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Segment Information, Segment Financials (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Dec. 31, 2024
Dec. 31, 2023
Segment Information [Abstract]            
Net revenue $ 197,132 $ 168,033 $ 578,264 $ 490,898    
Operating Costs [Abstract]            
Salaries and related costs 116,619 99,835 341,656 289,900    
Rent, supplies, contract labor and other 36,115 29,756 104,086 88,104    
Depreciation and amortization 5,495 4,158 16,776 12,326    
Provision for credit losses 2,073 1,721 5,916 5,065    
(Gain) loss on clinic closures - lease and other (42) 3,432 269 4,109    
Total operating cost 160,260 138,902 468,703 399,504    
Gross profit 36,872 29,131 109,561 91,394    
Unallocated amounts [Abstract]            
Corporate office costs (17,414) (14,385) (51,135) (42,719)    
Interest expense, debt and other (2,408) (2,018) (7,109) (5,966)    
Interest income from investments 33 1,018 85 3,635    
(Gain) loss on change in fair value of contingent earn-out consideration 5,872 (1,899) 11,484 (5,332)    
Change in revaluation of put-right liability (663) 168 (1,406) (136)    
Equity in earnings of unconsolidated affiliate 361 231 1,155 750    
Loss on sale of a partnership 0 0 123 0    
Other 222 90 344 261    
Total unallocated amounts 13,997 16,795 46,705 49,507    
Income before taxes 22,875 12,336 62,856 41,887    
Assets:            
Goodwill 690,412   690,412   $ 667,152 $ 509,571
All other assets 505,858   505,858   500,315  
Total assets 1,196,270   1,196,270   1,167,467  
Reportable Segments [Member] | Physical Therapy Operations [Member]            
Segment Information [Abstract]            
Net revenue 168,110 142,714 492,810 420,625    
Operating Costs [Abstract]            
Salaries and related costs 98,237 84,160 287,489 245,387    
Rent, supplies, contract labor and other 32,026 26,047 91,939 78,022    
Depreciation and amortization 4,665 3,355 14,383 10,213    
Provision for credit losses 2,031 1,721 5,853 5,065    
(Gain) loss on clinic closures - lease and other (42) 3,432 269 4,109    
Gross profit 31,193 23,999 92,877 77,829    
Assets:            
Goodwill 602,460   602,460   579,046  
All other assets 427,491   427,491   415,039  
Reportable Segments [Member] | Industrial Injury Prevention Services [Member]            
Segment Information [Abstract]            
Net revenue 29,022 25,319 85,454 70,273    
Operating Costs [Abstract]            
Salaries and related costs 18,382 15,675 54,167 44,513    
Rent, supplies, contract labor and other 4,089 3,709 12,147 10,082    
Depreciation and amortization 830 803 2,393 2,113    
Provision for credit losses 42 0 63 0    
(Gain) loss on clinic closures - lease and other 0 0 0 0    
Gross profit 5,679 5,132 16,684 13,565    
Assets:            
Goodwill 87,952   87,952   88,106  
All other assets 78,367   78,367   $ 85,276  
Unallocated Amounts [Member]            
Unallocated amounts [Abstract]            
Corporate office costs 17,414 14,385 51,135 42,719    
Interest expense, debt and other 2,408 2,018 7,109 5,966    
Interest income from investments (33) (1,018) (85) (3,635)    
(Gain) loss on change in fair value of contingent earn-out consideration (5,872) 1,899 (11,484) 5,332    
Change in revaluation of put-right liability 663 (168) 1,406 136    
Equity in earnings of unconsolidated affiliate (361) (231) (1,155) (750)    
Loss on sale of a partnership 0 0 123 0    
Other $ (222) $ (90) $ (344) $ (261)