Private Practice PT Clinic Database
The items with an asterisk need to be filled out or it won't let you submit. Ideally we need all the info possible.
***Please Read This First*** This database of clinics is only for Physical Therapist owned Private Practice clinics and agencies in the United States. Sorry, we cannot at this time accept hospital owned PT departments or physician owned PT clinics.
Clinic name *
If you have multiple clinics with the same name, just put the clinic name here. The address location will put the clinics where they need to go on the map. Example: don't put "Clinic Name - City" unless that is the registered business name.
Your answer
The next questions are regarding the physical address.
Number and street *
Example: 555 Main Street
Your answer
Address 2
If there is a suite number, please enter that here. (Example: Suite 103)
Your answer
City *
Your answer
State *
State abbreviation (Example: Missouri is MO)
Your answer
Zip code *
Your answer
Phone number *
Main office clinic line
Your answer
Email address
Email address that patients reach you for scheduling
Your answer
Clinic website *
Enter in the format www.example.com
Your answer
We hope to have this new map up by the end of 2017, so please be patient while we gather this data and go through the process of redesigning the website.
This basic map will be free, but if you'd like to make a tax deductible donation to our favorite charity, click this link - https://www.paypal.me/STANDhaiti/10
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