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Your Trusted Physical Therapy Partner

Collaborate with RTA Physical Therapy for seamless referrals, personalized patient care, and measurable outcomes.

First name*

Last name*

Email*

Phone*

What type of partnership are you interested in? (Required) *

Referring Provider (MD, Chiro, Specialist)

Physical Therapist / Healthcare Provider

Fitness / Gym / Wellness Partner

Student / Volunteer (Clinical Hours)

Brand / Sponsorship / Event Collaboration

Other

Preferred Location*

Irvine

Laguna Hills

Open to Both

If Provider / Healthcare:

Practice/Clinic Name

Practice/Clinic Name

License Type (MD, DPT, DC, etc.)

NPI Number (if applicable)

Do you currently refer patients?

Yes

No

If Student:

School Name

Program (PTA, DPT, Pre-PT, etc.)

Required Hours

If Business / Brand:

Company Name

Industry

Type of Collaboration Interested In

Events

Cross Promotion

Sponsorship

Other

File upload: Resume/Portfolio/Media Kit

File upload: Resume/Portfolio/Media Kit

Collaborate with RTA Physical Therapy for seamless referrals, personalized patient care, and measurable outcomes.

Refer a patient

Let's Chat

Address

Irvine Location: 101 Pacifica #270, Irvine, CA 92618

Laguna Hills Location: 23601 Moulton #221 Laguna Hills, CA 92653

Phone

Irvine Phone: (949) 333-3833

Laguna Hills Phone: (949) 528-6287

Email

brian.rtatherapy@gmail.com

Social Media

First Name

Last Name

Email

Message

Thanks for submitting!

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