First Settlement Physical Therapy is a rehabilitation provider serving communities across the Mid-Ohio Valley and neighboring areas of Ohio and West Virginia. With 49 locations, the organization offers physical, occupational, and speech therapy, with personalized care from licensed therapists. Its stated focus is helping patients reduce pain, restore movement, promote healing, and improve quality of life through treatment plans tailored to individual needs and goals. Care supports recovery from injuries and surgery, as well as chronic pain and a range of other conditions, including back and joint pain, sports injuries, balance difficulties, neurological conditions, and speech, voice, or swallowing disorders.

Services include orthopedic and sports rehabilitation, post-surgical care, pediatric therapy, pelvic floor therapy, hand therapy and splinting, vestibular and balance rehabilitation, stroke rehabilitation, and occupational medicine. Specialized options include dry needling, aquatic therapy, manual therapy, blood flow restriction, and LSVT BIG and LOUD. First Settlement says it accepts all insurance plans, aims to schedule new patients within 48 hours, and requires no referral for appointments.