Outpatient Physical Therapist

About Us Spark Rehab + Wellness is a locally owned outpatient rehabilitation clinic in Bend, Oregon, serving adults with complex mobility, neurologic, geriatric, and chronic medical conditions. Our team provides individualized rehabilitation for patients who may not fit neatly into a traditional outpatient orthopedic or neurologic model, including individuals with dysautonomia, Postural Orthostatic Tachycardia Syndrome, Ehlers-Danlos syndrome, connective tissue disorders, long COVID, post-viral conditions, chronic illness, balance and mobility limitations, and age-related functional decline. We are looking for a thoughtful, collaborative Physical Therapist who is interested in working with patients who often require individualized pacing, symptom-guided exercise prescription, careful vitals monitoring, joint protection strategies, and a nuanced understanding of dynamic disability and symptom variability. Position Summary Spark Rehab + Wellness is seeking a Physical Therapist to join our team in a role focused on adults with complex chronic conditions, autonomic dysfunction, connective tissue disorders, post-viral syndromes, and related mobility limitations. This position may also include care for individuals with neurologic diagnoses and geriatric rehabilitation needs. This role is well suited for a PT who enjoys clinical reasoning, patient education, interdisciplinary collaboration, and individualized treatment planning. Many patients in this population require a careful balance between therapeutic activity, physiologic monitoring, pacing, energy conservation, and recognition that traditional exercise progression may not be appropriate for all individuals. Treatment is primarily one-on-one and emphasizes high-quality, individualized care rather than high-volume scheduling. Typical visits are 45-60 minutes, with a caseload designed to support thoughtful treatment, patient education, and meaningful functional outcomes. This is a full-time, in-person position, with most therapists working four-9-or-10-hour shifts depending on clinic needs and candidate availability. Our clinic hours are 8:00am-6:00pm Monday-Friday. Why Join Spark Rehab + Wellness? At Spark, you will have the opportunity to work with a collaborative and supportive team in a specialized outpatient setting. This role offers the chance to develop expertise in a growing area of rehabilitation, including care for patients with POTS, dysautonomia, EDS/hypermobility spectrum disorders, long COVID, chronic fatigue, post-exertional symptom exacerbation, and complex multimorbidity. Our clinic offers resources that support individualized care, including specialized vitals monitoring, a variety of cardiovascular equipment, an underwater treadmill, overhead harness systems, adaptive exercise equipment, and specialized rehab technology. Mentorship is available, and clinicians are encouraged to grow professionally, collaborate with other providers, and contribute to program development. There may also be opportunities to serve as a clinical instructor for physical therapy students for candidates who are interested in teaching and mentorship. Key Responsibilities Evaluate and treat adults with complex chronic conditions, autonomic dysfunction, connective tissue disorders, post-viral conditions, mobility limitations, and related functional impairments. Develop individualized plans of care that consider symptom variability, orthostatic intolerance, fatigue, post-exertional malaise, pain, joint instability, deconditioning, and functional goals. Prescribe activity and exercise using patient-centered, physiologically guided, and symptom-informed approaches. Monitor patient response to activity, including appropriate use of vitals monitoring and clinical observation. Incorporate pacing strategies, energy conservation, joint protection, functional strengthening, cardiovascular conditioning, balance training, gait training, and mobility interventions as clinically appropriate. Recognize when rigorous or traditional exercise progression may not be appropriate and adapt treatment accordingly. Educate patients and families on condition management, activity modification, home programs, symptom response, and strategies to improve daily function. Collaborate with referring providers and other healthcare professionals to support coordinated care. Document patient progress clearly and adjust treatment plans based on patient response, goals, and clinical presentation. Participate in a collaborative team environment focused on high-quality care, clinical reasoning, and continuous learning. Essential Skills Knowledge of pacing strategies and activity prescription with consideration for post-exertional malaise and symptom flares. Understanding that many patients with severe orthostatic intolerance, fatigue, chronic illness, or post-viral conditions may be unable to complete or sustain rigorous exercise programs. Ability to adapt exercise and functional training based on symptom response, physiologic tolerance, and patient-reported outcomes. Knowledge of lifestyle modifications related to energy conservation, joint protection, activity modification, and functional independence. Understanding of dynamic disability patterns and symptom variability. Strong clinical reasoning skills and comfort working with patients whose presentation may fluctuate from day to day. Excellent communication skills for patient education, rapport building, and interdisciplinary collaboration. Ability to work independently while also contributing to a collaborative team environment. Qualifications Graduate of an accredited Physical Therapy program. Current Oregon Physical Therapist license, or eligibility for Oregon licensure. Interest in treating patients with autonomic disorders, chronic illness, post-viral conditions, hypermobility/connective tissue disorders, neurologic diagnoses, and/or geriatric rehabilitation needs. Strong understanding of individualized exercise prescription, functional rehabilitation, patient education, and therapeutic progression. Ability to provide compassionate, patient-centered care for individuals with complex and variable symptoms. Strong organizational and documentation skills. Preferred Qualifications Experience treating patients with POTS, dysautonomia, Ehlers-Danlos syndrome, hypermobility spectrum disorders, connective tissue disorders, long COVID, chronic fatigue, post-viral conditions, chronic pain, or complex medical presentations. Training or experience in chronic illness, autonomic disorders, post-exertional malaise, pacing, or physiologically guided exercise prescription. Experience with vitals monitoring, cardiovascular conditioning, aquatic therapy, gait and balance training, adaptive equipment, or neurologic/geriatric rehabilitation. Experience working as part of an interprofessional care team. Prior outpatient rehabilitation experience. Experience with these populations is preferred, but not required; strong clinical interest and willingness to learn are essential. What Makes This Role Unique Patients with POTS, dysautonomia, EDS, hypermobility, long COVID, and related chronic conditions often present with unusual and complex rehabilitation needs. These conditions may involve orthostatic intolerance, fatigue, post-exertional symptom exacerbation, pain, joint instability, deconditioning, autonomic symptoms, and variable day-to-day function. This role requires balancing therapeutic exercise and functional progression with the recognition that certain types of exercise may not be appropriate for every patient at every stage. Treatment often requires adaptive exercise protocols, careful monitoring, patient-driven goal setting, and physiologically guided decision-making. For the right clinician, this is an opportunity to develop meaningful expertise in an underserved and growing area of rehabilitation while working in a supportive, collaborative, and well-equipped outpatient setting. Benefits for Full-Time Employees Health insurance Dental insurance Retirement plan with employer match Paid time off Paid holiday leave Continuing education and professional development opportunities License reimbursement Mentorship and collaborative team support Opportunity for clinical education and student mentorship Flexible scheduling options within clinic needs Supportive, locally owned clinic environment How to Apply Interested candidates should submit a resume and cover letter outlining their relevant experience, clinical interests, and qualifications. Spark Rehab + Wellness is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Pay:

$39.00 - $47.00 per hour

Benefits:

401(k) 401(k) matching Continuing education credits Dental insurance Flexible schedule Health insurance Paid time off

Work Location:

In person