We acquire pediatric speech, occupational, and physical therapy practices across the New York metro area — and keep them local, independent, and clinician-run.
We acquire and steward small therapy practices for the long term — now serving 700+ practices — giving long-time owners a simple, thoughtful exit.
To keep great local therapy practices independent, well-run, and serving families for decades — by giving founders a buyer who protects the practice instead of stripping it for parts.
A fair offer, an honest process, and a transition that respects the relationships, clinicians, and reputation you spent years building. No surprises, no fire sale.
We're built by clinicians and parents who've seen how personalized care can change the lives of pediatric patients. We're here to extend that mission to as many families as possible.
We're clinicians and operators who've run practices ourselves. We started Reef to give small practice owners a buyer who understands the work — and keeps the promises that matter.
We're focused, not opportunistic. Here's the kind of practice that's a strong fit for Reef Advisers. If you're close on most of these, it's worth a conversation — exceptions are common.
Speech-language, occupational, and physical therapy practices — single-discipline or multi-disciplinary. Pediatric focus preferred; mixed pediatric/adult considered.
Long Island (Nassau & Suffolk), Westchester, Rockland, the Hudson Valley, and the greater NYC service area. Practices in the downstate ring are a priority.
We place real value on established in-network commercial and Medicaid contracts. A clean payor mix and a track record of clean billing make a practice especially attractive.
Founders planning retirement, a wind-down of their day-to-day role, or simply a well-earned exit. Solo owners and small partnerships are exactly who we're built for.
Practices with a steady caseload, loyal referral relationships, and a real local reputation — from solo offices to small multi-clinician groups.
Strong word-of-mouth, good standing with families and referrers, and a team worth keeping. The relationships are part of what we're buying.
A quick gut-check. You don't need to hit every line — most owners we talk to match four or five.
One-person practice? That counts. We actively buy out solo SLP, OT, and PT owners — you don't need a big team or multiple locations to be a fit.
Selling your practice is a real transaction, and we treat it like one. Expect a thorough, two-way process — we do our homework, and you decide whether we're the right home for what you built.
We learn about your practice and your goals. You learn how we operate and ask us anything. No commitment.
You share high-level financials and payor information. We assess fit — and you decide whether Reef is the right partner for your team.
If it's a fit on both sides, we present a written offer, then conduct a standard review of financials, contracts, and operations — with your advisors involved.
We finalize terms and execute a transition plan built to protect your clinicians, your clients, and your reputation.
Start with a confidential, no-obligation note through the form below. We'll learn about your practice's clinical profile, payor mix, and your goals, then present a straightforward offer. Most owners hear back within one week of first contact.
Yes. We're provider-led and acquire practices to keep them running, not to dismantle them. We retain clinicians, preserve the practice name and local relationships, and invest in the team and systems so care continues without disruption.
We focus on pediatric speech-language (SLP), occupational (OT), and physical therapy (PT) practices in the New York metro area — especially practices that hold in-network insurance contracts and have an owner planning a transition or retirement.
It's your choice. Some owners stay on clinically or in an advisory role; others step back over a transition period; others fully exit at close. We'll build the structure around what you want.
Completely. Every inquiry is held in strict confidence. Nothing is shared with your staff, clients, or referral partners unless and until you decide to move forward.
No obligation, no pressure, completely confidential. We typically reply within one business day.