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Acquisitions of Businesses, 2023 Acquisitions (Details) $ in Thousands |  |  |  |  |  |  |  |  |  |  |  |  |  | 12 Months Ended
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Nov. 30, 2024 USD ($) Clinic | Aug. 31, 2024 USD ($) Clinic | Mar. 29, 2024 USD ($) Clinic | Oct. 31, 2023 USD ($) | Sep. 29, 2023 USD ($) Installment Clinic | Jul. 31, 2023 USD ($) Clinic | May 31, 2023 USD ($) Clinic | Feb. 28, 2023 USD ($) Clinic | Nov. 30, 2022 USD ($) Clinic | Oct. 31, 2022 USD ($) Clinic | Sep. 30, 2022 USD ($) Clinic | Aug. 31, 2022 USD ($) Clinic | Mar. 31, 2022 USD ($) Clinic | Dec. 31, 2024 USD ($) | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($)
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 17,600 | $ 9,800 |
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 133,087 | 26,582 | $ 59,788
IIP Business [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  | 100.00% |  |  |  |  |  |  |  |  |  |  |  |
Deferred payments |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 |
Contingent payments |  |  |  |  |  |  |  |  |  |  |  |  |  | 2,100 | 0 |
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 23,106 | 3,955 |
Seller notes |  |  |  |  |  |  |  |  |  |  |  |  |  | 455 | 0 |
Total consideration |  |  |  |  |  |  |  |  |  |  |  |  |  | 25,661 | 3,955 |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,211 | 392 |
Total non-current assets |  |  |  |  |  |  |  |  |  |  |  |  |  | 218 | 335 |
Total liabilities |  |  |  |  |  |  |  |  |  |  |  |  |  | (541) | (41) |
Net tangible assets acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 888 | 686 |
Customer and referral relationships |  |  |  |  |  |  |  |  |  |  |  |  |  | 6,708 | 757 |
Non-compete agreements |  |  |  |  |  |  |  |  |  |  |  |  |  | 261 | 37 |
Tradenames |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,331 | 187 |
Goodwill |  |  |  |  |  |  |  |  |  |  |  |  |  | 16,473 | 2,562 |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | (274) |
Total consideration |  |  |  |  |  |  |  |  |  |  |  |  |  | 25,661 | 3,955 |
Ergonomics Software Business [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  | 55.00% |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest retained by practice founder |  |  |  | 45.00% |  |  |  |  |  |  |  |  |  |  |  |
IIP and Ergonomics Software Business [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Aggregate purchase price for acquisition |  |  |  | $ 4,000 |  |  |  |  |  |  |  |  |  |  |  |
Acquisitions [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Deferred payments |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 830 |
Contingent payments |  |  |  |  |  |  |  |  |  |  |  |  |  | 17,671 | 200 | 10,000
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 133,087 | 26,582 |
Seller notes |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,675 | 985 | 1,574
Total consideration |  |  |  |  |  |  |  |  |  |  |  |  |  | 153,933 | 28,597 | 71,362
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  |  |  |  |  |  |  | 10,902 | 1,533 | 1,329
Total non-current assets |  |  |  |  |  |  |  |  |  |  |  |  |  | 31,327 | 3,484 | 7,798
Total liabilities |  |  |  |  |  |  |  |  |  |  |  |  |  | (29,043) | (3,204) | (10,930)
Net tangible assets acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 13,186 | 1,813 | (1,803)
Customer and referral relationships |  |  |  |  |  |  |  |  |  |  |  |  |  | 60,726 | 7,576 | 18,062
Non-compete agreements |  |  |  |  |  |  |  |  |  |  |  |  |  | 3,554 | 366 | 934
Tradenames |  |  |  |  |  |  |  |  |  |  |  |  |  | 13,641 | 1,867 | 5,445
Goodwill |  |  |  |  |  |  |  |  |  |  |  |  |  | 164,529 | 28,083 | 75,525
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  |  |  |  |  |  |  | (101,703) | (11,108) | (26,801)
Total consideration |  |  |  |  |  |  |  |  |  |  |  |  |  | 153,933 | 28,597 | $ 71,362
Acquisitions [Member] | Physical Therapy Operations [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Deferred payments |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 830 |
Contingent payments |  |  |  |  |  |  |  |  |  |  |  |  |  | 15,571 | 200 |
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 109,981 | 22,627 |
Seller notes |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,220 | 985 |
Total consideration |  |  |  |  |  |  |  |  |  |  |  |  |  | 128,272 | 24,642 |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  |  |  |  |  |  |  | 9,691 | 1,141 |
Total non-current assets |  |  |  |  |  |  |  |  |  |  |  |  |  | 31,109 | 3,149 |
Total liabilities |  |  |  |  |  |  |  |  |  |  |  |  |  | (28,502) | (3,163) |
Net tangible assets acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 12,298 | 1,127 |
Customer and referral relationships |  |  |  |  |  |  |  |  |  |  |  |  |  | 54,018 | 6,819 |
Non-compete agreements |  |  |  |  |  |  |  |  |  |  |  |  |  | 3,293 | 329 |
Tradenames |  |  |  |  |  |  |  |  |  |  |  |  |  | 12,310 | 1,680 |
Goodwill |  |  |  |  |  |  |  |  |  |  |  |  |  | 148,056 | 25,521 |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  |  |  |  |  |  |  | (101,703) | (10,834) |
Total consideration |  |  |  |  |  |  |  |  |  |  |  |  |  | 128,272 | $ 24,642 |
Clinic Practice [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired | 75.00% | 70.00% | 50.00% |  |  | 70.00% | 75.00% | 80.00% | 80.00% | 60.00% | 80.00% | 70.00% | 70.00% |  |  |
Number of clinics | Clinic | 8 | 8 | 9 |  |  | 5 | 4 | 1 | 13 | 14 | 2 | 6 | 6 |  |  |
Deferred payments |  |  |  |  |  | $ 300 |  |  |  |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  |  |  |  | $ 9,700 |  |  |  | $ 3,200 |  |
Percentage of ownership interest after the acquisition |  |  |  |  |  |  | 45.00% |  |  |  |  |  |  |  |  |
Percentage of ownership interest by local partner after the acquisition |  |  |  |  |  |  | 30.00% |  |  |  |  |  |  |  |  |
Percentage of interest retained by practice founder | 25.00% | 30.00% | 50.00% |  |  | 30.00% |  | 20.00% | 20.00% | 40.00% | 20.00% | 30.00% | 30.00% |  |  |
Percentage of pre-acquisition interest retained by practice founder |  |  |  |  |  |  | 25.00% |  |  |  |  |  |  |  |  |
Aggregate purchase price for acquisition | $ 15,900 | $ 2,000 | $ 16,400 |  |  | $ 2,100 | $ 3,100 | $ 6,200 | $ 25,000 | $ 19,500 | $ 4,200 | $ 3,500 | $ 11,500 |  |  |
Cash paid by local partner |  |  |  |  |  |  | 1,100 |  |  |  |  |  |  |  |  |
Seller note to be paid by entity |  |  |  |  |  |  | 200 |  |  |  |  |  |  |  |  |
Seller note to be paid by local partner |  |  |  |  |  |  | 100 |  |  |  |  |  |  |  |  |
Cash paid, net of cash acquired |  |  |  |  |  | $ 1,800 | 1,700 | 5,800 |  |  |  |  |  |  |  |
Seller notes | $ 200 |  |  |  |  |  | $ 300 | $ 400 | $ 800 |  | $ 300 | $ 200 | $ 300 |  |  |
Percentage of interest accrued | 5.00% |  | 4.50% |  |  |  |  | 4.50% | 7.00% |  | 5.50% | 5.50% | 3.50% |  |  |
September 2023 Multi Clinic Practice Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  | 70.00% |  |  |  |  |  |  |  |  |  |  |
Number of clinics | Clinic |  |  |  |  | 4 |  |  |  |  |  |  |  |  |  |  |
Percentage of interest retained by practice founder |  |  |  |  | 30.00% |  |  |  |  |  |  |  |  |  |  |
Aggregate purchase price for acquisition |  |  |  |  | $ 6,000 |  |  |  |  |  |  |  |  |  |  |
Cash paid, net of cash acquired |  |  |  |  | 5,400 |  |  |  |  |  |  |  |  |  |  |
Seller notes |  |  |  |  | $ 600 |  |  |  |  |  |  |  |  |  |  |
Percentage of interest accrued |  |  |  |  | 5.00% |  |  |  |  |  |  |  |  |  |  |
Number of installments of payment of consideration due | Installment |  |  |  |  | 2 |  |  |  |  |  |  |  |  |  |  |
September 2023 Multi Clinic Practice Acquisition [Member] | First Installment Due on January 31, 2024 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment of principal and interest |  |  |  |  | $ 300 |  |  |  |  |  |  |  |  |  |  |
September 2023 Multi Clinic Practice Acquisition [Member] | Second Installment Due on September 30, 2025[Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment of principal and interest |  |  |  |  | $ 300 |  |  |  |  |  |  |  |  |  |  |
September 2023 Single Clinic Practice Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  | 70.00% |  |  |  |  |  |  |  |  |  |  |
Number of clinics | Clinic |  |  |  |  | 1 |  |  |  |  |  |  |  |  |  |  |
Deferred payments |  |  |  |  | $ 400 |  |  |  |  |  |  |  |  |  |  |
Percentage of interest retained by practice founder |  |  |  |  | 30.00% |  |  |  |  |  |  |  |  |  |  |
Aggregate purchase price for acquisition |  |  |  |  | $ 7,800 |  |  |  |  |  |  |  |  |  |  |
Cash paid, net of cash acquired |  |  |  |  | $ 7,400 |  |  |  |  |  |  |  |  |  |  |

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- Definition Percentage of voting equity interests retained by practice founder at the pre acquisition date in the business combination. + References No definition available. + Details
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Namespace Prefix: | usph_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Amount of net tangible asset acquired at the acquisition date. + References No definition available. + Details
Name: | usph_BusinessAcquisitionPurchasePriceAllocationNetTangibleAsset
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition This element represents the fair value of the redeemable noncontrolling interest in the acquiree at the acquisition date. + References No definition available. + Details
Name: | usph_BusinessCombinationAcquisitionFairValueOfRedeemableNonControllingInterests
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of liability recognized arising from deferred payments in a business combination. + References No definition available. + Details
Name: | usph_BusinessCombinationDeferredPaymentsLiability
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Number of installments due for payment of purchase consideration in business combination. + References No definition available. + Details
Name: | usph_BusinessCombinationNumberOfInstallmentsForPaymentDueOfPurchaseConsideration
Namespace Prefix: | usph_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | instant

X
- Definition The amount of non-competition agreements recognized as of the acquisition date. + References No definition available. + Details
Name: | usph_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNonCompetitionAgreements
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of referral relationships at the acquisition date. + References No definition available. + Details
Name: | usph_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedReferralRelationships
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The amount of tradename recognized as of the acquisition date. + References No definition available. + Details
Name: | usph_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedTradename
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- References No definition available. + Details
Name: | usph_EstimatedFairValueOfNetTangibleAssetsAcquiredAbstract
Namespace Prefix: | usph_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Payments to acquire businesses total consideration. + References No definition available. + Details
Name: | usph_PaymentsToAcquireBusinessesConsideration
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price. + References No definition available. + Details
Name: | usph_PaymentsToAcquireBusinessesGrossPaidCashByRelatedParty
Namespace Prefix: | usph_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Percentage of voting equity interests acquired at the acquisition date in the business combination. + References No definition available. + Details
Name: | usph_PercentageOfOwnershipInterestAfterTheAcquisition
Namespace Prefix: | usph_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Percentage of voting equity interests by local partner at the acquisition date in the business combination. + References No definition available. + Details
Name: | usph_PercentageOfOwnershipInterestByLocalPartnerAfterTheAcquisition
Namespace Prefix: | usph_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | instant

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_IndustrialInjuryPreventionServicesBusinessMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_ErgonomicsSoftwareBusinessMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_LeadingProviderOfIndustrialInjuryPreventionAndErgonomicsSoftwareBusinessMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=usph_PhysicalTherapyOperationsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_ClinicPracticeMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_September2023AcquisitionTransaction1Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentRedemptionPeriodAxis=us-gaap_DebtInstrumentRedemptionPeriodOneMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentRedemptionPeriodAxis=us-gaap_DebtInstrumentRedemptionPeriodTwoMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=usph_September2023AcquisitionTransaction2Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |