Simon Hargus
Owner and CEO of First Settlement Physical Therapy
Simon Hargus is the owner of First Settlement Physical Therapy, a family-run practice that’s grown to about 50 clinics and 300 employees serving rural Ohio and West Virginia. A PT who moved from the clinic to the C‑suite, he’s known for building a people‑first culture, long‑form patient care, and individualized career paths to curb burnout. He’s active in advocacy, pushing for state‑level wins and a stronger political voice for PT, and he embraces practical tech like AI scribe tools where they deliver real ROI.
Dec. 17, 2025
PT Leadership Against the Current: AI, Access, and the Fight for a Better PT Model
Simon Hargus turned a small family clinic into a 50-location practice serving rural Ohio and West Virginia without losing the heart of hands-on, patient-first care. He leads with intention, focusing on culture over scale. By ...