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At a glance: money to start · hours · how fast it pays · how much you keep · how much it can earn. Taller bars are better; the dashed line is halfway.

Physiotherapy practice: what it really costs to start

Starting a physiotherapy practice in Europe costs €8,000–€40,000 in 2026, with first income after about 10 weeks and earnings of up to €6,500 a month working full time.

Last updated: September 2026 · sources at the bottom of the page

Treatment room, by appointment.

Physiotherapy practice in numbers
Money to start €8,000–€40,000 What you spend before the first customer pays: kit, stock, licences, launch.
Hours a week 25–50 What it takes to run it properly, from part time to full time.
Weeks to first income about 10 How long you pay in before any money comes back. You still need to live in those weeks.
Kept of every €100 €60 What stays with you after running costs, before you pay yourself for your hours.
Most it earns a month €1,800 part time · €6,500 full time + A realistic ceiling for you running it. It can grow further, but only by hiring or adding units.
Competition medium Some competition: running it well is what decides.
Licence or qualification needed Count it in months, not weeks, and check the rules where you live.

This maximum is not a wall

The figure above is what this earns in the shape described: you, running it. Past that it keeps going, but by hiring people or adding units, not by you working more hours. That is a different job from the one you would be starting, and worth knowing before you start it.

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What nobody usually tells you

High rates, steady referrals and demand that grows with the population's age. It is gated behind a real degree and registration, so it is only on this list if you already hold them.

The route, in five steps

  1. The qualification is non-negotiable and takes years — this is for people who have it
  2. Rent a room by the day inside a clinic before taking a lease
  3. Get onto insurer and referral lists early
  4. Sell treatment plans, not single sessions
  5. One associate therapist roughly doubles the practice

What you'll need to buy

These are the categories this business pays for in the first month. We go through the software side on the tools page.

licence and registrationtreatment roomcouch and equipmentprofessional insurancebooking system

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Common questions

How much does it cost to start a physiotherapy practice?

Between €8,000 and €40,000 to begin. That covers licence and registration, treatment room, couch and equipment and the rest of the setup. It does not cover your own living costs during the 10 weeks before the first income arrives, which is the cost most people forget.

How long after starting a physiotherapy practice does the first income arrive?

Around 10 weeks to the first euro. Reaching the realistic maximum of €6,500 a month takes considerably longer, and assumes 50 hours a week.

How much can you earn a month if you start a physiotherapy practice?

Up to about €6,500 a month working full time, or €1,800 part time. Of every €100 it takes, about €60 stays with you after running costs. Past that it can grow, but by hiring people or adding units rather than by working more hours.

Can you start a physiotherapy practice alongside a job?

Yes, at a cost. Part time it realistically tops out around €1,800 a month, against €6,500 working full time, and it needs 25–50 hours a week.

Is there a lot of competition?

Competition is medium. Neither crowded nor protected: winning comes down to how well you run it rather than whether you can enter.

Similar businesses to compare

Sources

Where these numbers come from. Figures are rounded ranges for European markets; check the ones you are about to spend money on. Last checked September 2026.

  1. Physio First — Private physiotherapy practice: the essential guide money to start · licence
  2. WeCovr — How much private physiotherapy costs in the UK (most £45–65 a session) what it earns

Does it fit you?

These numbers are the average case. Whether this business clears your target depends on your money, your hours and how long you can wait. Put them in and see.

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