Fellowship in Orthopedic Manual Therapy

With a shift in payment models that focus on outcomes, it’s expected that many physical therapy businesses will seek highly-qualified and educated professionals to comply with new standards.  We believe that part of defining expertise is Clinical Fellowship.   At the Nxt Gen Institute of Physical Therapy, fellowship is defined by much more than the mere application of needles and manipulation.  We believe in the development of content experts, professional leaders and clinical masters, that are truly able to positively affect outcomes by altering the human movement system.

Program Details

Download Program Guide

Program Director:  Will Freres, PT, DPT, OCS, FAAOMPT


Target Audience: Physical Therapists who have completed board certification or demonstrate a portfolio of professional success

Application Deadline:  All applicants for Fellowship must complete the application below:


  • Must hold a state license to practice physical therapy
  • Must either hold: Board Certification or Professional Portfolio demonstrating professional success
  • Must be an APTA member in good standing
  • Must have professional liability insurance
  • Must be employed and have diverse mix of patients
  • Must have a computer and good internet connection


This 24 to 36-month curriculum focuses on blending content on Orthopedics, Manual Therapy, Research and Professional Advocacy.   Below are details on the required courses within the program:

  • 102: Understanding Direct Access
    • 102a: Differential Diagnosis and Medical Screening
    • 102b: Triage of the Upper Body
    • 102c: Triage of the Lower Body
    • 102d: Direct Access in PT/Clinical Reasoning 1
  • 201: Certification in Orthopedic Manual Therapy
    • 201a:  Applied Medical Screening Principles: Triaging the Patient with Presumed Neuromusculoskeletal Dysfunction
    • 201b: Clinical Reasoning for the Lower Body Region
    • 201c: Considerations for the Management of Low Back Pain: “A System of Classification”
    • 201d: Clinical Decision-Making for the Upper Body Region
    • 201e: Considerations for the Management of Neck Pain: “Biomechanical Assessment of the Cervical Spine”
    • 201f: Movement Control and Pain Science
    • 201g: COMT Cert. Prep
    • 201h: COMT Written Exam
    • 201i: COMT Oral Practical Exam
  • 213: Clinical Reasoning 2 and Grand Rounds
  • 214: Clinical Reasoning 3 and Grand Rounds
  • 215: Clinical Reasoning 4 and Grand Rounds
  • 216: Clinical Reasoning 5 and Grand Rounds


Mentorship from a Fellow is a requirement within this program.

  • 130 hours of Direct 1:1 Mentorship
  • 310 hours of Supervised Mentorship (email, facetime, skype, phone, etc.)


Our programs are built upon a learning management system which is located directly within Microsoft Office 365.  All technology fees are included within tuition costs.  You will receive 2-year access to Office 365, starting from your start date.


Full Accreditation has been granted by:

Upon successful completion of this ACOMPTE Accredited Manual Therapy Fellowship Program, graduates can apply to AAOMPT for Fellowship recognition (FAAOMPT)


Contact us via our contact form or email jbrence@nxtgeninstitute.com for more details


Fellowship in Orthopedic Manual Therapy