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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.

Physical, occupational and speech therapy clinics in the U.S., 2023
MeasureUnited States
Establishments52,058
Mid-March employees466,903
Annual payroll$22,909,546,000
Payroll per employee$49,067
Employees per establishment9.0

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:

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.

U.S. physical, occupational and speech therapy clinics by employment size, 2023
Employment sizeEstablishmentsShare
1–4 employees29,54556.8%
5–9 employees11,14521.4%
10–19 employees7,29114.0%
20–49 employees3,1206.0%
50 or more employees9571.8%

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.

Physical, occupational and speech therapy clinics by state, 2023
StateEstablishmentsEmployeesPer 100k residents
California5,36945,90113.6
Florida4,39927,11818.8
New York4,01331,85320.2
Texas3,28642,52510.5
Illinois2,54524,70120.0
New Jersey2,12720,70122.4
Pennsylvania2,08520,34515.9
Michigan1,58415,93115.6
Georgia1,52111,97613.6
North Carolina1,40016,24012.7
Washington1,3079,89716.4
Virginia1,22610,69713.9
Arizona1,21911,55516.1
Ohio1,15115,6149.7
Colorado1,1128,35318.7
Maryland1,03012,29616.4
Missouri9968,77615.9
Indiana9628,87013.9
Massachusetts9317,33713.0
Louisiana7768,28716.9
Arkansas7755,84625.1
Tennessee7737,65310.7
Wisconsin7475,84612.5
Alabama7406,74914.3
South Carolina7324,69213.4
Oregon6995,15916.4
Kentucky6837,77214.9
Minnesota6684,77211.5
Oklahoma5954,87014.5
Idaho5223,56426.1
Connecticut5206,18814.1
Nevada5094,00015.6
Iowa5014,52315.5
Kansas4754,01216.0
Utah4693,63113.4
Mississippi4013,92313.6
Nebraska3943,92219.6
New Mexico3252,88815.3
Maine3041,79121.6
Montana2651,45323.3
West Virginia2562,38814.5
New Hampshire2231,78115.8
Delaware2122,04020.2
Hawaii1881,21913.0
Rhode Island1841,38716.5
Alaska1801,09524.3
Wyoming1771,37330.1
North Dakota13394916.7
Vermont13370120.5
South Dakota1281,12913.8
District of Columbia10861415.4

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:

Top metro areas for physical, occupational and speech therapy clinics by establishments, 2023
AreaEstablishmentsEmployees
New York, NY-NJ4,85139,974
Los Angeles, CA2,25218,236
Chicago, IL-IN2,10119,056
Miami, FL1,8627,649
Philadelphia, PA-NJ-DE-MD1,16010,462
Dallas, TX1,03617,702
Atlanta, GA9707,231
Phoenix, AZ8979,225
Washington, DC-VA-MD-WV8897,290
Detroit, MI8209,020
Seattle, WA7695,829
Boston, MA-NH7175,653
Houston, TX6736,916
San Francisco, CA6154,456
San Diego, CA5774,406
Tampa, FL5604,785
St. Louis, MO-IL5495,775
Denver, CO5454,611
Baltimore, MD5337,778
Minneapolis, MN-WI4633,792
Kansas City, MO-KS4283,231
Riverside, CA4203,341
Orlando, FL4142,721
Pittsburgh, PA4124,098
Portland, OR-WA3913,331

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.

Monthly list price for a 9-person physical therapy clinic
Provider (plan)Pricing basisPer monthPer 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.