9 |
| Michigan | 1,584 | 15,931 | 15.6 |
| Georgia | 1,521 | 11,976 | 13.6 |
| North Carolina | 1,400 | 16,240 | 12.7 |
| Washington | 1,307 | 9,897 | 16.4 |
| Virginia | 1,226 | 10,697 | 13.9 |
| Arizona | 1,219 | 11,555 | 16.1 |
| Ohio | 1,151 | 15,614 | 9.7 |
| Colorado | 1,112 | 8,353 | 18.7 |
| Maryland | 1,030 | 12,296 | 16.4 |
| Missouri | 996 | 8,776 | 15.9 |
| Indiana | 962 | 8,870 | 13.9 |
| Massachusetts | 931 | 7,337 | 13.0 |
| Louisiana | 776 | 8,287 | 16.9 |
| Arkansas | 775 | 5,846 | 25.1 |
| Tennessee | 773 | 7,653 | 10.7 |
| Wisconsin | 747 | 5,846 | 12.5 |
| Alabama | 740 | 6,749 | 14.3 |
| South Carolina | 732 | 4,692 | 13.4 |
| Oregon | 699 | 5,159 | 16.4 |
| Kentucky | 683 | 7,772 | 14.9 |
| Minnesota | 668 | 4,772 | 11.5 |
| Oklahoma | 595 | 4,870 | 14.5 |
| Idaho | 522 | 3,564 | 26.1 |
| Connecticut | 520 | 6,188 | 14.1 |
| Nevada | 509 | 4,000 | 15.6 |
| Iowa | 501 | 4,523 | 15.5 |
| Kansas | 475 | 4,012 | 16.0 |
| Utah | 469 | 3,631 | 13.4 |
| Mississippi | 401 | 3,923 | 13.6 |
| Nebraska | 394 | 3,922 | 19.6 |
| New Mexico | 325 | 2,888 | 15.3 |
| Maine | 304 | 1,791 | 21.6 |
| Montana | 265 | 1,453 | 23.3 |
| West Virginia | 256 | 2,388 | 14.5 |
| New Hampshire | 223 | 1,781 | 15.8 |
| Delaware | 212 | 2,040 | 20.2 |
| Hawaii | 188 | 1,219 | 13.0 |
| Rhode Island | 184 | 1,387 | 16.5 |
| Alaska | 180 | 1,095 | 24.3 |
| Wyoming | 177 | 1,373 | 30.1 |
| North Dakota | 133 | 949 | 16.7 |
| Vermont | 133 | 701 | 20.5 |
| South Dakota | 128 | 1,129 | 13.8 |
| District of Columbia | 108 | 614 | 15.4 |
Source: Census County Business Patterns 2023; Census Vintage 2024 state population estimates.
Largest metro areas for physical, occupational and speech therapy clinics
Census published physical therapy clinic counts for 827 metro and micropolitan areas. The 25 largest:
| Area | Establishments | Employees |
|---|---|---|
| New York, NY-NJ | 4,851 | 39,974 |
| Los Angeles, CA | 2,252 | 18,236 |
| Chicago, IL-IN | 2,101 | 19,056 |
| Miami, FL | 1,862 | 7,649 |
| Philadelphia, PA-NJ-DE-MD | 1,160 | 10,462 |
| Dallas, TX | 1,036 | 17,702 |
| Atlanta, GA | 970 | 7,231 |
| Phoenix, AZ | 897 | 9,225 |
| Washington, DC-VA-MD-WV | 889 | 7,290 |
| Detroit, MI | 820 | 9,020 |
| Seattle, WA | 769 | 5,829 |
| Boston, MA-NH | 717 | 5,653 |
| Houston, TX | 673 | 6,916 |
| San Francisco, CA | 615 | 4,456 |
| San Diego, CA | 577 | 4,406 |
| Tampa, FL | 560 | 4,785 |
| St. Louis, MO-IL | 549 | 5,775 |
| Denver, CO | 545 | 4,611 |
| Baltimore, MD | 533 | 7,778 |
| Minneapolis, MN-WI | 463 | 3,792 |
| Kansas City, MO-KS | 428 | 3,231 |
| Riverside, CA | 420 | 3,341 |
| Orlando, FL | 414 | 2,721 |
| Pittsburgh, PA | 412 | 4,098 |
| Portland, OR-WA | 391 | 3,331 |
Callata vs. per-seat pricing for physical, occupational and speech therapy clinics in the U.S.
The average U.S. physical therapy clinic has 9.0 employees, so the comparison uses a 9-person team. Priced per seat, 9 users would run $270.00 a month on RingCentral RingEX Core and $224.55 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata comes to $179.00 a month for 9 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $1,092 less than RingCentral for a physical therapy clinic in the U.S. of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $179.00 | $2,148.00 |
| Quo (Starter) | $19.00 per user | $171.00 | $2,052.00 |
| Nextiva (Core) | $23.00 per user | $207.00 | $2,484.00 |
| Ooma (Office Pro) | $24.95 per user | $224.55 | $2,694.60 |
| Dialpad (Standard) | $27.00 per user | $243.00 | $2,916.00 |
| RingCentral (RingEX Core) | $30.00 per user | $270.00 | $3,240.00 |
Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.
How Callata works for physical, occupational and speech therapy clinics
Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.
Texting from a local number requires carrier registration (10DLC), a one-time $49 fee. Porting an existing number is free.
AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.
Frequently asked questions
How many physical, occupational and speech therapy clinics are in the U.S.?
52,058 in 2023, according to Census County Business Patterns (NAICS 621340).
What does a phone system cost a 9-person physical therapy clinic?
$270.00 a month on RingCentral RingEX Core or $224.55 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $179.00 a month on Callata, where $99 covers the first 5 users.
Can physical, occupational and speech therapy clinics keep their existing number?
Yes. Porting an existing number to Callata is free.
Can an AI agent answer calls for a physical therapy clinic?
Callata's optional AI receptionist, sales, support and scheduler agents can answer calls, take messages, text, email and transfer to your team. They identify themselves as AI and use prepaid AI minutes at $0.25 per minute.