Groundwork

Health care · County · Texas

Physical therapy clinics in Comal County, TX

The physical therapy clinics in Comal County, TX, the household spending behind them and how the market ranks against other counties.

Groundwork market score · out of 100

Score 60 out of 100: Upper middle

Ranked #451 of 1,422 scored counties
#39 of 74 scored counties in Texas

Listings
37
10 chain locations (27%)
Official establishments
34
+41.7% since 2019
Household spending a year
$93M
On medical and dental services · $1,303 a household
Spending per listing
$2.5M
5% above the U.S.
Listings per 10k households
5.2
4% below the U.S.
Population, 2025
209,166
+27.9% since 2020

See the physical therapy clinics around any address in Comal County

The site report maps the physical therapy clinics on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of Comal County. Signed out, you see a blurred preview; on an account, each report is one action.

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Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

At $1,303 per household (in line with the U.S. average), households in Comal County spend about $93M a year on medical and dental services. That is about $2.5M of household spending for each clinic on map listings, 5% above the U.S. figure of $2.4M. The spending figure covers all medical and dental services, not only physical therapy clinics.

Comal County has 37 physical therapy clinics on map listings as of September 2026. Of those, 10 are chain locations, or 27%, against 23% across the U.S. That comes to 5.2 for every 10,000 households, 4% below the U.S. rate of 5.4.

In 2023, official counts showed 34 businesses with payroll in Comal County classed as physical, occupational and speech therapists, up 41.7% from 2019. That is one for every 2,099 households, against one for every 2,482 across the U.S. Since fiscal 2022, 1 SBA-backed loan worth $572K has gone to businesses classed as physical, occupational and speech therapists in Comal County.

Between 2020 and 2025, the population of Comal County grew 27.9%, faster than the U.S. (+3.1%). The Groundwork market score for physical therapy clinics in Comal County is 60 (upper middle), #451 of 1,422 scored counties and #39 of 74 scored counties in Texas.

How Comal County compares

The same measures for Texas and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the physical therapy clinics counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.

Physical therapy in Comal County, TX compared with Texas and the U.S.
MeasureComal CountyTexasU.S.
Listings per 10k households5.24.35.4
Spending per listing$2.5M$2.7M$2.4M
Households per official establishment2,0993,3452,482
Official establishment growth, 2019–2023+41.7%+24.9%+23.1%
Population growth, 2020–2025+27.9%+8.5%+3.1%
Spending per household on medical and dental services$1,303$1,164$1,288
Median household income$101,889$78,476$80,734
Groundwork market score6075

Official counts and lending

Businesses

Official establishments, 2019 to 2023
24 → 34+41.7% over the period
Employees, 2023
336
Annual payroll, 2023
$22.7M
One-person businesses, 2023
Not publishedNot published for this business type
Map listings, September 2026
3710 chain locations
Listings at the U.S. rate for this spending
39The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
1
Amount
$572K

SBA-backed loans to businesses classed as physical, occupational and speech therapists in Comal County, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.

Population and households in Comal County

Population, 2025 estimate
209,166+27.9% since 2020
Households
71,354
Median age
42.5
Homes lived in by their owners
77%
Vehicles per household
2.0
Land area
560 sq. mi.
People per square mile
329
Median household income
$101,889+27.5% vs. 2015–2019, before inflation
Average household income
$133,953
Median home value
$427,200
Jobs located here
76,984
Daytime population
179,700Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Comal County?

These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the physical therapy clinics on map listings by name and distance.

Or open the report at the center of Comal County. Signed out, you see a blurred preview; on an account, each report is one action.

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Physical therapy across Texas

Every Texas market ranked →

The highest-scoring counties in Texas for physical therapy clinics, numbered among those based in Texas, with Comal County marked.

Top counties in Texas

Counties in Texas ranked for physical therapy clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Randall County, TX86101.8$6.6M+7.9%#14 of 1,422
2Bastrop County, TX86102.7$4.4M+21.3%#16 of 1,422
3Liberty County, TX8561.9$5.6M+31.3%#17 of 1,422
4Kaufman County, TX81193.7$3.2M+42.2%#52 of 1,422
5Galveston County, TX80433.1$4M+5.9%#59 of 1,422
6Guadalupe County, TX80233.5$3.5M+15.8%#61 of 1,422
7Ellis County, TX80304.2$3M+24.0%#62 of 1,422
8Fort Bend County, TX791123.8$3.6M+17.4%#79 of 1,422
9Burnet County, TX7973.3$3.5M+15.2%#80 of 1,422
10Brazoria County, TX78493.7$3.5M+12.2%#93 of 1,422
39Comal County, TX60375.2$2.5M+27.9%#451 of 1,422

Other business types in Comal County

Each with its Groundwork market score here, out of 100, where it has one.

Questions

How many physical therapy clinics are in Comal County, TX?

Map listings as of September 2026 show 37 physical therapy clinics in Comal County. 10 of them (27%) are chain locations. The listings count physical therapy and rehabilitation clinics. Official counts show 34 businesses with payroll classed as physical, occupational and speech therapists in 2023, up 41.7% from 2019.

How much do households in Comal County, TX spend on medical and dental services?

About $93M a year, or $1,303 per household. That is in line with the U.S. average (an index of 101, where 100 is the U.S. average). Spread across the 37 physical therapy clinics on map listings, it comes to $2.5M per clinic. That spending covers all medical and dental services, which physical therapy clinics share with other businesses in the trade. It is estimated from the incomes of the 71,354 households in Comal County and national spending patterns by income.

How does Comal County, TX compare with the U.S. for physical therapy clinics?

Comal County has 5.2 physical therapy clinics per 10,000 households, 4% below the U.S. rate of 5.4. Spending per clinic is $2.5M, 5% above the U.S. figure of $2.4M. At the U.S. ratio of physical therapy clinics to household spending, Comal County would have about 39, against 37 on map listings. There is one business with payroll in the industry for every 2,099 households, against one for every 2,482 across the U.S. The official count rose 41.7% from 2019 to 2023, against +23.1% for the U.S.

How fast is Comal County, TX growing?

Population estimates put Comal County at 209,166 people in 2025, up 27.9% since 2020, faster than the U.S. (+3.1%). It has 71,354 households. Median household income in Comal County is $101,889, 26% above the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 27.5%, before inflation.

What is the Groundwork market score?

The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Comal County scores 60 for physical therapy clinics (upper middle), #451 of 1,422 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Comal County. It maps the physical therapy clinics on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.

How the score works · Top markets for physical therapy clinics · All 56 business types in Comal County

Screening a site or an acquisition in Comal County?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

The button opens the report at the center of Comal County. Signed out, you see a blurred preview; on an account, each report is one action.

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures are estimates for research only. Not investment or real estate advice.