From One Physical Therapist to One of America’s Top 100 Small Businesses: The Custom Care Rehab Story

How a Northeast Ohio healthcare entrepreneur built a different kind of physical therapy company—and earned national recognition for its culture.

In 2020, during one of the most uncertain periods in modern healthcare, Amy McMillin, PT, MSPT, saw an opportunity to rethink how physical therapy could be delivered.

After more than 15 years in traditional healthcare, McMillin founded Custom Care Rehab with a straightforward idea: people should not always have to rearrange their lives to receive exceptional care. Sometimes, healthcare should come directly to them.

What began as a one-therapist mobile physical therapy practice has grown into a concierge rehabilitation and wellness company serving clients throughout Northeast Ohio. In 2026, that journey earned Custom Care Rehab national recognition as a 2026 CO—100: America’s Top 100 Small Businesses, Culture Champion, an honor presented by the U.S. Chamber of Commerce and its CO— platform.

For McMillin, the recognition represents more than business growth. It reflects a fundamental belief that healthcare companies can be built differently—for patients and for the professionals providing their care.

A different approach to healthcare

Traditional healthcare often requires patients to navigate appointments, travel, waiting rooms, and rigid schedules while balancing work, family, and other responsibilities.

McMillin envisioned an alternative.

Custom Care Rehab brings personalized, one-on-one physical therapy and rehabilitation directly to clients in their homes, workplaces, and other private settings. Its team serves individuals seeking individualized care across orthopedic rehabilitation, neurological rehabilitation, women's health, vestibular therapy, and other specialized areas.

The model prioritizes clinical expertise, personal attention, convenience, and care tailored to each individual's goals.

Rather than building a practice around the highest possible volume of appointments, McMillin set out to create an experience in which clinicians could focus on the person in front of them.

“I didn't start Custom Care Rehab because I wanted to build a big physical therapy company. I started it because I believed there had to be a better way to deliver care—for patients and for the clinicians providing it.”

That philosophy continues to guide the business as it grows.

Building a company where clinicians can thrive

The Culture Champion designation is particularly meaningful because it recognizes an essential part of the Custom Care Rehab business model: the people behind the care.

McMillin wanted to build a company that offered clinicians greater autonomy, flexibility, professional development, and opportunities to grow their careers while delivering individualized patient care.

In a healthcare environment where productivity pressures and rigid schedules can influence the patient experience, she believes a better working environment can help clinicians do their best work.

“Being recognized as a Culture Champion is especially meaningful because it validates something I've cared about from the beginning: creating an environment where great clinicians can have autonomy, flexibility, and the opportunity to build a career they actually enjoy while providing exceptional care to their patients.”

For McMillin, company culture is not simply an internal business consideration. It is connected to the experience patients receive, the relationships clinicians build, and the sustainability of the organization itself.

National recognition with Northeast Ohio roots

Custom Care Rehab remains rooted in Northeast Ohio, serving clients throughout Summit, Stark, and Cuyahoga counties.

From its beginnings as a solo practice, the company has grown into a team of specialized professionals that delivers mobile rehabilitation and wellness services to people who value personalized attention and a more convenient approach to care.

The CO—100 recognition places the company among the small and midsized businesses selected for the U.S. Chamber of Commerce's annual program celebrating entrepreneurial achievement across the country.

For McMillin, representing the region on a national stage is a source of pride.

“I’m incredibly proud to represent Northeast Ohio. This recognition reflects the dedication of our team, the trust our clients place in us, and the belief that a business can grow while staying true to its values. I hope our story encourages other entrepreneurs to challenge conventional models and build businesses that make a meaningful difference.”

Looking ahead: Making healthcare more personal

The CO—100 recognition marks an important milestone, but McMillin's vision extends beyond an award.

Custom Care Rehab continues to develop a model of care designed around individualized rehabilitation, proactive wellness, and helping people remain active and engaged in the lives they want to lead.

The company's next chapter is about growing thoughtfully, expanding its impact, and continuing to create opportunities for talented clinicians to deliver exceptional care outside the traditional clinic environment.

The underlying idea remains the same as it was in 2020: healthcare should work around people—not force people to work around the healthcare system.

For Custom Care Rehab, national recognition is an opportunity to share that idea with a wider audience and demonstrate what is possible when entrepreneurship, clinical expertise, and a people-centered culture come together.

About Custom Care Rehab

Custom Care Rehab, LLC, founded by Amy McMillin, PT, MSPT, in 2020, is a Northeast Ohio concierge physical therapy and rehabilitation company providing personalized, one-on-one care in clients' homes, workplaces, and other private settings. The company serves Summit, Stark, and Cuyahoga counties, with services spanning orthopedic rehabilitation, neurological rehabilitation, vestibular therapy, women's health, and wellness-focused care.

Learn more at customcarerehab.com.

Award: 2026 CO—100: America’s Top 100 Small Businesses, Culture Champion, presented by the U.S. Chamber of Commerce and CO—.

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From Solo Physical Therapist to One of America's Top 100 Small Businesses: The Custom Care Rehab Story