Help Shape Fair Compensation for Ontario Physiotherapists
The Ontario Physiotherapy Association is launching our 2026 compensation and fee surveys to ensure physiotherapist earnings across all sectors reflect the true value and scope of the profession. Our last comprehensive surveys were conducted in 2022, and a lot has changed in healthcare and the broader business landscape since then.
Your input directly impacts fee negotiations with the Ministry of Health, private insurers, WSIB, and auto sector stakeholders. The more responses we receive, the stronger and more representative our market research becomes. It takes just a few minutes of your time.
Why Your Input is Critical
These surveys gather an accurate picture of what physiotherapists earn and charge across hospital, private practice, home care, primary care, and long-term care sectors. This data informs our Fee Guidelines and strengthens our advocacy with government and industry partners. It is the foundation for demonstrating the real value physiotherapists bring to Ontario’s healthcare system.
Bonus: Your Feedback on the Ontario Physiotherapy Association
We have also included questions about OPA membership in these surveys, open to OPA members and non-members. With this feedback, we ensure that the Association delivers real value to all physiotherapy professionals in Ontario.
Complete the survey by January 30, 2026
If you work across multiple sectors, complete all relevant surveys.
As we move into 2026, we share an extraordinary degree of optimism for the physiotherapy profession. We believe it will be recognized and valued even more for the impact we have on function, health, and well-being.
Physiotherapy helps people across their lifespan, wherever they access health care in the system.
Our mission at OPA is clear. We are here to Support our members through advocacy, professional development, and career support. We Influence and shape decisions that affect the profession. We Empower our members to provide the utmost in safe and high-quality care to all people and communities we serve.
As your provincial professional association, we recognize both the honour and the importance of representing your voice. Working with the Ontario government and key decision-makers, we represent you on the issues that matter most to you. Our focus is on the policies, funding decisions, and structures that affect your work every day and your patients.
As we head into the New Year, we are set on achieving progress in the following areas:
A Thriving Workforce and Practice Settings Our priorities include:
Continuing our efforts to advance scope implementation
Supporting the development and appropriate funding of physiotherapists in first contact primary care roles
Advancing the Community Physiotherapy Clinic program in 2026 with a focus on program awareness, expansion and appropriate compensation
Refining our 2026 OPA Fee Guideline with sector-specific information
Working with FRSA (Financial Services Regulatory Authority of Ontario) and the Ministry of Finance to make long-overdue compensation changes
Health System Transformation
We are supporting physiotherapists and their teams by:
Promoting interprofessional team-based care
Advancing physiotherapists’ participation in health system transformation with a focus on Home and Community Care and Long-Term Care
Making it easier to deliver informed patient care by gaining access to provincial digital assets (Diagnostic Imaging Repository, OLIS – Ontario Laboratories Information Systems)
Our Membership
We are most successful with your involvement and partnership. This is why OPA listens to and engages students, new graduates, PTAs, and physiotherapists throughout their careers. Our volunteers on committees, district executives and our Board of Directors make sure our work is relevant and positively impactful. We couldn’t do this without you.
Transparent and Inclusive
The processes and supports we develop matter. We continue to make them more accessible, inclusive, and transparent. We celebrate our wins, share progress with our members regularly and invite you to participate at any time.
As we move into 2026 and our bold initiatives, reflecting on the successes of 2025 provides us with confidence and a roadmap for moving forward. Thank you for your support and confidence in us – together, we can accomplish so much more!
When Natasha Bhesania graduated from the University of Toronto with a Master of Physical Therapy in 2007, she was immediately drawn to the intensity and complexity of acute care. She took on several roles across intensive care, neurotrauma, orthopedics, and general internal medicine units. A permanent role on Mount Sinai’s geriatric consult team eventually opened the door to a new opportunity that would push the boundaries of traditional physiotherapy practice.
Natasha initially began offering physiotherapy services in the emergency department for non-admitted patients. The goal was simple but powerful: to help avoid unnecessary hospital admissions. Recognizing the need for additional preparation, she completed several weekend courses on allied health in the emergency department to strengthen her skill set for this unique environment.
What started as a small 0.2 FTE addition to her full-time role quickly revealed its potential.
“I recognized the value of physiotherapy in the ED, particularly in preventing non-medical admissions, reducing length of stay through early mobilization, and facilitating discharge planning,” Natasha explains.
Inspired by this insight, she partnered with an occupational therapist colleague to launch a Science of Care quality improvement (QI) project. Together, they set out to demonstrate the impact of having full-time physiotherapy and occupational therapy coverage in the ED over a two week pilot as compared to baseline data of 0.2 PT/OT compliment over 2 years.
Their data told a compelling story: patients moved through the system more efficiently, hospital length of stay decreased, and satisfaction among physicians improved. The results were later presented at the International Learning Collaborative Conference in Portland, Maine in 2023. Natasha and her OT colleague’s quality improvement work was well-received by the ED staff. Earlier this year, Mount Sinai received funding from Ontario Health to support full-time PT and OT coverage in the emergency department. As of March 2025, the hospital now benefits from 12-hour physiotherapy and occupational therapy coverage on weekdays and 8-hour coverage on weekends from 2020 to 2022.
Natasha’s work extends well beyond mobility management. Physiotherapy assessments often provide valuable complementary insights that support the overall clinical picture. “Our functional assessments can sometimes highlight neurological changes—such as signs consistent with stroke or early Parkinson’s Disease—that may not yet be evident on initial imaging,” she explains. These observations often lead to collaborative discussions with physicians and other team members, helping guide further assessment and contributing to diagnosis. It’s a strong example of how physiotherapists play an integral role in enhancing patient care through interprofessional teamwork.
Innovative Care
Innovation is central to Natasha’s approach. As part of the rehab team at Mount Sinai, she recently began integrating the Clinical Frailty Scale (CFS) into initial assessments for patients over 65, which helps guide discharge pathways with the goal of ensuring that both admitted and non-admitted patients receive the most appropriate care trajectory. It’s a data-informed strategy that enhances efficiency and targets resources where they’re needed most.
The impact is especially clear in key populations. “Our assessments are critical in the non-operative management of fractures following falls, particularly in older adults,” Natasha says. From prescribing gait aids and connecting patients to community resources and facilitating inpatient rehab applications directly from the emergency department, her interventions often help prevent avoidable hospital admissions. She also plays a pivotal role in managing pain for patients with musculoskeletal injuries, which is an area where early education and treatment can significantly affect outcomes.
Health System Impacts
Importantly, Natasha’s work supports broader system goals. By conducting early functional assessments, she helps minimize patient deconditioning, enables direct transfers to rehab, and contributes to smoother patient flow through the ED. “We are key contributors to disposition planning from the emergency department” she says. It’s a role that combines clinical skill with system thinking and it’s making a measurable difference.
To decision-makers across the health system, Natasha offers a clear message: “As our population ages and community resources remain limited, physiotherapists in the emergency department are essential for early assessment, mobilization, and discharge planning. We have the expertise to optimize function and facilitate safe transitions, whether back home or into rehab, directly from the emergency department.”
And while she’s passionate about advocacy, Natasha emphasizes that it must be grounded in evidence. The QI project she helped co-lead serves as a model not just for funding conversations, but for demonstrating the cost-effectiveness and value of physiotherapy in emergency care.
“Advocacy should be grounded in research and data,” she says. “By highlighting existing evidence, including our own QI project, we can demonstrate the value and cost-effectiveness of physiotherapists in emergency care.”
A Day in the Life
A day in Natasha’s life is fast-paced and ever-changing, which is exactly how she likes it. She starts by scanning the emergency department census to identify patients who could benefit from physiotherapy. These patients might be older adults recovering from a fall, individuals with musculoskeletal injuries, or those with mobility challenges or complex discharge needs. From there, she collaborates with the broader care team to determine who is medically stable and appropriate for physiotherapy intervention. Her work includes bedside assessments, gait aid prescriptions, education on safe mobility, and input on discharge planning, all of which is aimed at avoiding unnecessary admissions and ensuring safe, timely transitions of care.
“No two days in the ED are ever the same, and that’s part of what makes this role so dynamic and rewarding,” she reflects. It’s a role that blends clinical expertise, system navigation, and patient advocacy, and it shows just how far physiotherapy can go when professionals like Natasha are empowered to work to their full scope of practice.
Are You our Next Member Spotlight?
Do you want to be featured? Are you in an innovative role? Spoken about physiotherapy in a podcast or the news? Published an article? Or represented the physiotherapy profession through advocacy?
We want to celebrate you as a physiotherapist, PT or PTA student or PTA!
We are excited by all that OPA has accomplished this year on behalf of our members and the profession overall. While advocacy never really stops, we are taking a moment to reflect on our successes.
1. Significant Progress on Scope of Practice Implementation
The Government of Ontario announced plans to implement regulations allowing physiotherapists to order diagnostic imaging (X-rays, CT scans, MRIs, and diagnostic ultrasounds). OPA’s relentlessly advocated through:
Ongoing meetings with the Ministry of Health
Meetings with the Premier, Minister of Health and MPPs across the province with our members
Submitting detailed scope of practice submissions
OPA’s CEO presenting to the Standing Committee on Finance and Economic Affairs on Bill 2, showing the importance of scope implementation to keep pace with other provinces and increase labour mobility.
Building relationships at Queen’s Park, including meeting with Premier Doug Ford and Deputy Premier and Minister of Health Sylvia Jones. We also met with MPP France Gélinas, Physiotherapist, who spoke about scope of practice implementation in the legislature.
Writing letters for member’s meetings with Premier Doug Ford and Minister of Health Sylvia Jones
We hope to see movement on the scope of practice implementation in 2026!
2. Advancing Physiotherapists’ Role in Primary Care: OPA successfully advocated for physiotherapists to be recognized in Ontario’s Primary Care Action Plan. We:
Received a letter from the Deputy Premier & Minister of Health and Dr. Jane Philpott as the Chair of the Primary Care Action Team. We were pleased to see the recognition that Primary Care Teams should be made up of family physicians or nurse practitioners along with nurses, physician assistants, social workers, physiotherapists and other health care professions.
Presented at multiple primary care conferences. OPA staff shared the evidence that PTs on interprofessional teams can increase patient attachment rates by approximately 425 rostered patients (24%), particularly important since 20-30% of primary care visits involve musculoskeletal conditions.
3. Strong Member Engagement, Education & Resources: OPA hosted successful events and provided members with helpful resources. This included:
OPA’s InterACTION conference with over 300 attendees
Northern Ontario District’s conference Physio North 2025, inspiring attendees and providing them the opportunity to network
4. Recognition and Award-Winning Communications: OPA’s communications and marketing continue to expand and reach new audiences with effective strategies.
Our “New Voices, New Ideas & New Opportunities” campaign won multiple prestigious awards including a Silver Telly Award and three gold Healthcare Digital Marketing Awards. We effectively showcased the association’s evolving leadership and value to members.
We also launched a bold new website which is easier to navigate and is a reflection of OPA’s commitment to transparency and accountability. OPA’s new website and its key features were driven by members’ feedback and drove every decision.
5. Equity, Inclusion and Diversity Commitment: OPA continues its commitment to have equity, inclusion and diversity embedded into everything we do.
OPA developed a position statement advocating for improved Jordan’s Principle processes. With Indigenous Services Canada committed to reforming the administration, OPA is pushing for:
Reduced systemic barriers that prevent access to physiotherapy services
Culturally safe service delivery with collaborative community co-design
Continuity of care through longer-term contracts with trusted partners
Increased administrative capacity with transparency to address backlogs
Recognition of physiotherapy as essential preventive and early intervention care
Support the advocacy work we do on behalf of the physiotherapy community in Ontario. Join OPA/CPA!
This survey is now closed. Thank you to all who completed it!
OPA is working to strengthen the Community Physiotherapy Clinic (CPC) Program ahead of the 2026 Transfer Payment Agreement (TPA). If you are a physiotherapist, physiotherapy assistant, or clinic owner who participates in the CPC program, we want to hear from you.
Share your insights and help us advocate for meaningful improvements by taking a few minutes to complete this brief survey. Your voice matters!
Your input will help OPA strengthen advocacy efforts and better represent physiotherapy professionals working in Ontario’s Community Physiotherapy Clinic Program.
This survey has 23 questions and should take 10-15 minutes to complete. The survey deadline is November 26, 2025.
Contact Us
Contact Matthew Lister to provide more input or to discuss the survey.
The Education Committee met on October 14, 2025, and focused its discussions on:
Planning upcoming events, including a volunteer-focused education session in 2026
InterACTION 2027 planning
Educational opportunities related to upcoming scope of practice changes
Implications of scope of practice changes for students, physiotherapists, and interprovincial mobility
Interested in Volunteering on an OPA Committee?
Volunteers make an extraordinary impact on the work and relevance of OPA to its members.
Whether it is making decisions about the Association’s strategic priorities on the Board of Directors, connecting local members as the District President, engaging politically with government and stakeholders, or keeping the Association up to date on important sector-specific topics on a committee, volunteers are invaluable.
The Primary Care Advisory Committee is made up of volunteer members who advise OPA staff and the Board of Directors on issues affecting physiotherapy in primary care settings.
This committee supports members and promotes quality physiotherapy services within primary care organizations across Ontario.
Interested in joining? We welcome new volunteer members who want to help shape the future of physiotherapy in primary care. Contact us a physiomail@opa.on.ca.
The Home Care Advisory Committee is made up of volunteer members who advise OPA staff and the Board of Directors on issues affecting physiotherapy in the home care sector.
This committee brings the voice and perspective of home care physiotherapists forward to support quality care and influence sector-wide decisions.
Interested in joining? We welcome new volunteer members who want to help shape the future of home care physiotherapy in Ontario. Contact us at physiomail@opa.on.ca.
The Hospital Advisory Committee is made up of volunteer members who advise OPA staff and the Board of Directors on issues affecting physiotherapy practice in hospitals and rehabilitation centres across Ontario.
This committee ensures that the interests and concerns of physiotherapists in these settings are heard and considered in policy decisions.
Interested in joining? We welcome new volunteer members who want to help shape the future of hospital and rehabilitation physiotherapy in Ontario. Contact us at physiomail@opa.on.ca.
Physiotherapists are essential in Primary Care Teams
OPA continues to advocate for increasing the integration of physiotherapists into primary care teams. Emily Stevenson, OPA’s Director of Practice & Policy and Amy Hondronicols, former OPA Director, presented at the Association of Family Health Teams of Ontario conference, Power of Primary Care 2025, on October 23. Emily and Amy shared the evidence for physiotherapists in team-based primary care – resulting in the right care, at the right time, by the right provider.
Emily StevensonAmy Hondronicols
The Evidence Shows:
Faster access to the right care
Less diagnostic imaging ordered
Fewer referrals to specialists (orthopedics and rheumatology)
Less sick leave
Fewer prescriptions for pharmaceuticals
Higher patient satisfaction
Low rate of follow up with Family Physician or Nurse Practitioner (<1% in the UK)
From L to R: Amy Hondronicols, Courtney Bean, Emily Stevenson, Hon. George Smitherman, Sarah Hutchison
Emily and Amy were joined by OPA’s President, Courtney Bean, and Sarah Hutchison, OPA’s CEO.
Helping Ontario reach 100% Attachment
There are currently about 90 physiotherapist positions in primary care teams in Ontario, including Family Health Teams, Community Health Centres, Nurse Practitioner-Led Clinics, and Indigenous Primary Care Teams. With Ontario’s Primary Care Action Plan to create or expand 305 teams, there is great opportunity to increase the presence of physiotherapists to support Ontario’s goal of 100% attachment to primary care.
First Contact Physiotherapy in Primary Care Teams
The evidence is there – first contact physiotherapy improves patient outcomes, family physician/nurse practitioner satisfaction and reduces red tape within the health system.
Physiotherapists are the experts in the assessment, diagnosis for all MSK concerns. With 20-30% of all visits to primary care in Ontario being musculoskeletal (MSK) concerns, physiotherapists can be the first contact, and offload visits from the family physician or nurse practitioner. It is estimated that an additional 425 patients could be attached per physiotherapist.
The Family Physician/Nurse Practitioner Perspective
88% of family physicians and nurse practitioners reported that working with a physiotherapist increased their own satisfaction in providing care. 94% reported that having a physiotherapist in the team resulted in more comprehensive care for the patients. (Toronto Community Health Centre Evaluation, 2016).
Resource for Physiotherapists in Primary Care Teams
In their presentation, Emily and Amy also shared about the development of the PT in Primary Care Competencies and Educational Modules – an initiative in partnership with Team Primary Care (Projects — Team Primary Care | Équipe de Soins Primaires). This project was led by Dr. Jordan Miller and supported by the Canadian Physiotherapy Association. It included contributions from various physiotherapy professionals across Canada.
The education modules are designed to support physiotherapists to successfully integrate into interprofessional teams in primary care. The modules are also helpful to educate interprofessional team members and team leadership/ executives – so feel free to share broadly with anyone in your local community/network!
Physiotherapy in Primary Care Teams – Improving Health Outcomes
The evidence shows that adding physiotherapists to primary care teams improves patient, provider, and system outcome in Ontario. The more we can demonstrate our value across all practice settings, the more we are able to advocate for increasing access so that everyone in Ontario has a physiotherapist across their lifespan.
