You chose therapy for the freedom. Take it back.
Smart Rehab is a network of 1099 therapists treating older adults at home. You are paid per visit, evaluations pay more, and you can take 4 visits a week alongside your current job or a full caseload. Both are normal here.
You already know how to do this job. You are just not allowed to.
Nobody chose therapy because they wanted a dashboard. They chose it to be on their feet, to run their own day, and to help someone and actually watch it work.
The volume model takes all three, and it quietly takes the money as well, through patients stacked on top of each other and documentation you finish unpaid at night. This is an attempt to hand all of it back.
- You decide how much you work
No minimum and no maximum. One visit a week is a real answer, and so is 26, and you can change it any week without a conversation about it.
- You keep the whole hour
One patient, 60 minutes, start to finish. You are never asked to supervise 3 people and call it treatment.
- You see your own work land
Same patient, full episode, in the place their goals actually live. Vicki has been practicing 40 years and says she catches things now that she used to walk right past in a clinic.
- And the money is not the trade-off
$65 to $75 a visit, published before you apply, paid every Friday. Benefit eligibility, insurance verification, and billing are ours, so the hours you work are the hours you are paid for.
We built this because we lived the other version.
Ask a therapist why they chose this field and you will hear the same three answers. To be on your feet instead of behind a desk. To have some freedom in your day. To help people and actually see it work.
Nobody says they got into therapy because they wanted a corporate structure, a dashboard, and a number to hit by Friday. And yet that is what the job became for most of us.
The part that is rarely said out loud is that the corporate version takes your money too. You treat more patients per hour and see none of the upside. You finish documentation at home at 9 at night and get paid nothing for it. You wait 2 weeks or a month for the work you already did. The system asks for more of you every year and returns less.
I practiced for 22 years. I know what it is to finish a day knowing you did not do right by anyone, and to get up and do it again, because the schedule does not care how you feel about it.
What surprised me is how many therapists say it straight back to me. I have had this conversation dozens of times now and it barely varies. We keep meeting people stepping away inside 10 years, from a degree that should carry someone through forty. That is not a personal failing. That is a model problem, and it is fixable.
So we built a different one, and we made sure the math worked. You are paid per visit, not per hour of seat time. Evaluations pay more. Benefit eligibility, insurance verification, and billing are ours, so the hours you work are the hours you are paid for. You get paid every Friday. Take 4 visits a week on top of your current job and it is real additional income. Take a full caseload and it is a real living.
You should not have to choose between practicing the way you were trained and being paid properly for it. If any of that sounds like your week, call me before you apply. I will tell you honestly whether this fits you, including if the answer is no.
Take one visit a week. Take 26. Both are a real answer.
You tell us your availability, we bring the referrals, and you can change the number any week without a conversation about it.
What would this actually pay you?
Pick your credential and the week you actually have.
Every hour counted here is a paid hour.
Estimate only, using the low end of published follow-up rates. Evaluations pay more. Actual pay depends on visit mix, evaluation share, and referral volume in your area.
You are joining a network of therapists who practice this way.
We bring the patients, the eligibility work, and the billing. You bring the license and decide the rest.
- Referrals and patient volume
- Benefit eligibility and insurance verification
- Billing and compliance support
- Which days, which hours, how far you drive
- How many patients you carry, any week
- How you treat, inside the plan of care
The trade is real: as a 1099 contractor you handle your own taxes and there are no employer benefits. What you get back is the authority to practice the way you think is right.
It also works where a clinic cannot. We do not have to rent a building to work in a small town, and the older adults there have fewer ways to get to therapy than anyone in a city. A small market is usually where a new area starts.
Same license. Same skills. A completely different week.
A Smart Rehab week✓You pick the number, any week+There is no minimum and no maximum. One visit a week is a real answer, and so is 26.
✓One patient, 60 minutes+You are never asked to supervise 3 people and call it treatment.
✓Eligibility and billing are ours+We handle benefit eligibility, insurance verification, billing, and compliance support. You contact the patient, set the visit, treat, and document.
✓Paid per visit, you keep it+Working well makes you more per hour rather than making the schedule denser.
✓$65 to $90, published up front+Every posting carries its rate. Evaluations pay above the follow-up rate.
✓Every Friday+For the visits you did that week, not for a billing cycle that finished collecting.
✓A full episode, in their home+You see the goal met in the place the goal actually lives.
Click any row for the detail
4 visits, no waiting room, home before dinner.
Evaluation, 60 minutes
New patient, referred by a discharge planner last week. You assess balance, gait, and home safety in the rooms she actually uses, then write the plan of care. Coordination with her physician is handled for you.
Follow-up visit
Third session with a patient recovering from a hip replacement. You work the actual stairs he was avoiding. He does them twice without the rail.
Documentation, on your own terms
Notes finished between visits or at the end of the day. Nobody is holding a room for the next patient while you type.
You get paid
Per visit, for the work you did this week. Not next month.
These are the people who work here.
Not a stock photo and not a recruiter. 4 of the therapists currently carrying caseloads for us, what they focus on, and why they came.
Vicki Bolger, PT
Outpatient clinics, home health, and geriatric care across four decades. Degree from Washington University in St. Louis.
Angie Hanford, PT
Saint Louis University, 1993. More than 25 years in outpatient orthopedics with a geriatric focus before joining us.
Brenda Sperry, PT
Wake Forest, then a Master of Physical Therapy from Emory in 1997. Acute care, orthopedics, home health, and pediatrics.
Mary Hoff, OT
Bachelor of Science in Occupational Therapy from Xavier University, 2001. Works with adults navigating daily routines with confidence.
Why they joined, in their own words.
Working with Smart Rehab has allowed me to focus on what I truly love, patient care, without the pressures of a busy clinic setting. I get to personally know each of my patients and see the full impact of my work, from start to finish. Helping them regain strength, mobility, confidence, and independence in their own environment is such a joy. It doesn't even feel like work some days.
Every role, in every market.
Rates are on every listing.
What therapists ask us before they apply.
I am burned out. Is this actually different, or is it the same job in a different building?
It is a fair question and you should be suspicious. Here is the honest answer. The thing that burns therapists out is not the patients, it is being asked to deliver good care in conditions that make good care impossible, and then being paid in a way that punishes you for slowing down. We removed the quota, we removed the double booking, we publish the rate, and we let you set the volume. What we cannot remove is drive time, documentation, or difficult cases. If you want to hear it unvarnished, ask to speak with Theresa before you apply. She practiced for 22 years and will tell you plainly whether this fits you.
Do I have to leave my current job?
No, and most people don't at first. You are a 1099 contractor with no minimum caseload. Plenty of our therapists started with two or three visits a week alongside a hospital or clinic job and grew from there, or never grew at all because the arrangement suited them.
Is there a minimum number of visits?
None. You tell us your availability and we build a caseload to match. If you want 4 visits a week, you get 4 visits a week. If you want 26, we will work toward that as referrals allow.
How and when do I get paid?
Per visit, every Friday. Evaluations pay at a higher rate than follow-up visits. Rates are published on every posting, so you never have to interview to find out what the work pays.
Who handles eligibility and billing?
We do. A coordinator handles benefit eligibility, insurance verification, billing, and compliance support. For Part B visits you contact your patient directly and set the visit yourself, which is how you keep control of your own week.
Am I an employee or a contractor?
An independent contractor. You control your schedule, your caseload, and how you practice within the plan of care. You are responsible for your own taxes.
Do I need to be enrolled with Medicare?
For Part B work, yes, you need to be eligible for Medicare enrollment or reassignment. If you are not enrolled yet, we walk you through it during onboarding and prepare the paperwork for you to review and submit.
What about malpractice insurance?
You are covered under Smart Rehab's general liability policy while treating our patients.
How far will I have to drive?
Caseloads are built by geography to keep drive time down. You tell us the area you are willing to cover and we stay inside it.
Can I do both Part A and Part B work?
Yes, if you are credentialed for both. They are different workflows with different documentation, and we will tell you plainly which one fits how you like to practice.
What is the onboarding process?
An interview, a contract, and Medicare paperwork if you need it. Most therapists are cleared to take their first visit inside 2 to 3 weeks, depending on how quickly enrollment clears.
2 minutes. No cover letter.
Tell us your credential, your state, and roughly how much you want to work. We will call you and tell you honestly whether we have volume in your area.
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