Direct-to-Employer Services Designation Program

Many Private Practice members are frustrated with the limitations of reimbursement and administrative burdens of business as usual with commercial payors and recognize bypassing insurance companies and directly contracting with employers as a way to create a new revenue stream that is less burdensome and has greater upside for their practice. Most of the practices already contracting with employers are doing so at the local level, wherever their clinic is located. Most of these practices are providing services to companies from 25-100 employees, with a few from 100-500 employees. 

This program is designed for the APTA Private Practice members who are contemplating providing direct-to-employer (D2E) services as well as those just starting down this path. This designation program will help you begin the process with greater confidence and avoid mistakes others have made, therefore increasing your likelihood of success! The Direct-to-Employer Services Designation program consists of three modules delivered using synchronous and asynchronous virtual formats. While it is recommended to attend each module in order to understand better the information provided, registrants can begin their D2E journey with any of the three modules.

Competency is demonstrated by the completion of each module and a passing score of 70% on post-module testing. Upon completion of all three modules, participants can earn up to 8.0 contact hours. 



Once registered to join the Direct-to-Employer Services Designation Program, APTA Private Practice Staff will manually import you into the Learning Center. Registrants will be uploaded Monday-Friday, 8 AM to 5 PM Eastern. Note: registrants must have a Learning Center account to be uploaded into this course!  To create a free account, click here

Click here to access the D2E modules. 

The modules of the program will include:

Module 1: “Effectively Connecting and Meeting with Employers to Pursue Direct Services” | Presented by: Jeff Hathaway, PT, DPT; Josh A. Bailey, PT, DPT

Module 1 has been enhanced into two parts:

1. Pre-recorded presentation (accessible in the Learning Center)

2. Interactive role-playing workshop

Interactive role-playing workshops via Zoom will be held on three separate occasions in 2024. Choose ONE session to attend:

1. Tuesday, April 23, 2024 | 2pm - 5pm ET (Sign-ups close April 7!)

2. Tuesday, August 27, 2024 | 2pm - 5pm ET

3. Tuesday, October 22, 2024 | 2pm - 5pm ET

The live, 3-hour interactive role-playing workshop will train participants in initiating meetings with employers and conducting effective discussions to navigate from the initial conversation to a mutually beneficial solution.

Due to the interactive nature of this session, participation is limited to the first 20 registrants per session. The Module 1 Workshop will not be recorded. Participants must attend the entire live presentation and have viewed the pre-recording, as the content will not be repeated during the workshop.

Module 2: “Understanding the Business of Direct-to-Employer Contracting” | Presented by: Holly Johnson, PT, DPT; Kelly Sanders, PT, DPT, ATC; Rick Katz, PT, DPT, MA 

This course was recorded in December 2022

This module is a virtual instructional session on the business of providing and contracting direct-to-employer services. Topic areas will include proposal creation, product planning, implementation, and product support and management. This module prepares the participant to enter into simple service contracts that involve low-risk contracting, such as payment at an hourly rate or project rate. Contracting can have many features too numerous for a module like this, and it takes time and experience to develop the knowledge and skills for more complex and higher-risk contracts.

Module 3: “Legal Considerations for Direct-to-Employer Services” | Presented by: Paul Welk, PT, JD; Albert Lee, JD 

This course was recorded in January 2023

This course will explore some of the legal and regulatory issues that arise with direct-to-employer contracting for physical therapy and other services.  It will touch upon issues related to workers' compensation, the Equal Employment Opportunity Commission (EEOC), the Health Insurance Portability and Accountability Act (HIPAA), the Americans with Disabilities Act (ADA), the Employee Retirement Income Security Act (ERISA), the Occupational Safety and Health Administration (OSHA) and other key legal topics to provide participants with a basic understanding of how these issues relate to the provision of services.  This course will also cover some of the key contract provisions to consider when contracting directly with employers.


Direct-to-Employer Services Designation Program REVIEW SESSION

Join us for a comprehensive review session of the Direct-to-Employer Services Designation program, with speakers from all three modulesSign-up Now!

The review session will take place on Thursday, March 28, 2024, from 2:00 to 4:30 p.m. ET. | Sign-ups are open to those who have completed all three modules.  

This session is designed to consolidate your understanding of the crucial aspects covered in the program and to reinforce your confidence in initiating and managing direct-to-employer (D2E) services. Come prepared to discuss your experience so far and raise questions based on what you’ve encountered in your conversations with employers.

 We will delve deeper into the crucial areas covered in the program, including:

Module 1: Effectively connecting and meeting with employers, presented by Jeff Hathaway, PT, DPT, and Josh A. Bailey, PT, DPT, OCS, CSCS, CPed.

Module 2: Understanding the business of D2E contracting, presented by Holly Johnson, PT, DPT, Cert MDT, Kelly Sanders, PT, DPT, ATC, and Rick Katz, PT, DPT, MA.

Module 3: Legal considerations for D2E services, presented by Paul Welk, PT, JD, and Albert Lee, JD.

For those who have yet to finish all three modules, they are still available in the Learning Center. We strongly encourage you to complete the modules to take full advantage of this upcoming review session.

Secure your spot now to reinforce your knowledge and take your D2E capabilities to the next level. 

Sign-up Now!

Check out these additional D2E content - Free to APTA Private Practice Members!

  • Contains 2 Component(s), Includes Credits

    This two-part APTA Private Practice webinar will help you analyze your current contracts in new ways with useful, easy-to-apply tools. Stay tuned for details in part two, in which you will learn how to break down your key practice indicators and determine your essential negotiating factors to improve and update your practice value. In part 2, you will learn why direct-to-employer marketing is the private practitioner's newest and best plan of action to eliminate third-party administrative burdens and improve your reimbursement, all while improving patient satisfaction and early access to PT. You will learn ways to design new PT products and develop your own contracts and payment models with innovative examples and tools you can use the next week.

​Refund Policy

All refund requests must be made in writing to Kat Castillo at  A refund of the full course fee, minus a $75 administrative fee, will be granted to accepted refund requests. All refund requests are at the discretion of APTA Private Practice.  No refunds will be granted for any course that has been partially started (i.e., course in progress). The APTA Private Practice regrets that refunds will not be given for no-shows relating to the live Module 1 presentations.