Pinnacle Rehabilitation Network was founded in 2003 with the goal of helping physical therapists break from the status quo and take control of their careers and their potential by becoming practice owners.

Since then, Pinnacle Partnerships have become the most well-respected leader in physical therapy throughout New England. Pinnacle’s strong commitment to clinical excellence through education and outcomes management, as well as our record of success, has established us as an attractive partner to physical therapists.

Pinnacle leverages its successes “partnering” with ACOs, hospital systems, and health plans providing innovative solutions.

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Contact us today and see what a difference Pinnacle can make in your future.

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Our Vision

To create and promote a network of physical therapy practices committed to clinical excellence in their community and to the...

  • health and wellbeing of patients
  • professional growth and education of ourselves and our employees
  • nurturing of respectful relationships
  • creation of a unique company based on the principal of mutual respect

Our Reality








Patient Encounters

Pinnacle Timeline

2003 - Pinnacle Rehabilitation Network, LLC is established to open new locations throughout New England

2005 - Pinnacle grows to seven partnerships in Maine, CT, and New Hampshire.

October 2006 - Executed Management Agreement with Sports Medicine Atlantic Orthopaedics PA to start-up and manage their ancillary PT – Procare Physical Therapy & Hand Center with a successful transition to their management leadership team in 2008.

2007 - Pinnacle Rehabilitation Network has grown to 12 partnerships in 4 New England states

2008 - Exceeded 200,000 patient encounters

September 2009 - Pinnacle commits to participate in largest Patient Outcome/ Satisfaction Program – Focus On Therapeutic Outcomes (FOTO)

2012 - Portsmouth Physical Therapy was embedded into a large primary care practice to act as a front-line evaluator of common musculoskeletal injuries. The concept saved thousands of dollars in unnecessary medical costs and has since grown to additional markets.

2013 - Celebrated its 10th year anniversary and executed a Management Agreement with New England Baptist Hospital, Boston, MA to streamline operations and improve patient access and satisfaction. NE Baptist management successfully took the lead to build their Baptist-branded network.

2014 - Executed Agreement with Central Massachusetts Independent Physician Association LLC (CMIPA) for our Massachusetts offices and physical therapists to join their IPA.

2015 - Merged North Conway Physical Therapy with Memorial Hospital and executed Management Agreement with the hospital and Partner Stephanie Pavao.

2016 - Exceeded one-million patient encounters with 99% of patients willing to tell a friend that they were satisfied.

2018 - Celebrates Fifteenth Year Anniversary having grown and established itself as solution-maker for Physical Therapists, health plans, and Institutions.

2019 - Partnered with Philips Exeter Academy to provide onsite Physical Therapy services to student athletes.
Opened Biddeford Physical Therapy in Biddeford ME and Elevate Physical Therapy in Gorham Maine... and finally Quincy PT in Quincy MA.

December 2020 - Opened Nashua Physical Therapy

2021 - Opened Hampton Physical Therapy - South Hampton Clinic.

Our Executive Team

Karen Costa Natario
Managing Partner and President

Dan Fleury, PT, DPT, OCS, Diploma Osteopractic, FAAOMPT

Stefanie Patrick
VP of Finance

Amanda Taylor
Director of Billing Operations


If you are interested in working with high-quality people in great clinics:

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At Pinnacle, we work hard, have fun, and put patients first. We are lucky to have a community of colleagues and the support of a network that allow us to offer employees a pleasant work environment, top-quality educational opportunities, health benefits, and career growth.


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