Acquisitions of rehabilitation companies and clinics has been on the rise in recent years. That trend is continuing in 2017, with nine deals announced in the first quarter. Five of those were announced in March alone.

The second quarter is off to a good start, too. Pivot Physical Therapy, a portfolio company of CI Capital Partners, just inked its fourth deal of 2017. On April 5, 2017, Pivot acquired Tidewater Physical Therapy, an outpatient physical therapy practice with more than 30 locations across Virginia, including five aquatic therapy centers and three performance centers.

This purchase comes on the heels of a two-year buying spree. Back in 2014, CI Capital Partners, alongside co-investor InTandem Capital Partners, combined five physical therapy clinics located in Delaware, Maryland, Pennsylvania, Virginia, West Virginia and Washington, D.C. and rebranded the practices under the Pivot Physical Therapy brand name.

At the time, these five companies had a total of 60 locations across five states. Pivot now has nearly 250 locations on the East Coast, and much of this company’s growth is the result of add-on acquisitions. Since 2015, Pivot has announced nine acquisitions in addition to several partnerships.