Description

Is Traditional PT Making You Question Your Career?
Outpatient. Skilled nursing. Inpatient rehab. Wherever you are, if you've started wondering how much longer you can do this, this page is for you.

We know what it feels like to be limited by a system that doesn't work for patients or clinicians.

You know exactly what a patient needs. You have the training, the reasoning, and whatever time the schedule left you. So you document what you're allowed to bill for, you move on to the next one, and you go home knowing you gave them a fraction of what you had.

Do that for a few years and you start wondering whether you picked the wrong profession.

You didn't. You picked the wrong job.

Same Profession, Completely Different Job
Here's what that means in practice. Every one of these is something you can check on a shadow day.

• Every visit is one-on-one. You're never double booked. You keep your own clients, which means you build a real relationship with someone and see them all the way to the goal they came in for.
• You teach fitness classes. You'll move your own body during the workday, and it breaks up the rhythm of back-to-back one-on-one care.
• Mentoring and learning happen on the clock. Time to develop is built into your normal work week rather than squeezed around it. Weekend CEU courses are still your own, same as anywhere.
• We're cash based. Our clients are choosing to work with us because they trust us to help them reach their goals. It also relieves us of the headaches that come with insurance, and it means the plan of care is set by what the client actually needs rather than an arbitrary number somebody else picked.
• We're a small business, so every voice matters. Raise something on Monday and something is different by Friday. Weekly team meetings and quarterly planning are on your schedule during work hours, because having a say only counts for something if you're given the time to use it.

What A Week Actually Looks Like
Our hours are 8:30 to 5:00, Monday through Friday.

Most days you'll teach one or two classes and treat five or six clients, each of them one-on-one for a full hour. Your total visit count lands between 25 and 30 a week.

You already know what that number is where you work now.

Every week there's an all-staff meeting and a therapist-only meeting for training and support.
And we all walk out the door together at 5:00. Not most days. Not once the notes are done. At 5:00.

How Mentoring Actually Works
You start with an orientation period. After that, for your first 90 days, you have a standing weekly caseload meeting with Erica, our team lead. Your actual clients, your actual reasoning, every week.

That runs alongside our weekly therapy meeting, which the whole team attends and which doesn't stop after 90 days. New topics, case studies, and whatever we're currently arguing about.

Both sit on your schedule during work hours. Neither is something you do on your own time.

Who We Serve
Our clients are adults 55 and up, and most of them chose to be here. They pay for their care directly, which means they show up, they do the homework, and they expect you to be worth it.

Some are recovering from an injury or a surgery. Some are in our classes twice a week and have been for years. Some come in for pain that has stopped them doing something they love. What they share is that they intend to stay independent, and they're willing to work for it.

If you've spent your career frustrated by trying to motivate people who don't want to be in therapy, you are sure to be inspired by our community of older adults.

Who This Is For

• You're early in your career but already worn down by what traditional PT asks of you
• You see the problems with traditional healthcare, and you want to work somewhere that is trying to change how it gets delivered
• You genuinely enjoy working with older adults, and you understand how ageism shapes the way they're treated
• You like the idea of working for a small business, being part of a small team, and having your ideas actually land somewhere
• You're passionate about lifelong learning and enjoy pushing the boundaries of what you can do with your degree
• You see real value in the service you provide, and you prioritize the relationship with the client

Who This Isn't For
Anyone who'd feel safer inside a large organization. That's a real preference and not a wrong one. A hospital system or a large chain gives you scale, a defined ladder, and a name everyone recognizes. We don't have any of those. What we have instead is that you can walk into the office of the person who makes the decisions, and the thing you raise on Monday can be different by Friday. Ten years in business, and that's still true.

Anyone who's already settled on how they practice. We change how we treat. We learn something about this population nearly every week, and when we do, we update our services and how we deliver them. Staying current in your reading isn't the same as changing what you do on Monday, and here you'll be asked to do both. If you'd rather give every client the same program and not revisit it, we're not the place for you.

Anyone uncomfortable with a cash based practice. Our clients choose to pay for their care, which means the value has to be obvious in every session. That pressure is real, and it's the trade we make for not having a payer in the room.

If any of those are dealbreakers, we'd rather you know now.

About HouseFit
HouseFit started as a one person mobile therapy practice and is now an eight person team in a 5,000 square foot facility in South County, St. Louis. We still run mobile visits alongside the clinic.

We offer one-on-one physical therapy, ExerMoves® fitness classes, regenerative therapy using EMTT and shockwave, educational seminars, and fall simulation training.

We built this place because of what we watched happen to patients inside systems that were not designed for them, and to clinicians inside systems that were not designed for them either.

Current Openings: Physical Therapist, full-time in our South County Clinic

Come See It Before You Decide
Shadowing is part of our interview process. Spend half a day here, watch how we actually work, and talk to the team. We'd rather you see it than take our word for it.

If you're thinking about leaving physical therapy, talking to us first is the right decision.

Try this before you leave PT.