Physical Therapist Clinic Director: Leadership + Real Ownership + Work-Life Balance
Listed compensation
$95k-$135k
The week · per this posting · weekdays assumed
Ask the employer about call expectations and time off.
Job Description
Ready to Run a Clinic Without Losing the Clinician You Became?
What if leadership did not mean drifting away from patients, drowning in administration, or becoming the middle manager who absorbs pressure from above and passes it down? What if running a clinic meant building people up, owning results that actually matter, and still treating the patients who remind you why you did this? What if you could still be challenged, increase your leadership skills, and still have a life outside of work?
If you have led before, you already know how it usually goes. The title arrives and so does a pile of administration, less time with patients, and a stack of decisions you are handed to carry out but never got to shape.
You spend your energy shielding your team from pressure instead of building them up, the leadership skills you actually wanted to sharpen get buried under tasks, and the clinician you worked so hard to become slowly fades. Your life outside of work gets whatever is left.
It does not have to go that way. At Orthopaedics Plus, we believe the best clinicians thrive when they are supported in reaching their personal, professional, and financial goals, and we believe the exact same thing about the leaders who develop them.
We have built a place where you can grow as a leader, stay sharp as a clinician, do your best work with great people, and still be home for dinner. We are not another outpatient clinic.
We are a therapist-owned, fellowship-trained team committed to changing what it means to work in physical therapy, focused on real relationships, meaningful growth, and helping both our patients and our team members reach their full potential.
Who We're Looking For
Are you a physical therapist who has outgrown a caseload-only role and wants to build something bigger than your own schedule? Do you want to develop other clinicians, own the outcomes of a whole team, and still keep your hands in patient care?
Do you believe leadership is about responsibility rather than title? That your job is to create clarity, hold people accountable without grinding them down, and make decisions that serve the whole organization, not just your corner of it?
The leaders who thrive at Orthopaedics Plus are experienced, curious, and genuinely invested in the people around them. Some already hold a director, lead, or ownership title. Others are senior clinicians who have never had the title but have quietly been the person everyone leans on, and are ready to step into the role formally. Both belong here. If that sounds like you, we would love to meet you!
Why Leaders Are Joining Orthopaedics Plus
Work That Aligns With Your Values: Many clinicians leave their current roles because their workplace no longer aligns with the values that brought them into physical therapy in the first place. At Orthopaedics Plus, our values guide how the practice evolves, how decisions are made, how patients are treated every day, and how we support one another.
- Meaningful Results – Everyone leaves as a success story.
- You lead a team whose job is to get patients back to what matters most to them, and you keep that outcome at the center of every decision.
- Teamwork – Collaboration leads to extraordinary results.
- Your clinicians share cases, ask for input, and cover for each other, and you are the person who protects that culture.
- Education – The best way to learn is to teach.
You develop and grow your team personally, professionally, and financially, while at the same time you keep developing yourself. Case discussion, shared clinical reasoning, and professional growth conversations are part of the daily environment.
Challenge the Status Quo – Can we be better?
You are expected to speak up, improve systems, and help this organization evolve. Curiosity is part of the job description.
Truly influence the shape and direction of the organization: At some practices, a clinic this size sits under a regional or corporate layer, and the "director" spends the day carrying out decisions that were made three levels up. This role is the opposite of that.
Orthopaedics Plus is therapist-owned and lean by design, which means your input actually moves the decisions that matter: who we hire, when we open the next location, how we build our business strategy, how we structure team member compensation, and what goes live to the team.
You are not a middle manager buffering pressure from a corporate office that has never treated a patient. You are in the room where those calls get made, working directly with owners who still treat and have lived the clinical and operational reality you are describing.
When you bring something to the table, it gets weighed on its merits, and it changes what we actually do. Fewer layers, less red tape, and a direct line from your judgment to the direction of the company.
Leadership time that is actually protected: Your leadership responsibilities are built into the workweek, not assigned to your nights and weekends. Strategic thinking, coaching, and 1:1s are scheduled and protected.
We expect you to model the sustainable work-life balance we ask of your team, which means we have to make it possible. In addition to protected/blocked leadership time, you'll still have dedicated documentation time. We utilize an AI scribe system to significantly reduce documentation time.
Additionally, education for leveraging AI and AI-powered leadership workflows help automate and eliminate the tedious, tasky elements of leadership. The goal is simple: finish your workday at work, not at home, whether the work is leadership or clinical care.
We strongly encourage our clinicians to actually use their paid time off. When you take PTO, you don’t need to worry about arranging coverage for your patients, your leadership duties, or scrambling to fill your schedule beforehand.
Our team handles the logistics so you can step away knowing your team and patients are supported. And we take it a step further. Each year, we offer what we like to call “Paid-Paid Vacation.”
In addition to your PTO, we reimburse up to $1,350 in vacation expenses to help you truly disconnect, recharge, and enjoy time away from work. Because when clinicians return rested and energized, they show up better for their patients, their teammates, and themselves.
The result is a schedule that allows you to breathe, not burn out - with realistic caseloads, protected documentation time, paid time off, and zero catch-up expectations.
A leadership team that listens: We follow a "Team Number One" philosophy. The leadership team is the first team, not a set of department heads each defending their own turf. Leaders discuss ideas openly, receive context, challenge one another respectfully, and work together to get to the right decision. No single person has to be right. The leadership team has to get it right together. You will have room in the conversation and a real voice in where this organization goes.
A truly supportive culture: Supportive cultures don’t happen by accident - they’re built intentionally. At Orthopaedics Plus, weekly team meetings and 1:1s are protected time, not something squeezed into an already busy schedule.
These are opportunities to collaborate, share ideas, and continue improving how we care for patients. We also believe meaningful growth happens through consistent communication. Regular 1:1 meetings with your leader focus on support, feedback, and helping you continue developing in ways that matter to you.
Our leadership team takes these discussions seriously. When team members share ideas or concerns, we listen. And when something needs to change, we take action. Something very important to us: when meetings, 1:1s, or in-services happen, your productivity expectations adjust accordingly.
You’re never expected to “make up” visits for time spent learning, collaborating, or developing professionally. Because growth shouldn’t happen at the expense of sustainability.
Growth for you, not just your team: This is a builder's seat in a practice that is scaling, and the leaders who help build it grow with it. We have documented, structured growth tracks that lay your path out clearly, from leadership to education to organizational projects.
You will be coached, not micromanaged, and given real context rather than left to figure out a director role on your own. As you take on new responsibilities, you get protected time during the workday to develop those skills. They are never off-the-clock assignments.
Mentorship and advanced clinical development: We actively invest in the long-term growth of our clinicians, including the ones who lead.
For directors who want to keep sharpening their craft, OP covers the full tuition for the manual therapy residency through the Institute of Orthopaedic Manual Therapy (a $5,800 value).
You will apply what you learn alongside fellowship-credentialed (FAAOMPT) manual therapists in our Kaltenborn-Evjenth lineage, where case discussion and shared clinical reasoning are part of the daily rhythm.
Whether you are building a foundation as a newer clinician or refining advanced skills as a seasoned one, you will be supported in continuing to grow as a physical therapist, not only as a leader.
What You’ll Own: This is not a step away from clinical work into paperwork. It is a step up into leading a clinic while staying connected to care.
Lead and Develop People
- Coach a full clinic team of physical therapists and support staff toward their personal, professional, financial, and performance goals.
- Run regular 1:1s that are protected, not squeezed in, focused on support, feedback, and growth.
- Build trust and psychological safety so your team does its best work and stays.
- Give clear feedback and real accountability without burning people out.
- Support your clinicians through OP's growth tracks: leadership, education, clinical instruction, specialty programming.
- Contribute to a culture that values your voice, encourages new ideas, and celebrates team
Key Responsibilities
The Clinic Director will lead and develop a team of physical therapists while maintaining a reduced clinical caseload to ensure high-quality patient care. They are responsible for managing clinic KPIs, financial performance, and fostering a collaborative culture that aligns with organizational goals.
Requirements
Candidates must be graduates of an accredited Physical Therapy program and hold or be eligible for a license in Massachusetts. The role requires meaningful clinical experience and demonstrated leadership ability, whether formal or informal.
Qualifications
- Experience
- 5+ years of experience
Key Skills
Physical Therapist Career Context
Of the 50 active Physical Therapy listings this role was benchmarked against, 4% are remote, 52% have no call, 68% require no weekends.
In Massachusetts, the Physical Therapy weighted monthly median benchmark on WeekdayDoc is ~$98k (450 salary observations; 1,330 listings), vs ~$94k nationally (11,150 salary observations; 55,931 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.
The cost-of-living index for Massachusetts is 105.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$115k midpoint carries the purchasing power of roughly $109k in an average-cost state. 63.2% of Massachusetts clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Physical Therapist Clinic Director: Leadership + Real Ownership + Work-Life Balance at Orthopaedics Plus Physical Therapy a 6.5 out of 10 for work-life balance — classified as good. This places the position in the Above average in Physical Therapy — ranked against 22,654 active Physical Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements.
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