About Next Level
Occupational Therapy

At Next Level Occupational Therapy, we are dedicated to redefining standards in therapy practice. Our mission is to empower therapists with cutting-edge resources and personalized support to excel in their profession. Through a commitment to innovation and excellence, we strive to elevate patient care and therapist satisfaction. Contact us today to learn more about how we can support your journey to the next level of occupational therapy excellence.

About Us

About Next Level Occupational Therapy

Next Level Occupational Therapy began its journey in May 2019 after a transformative PT conference, driven by a simple yet profound mission: to ignite a spark of possibility within occupational therapy professionals. Our goal was to inspire therapists to go beyond traditional occupational therapy settings, fostering connections and encouraging both personal and professional growth. Over time, our vision has grown into a vibrant, supportive community that serves as a springboard for therapists to explore new horizons, whether it’s starting a business, creating a side venture, writing a book, or pursuing other endeavors.

Over the years, we have assisted hundreds of therapists in starting, building, and growing their practices through our flagship program. This program remains central to our mission as we continue to guide therapists from practitioners to business owners and ultimately from business owners to CEOs. Recognizing the broader need, we expanded our support to include physical and speech therapy professionals. We constantly evolve, developing new programs, events, and services based on community feedback and industry trends. We are proud of our collaboration with AOTA to champion entrepreneurship within the OT community. Join us on our journey to inspire therapy professionals to achieve new levels of success and fulfillment.

About the Founder

Kara Welke
OTD, OTR/L, CLT, Skills2Care, SHSS, CAP

Kara established Next Level Occupational Therapy to address a critical need in the Grand Forks community and surrounding areas, providing high-quality, client-centered care in natural environments. Her ultimate goal is to help as many people as possible remain in their homes as they age, maintaining optimal health and overall quality of life.

Traditional healthcare often focuses solely on the client, neglecting the caregivers. Kara believes that involving both clients and their caregivers in therapy sessions is essential for achieving the best outcomes. Additionally, Next Level Occupational Therapy aims to connect clients with the many valuable resources available in the community, emphasizing collaboration over competition.

Traditional healthcare tends to prioritize productivity and profit, using tools that are not centered on the client’s needs. In contrast, Next Level Occupational Therapy is committed to focusing on what the client truly requires. By providing therapy in natural settings, they optimize independence where it matters most.

Our Team

About Our Team Members

Learn more about the Next Level team!

Megan Dooley

Megan Dooley

Business Coach

Alicia Kollmar

Business Coach

Anthony Miano

Systems Coach

Steve Glukh

Steve Glukh

Business Coach

Alex Engar

Financial Coach

Kylee Blankespoor

Business Manager

Testimonials

Success Stories

Discover how our clients have transformed their practices and achieved remarkable success. From enhancing patient outcomes to expanding their business reach, these stories showcase the powerful impact of our tailored strategies and expert guidance.

Jen Lyons, PT, MHA

Mobility By Design

Starting my own business and setting up the foundations to do things the right way is a lot more work than I expected. TBB has given me structure and helped me focus on the important steps, so I don’t get too overwhelmed. TBB has been awesome at helping me troubleshoot and getting back on track with I hit roadblocks.

Keisha Lewis, OTR/L, MS, CDCES

Welldom

The program offers a road map to help you get started. Joining the program when you initial have the thought to start a business will save you money and time.

Nikki Flynn, MS, OTR/L

Home Safe Therapy Solutions LLC

I have been an occupational therapist for 10 years, but have ZERO business or entrepreneurial experience. I knew what I wanted my mobile to be and who I wanted to serve, but no idea how to start a private practice. With the Therapy Business Builder Program, I have my business 90% ready to go in under 2 months. The knowledge and support I’ve gotten in this program is worth way more than the monthly cost.

Jennifer, MHS,OTR/L

Your Aging Therapist

When considering starting a business, having a business coach and surrounding yourself with like minded people should be at the top of the list. You cannot do this alone and having the support of Kara and the TBB team gives me so much more confidence in having the ability to talk through ideas and decisions that will help the business continue to thrive.

Nina Rea OTR/L, CAPS, ECHM, CNDT

Accessible Home OT PC

Considering joining the Therapy Business Builder Program? Here’s what I’d say: This program is your roadmap to success in starting or growing your therapy business. With step-by-step guidance tailored to the intricacies of our field, you’ll receive the perfect balance of support and autonomy to steer you in the right direction.

Mary Rush, DPT

Empower Stroke Recovery

Worth it. I wish I knew about it when I first started. The work that they have already put in will save you tons of time and headaches. It’s harder to backtrack and re-do things than it is to do it right the first time whether just starting out or scaling.

Amanda Falcone, OTR/L

SpOT On Therapy

If I were talking to a therapist considering private practice, or talking to the ‘me’ of eighteen months ago, I would strongly encourage starting TBB early. The program is well structured to support any therapist at any stage in their early business building.

Ian Chevrier OTR/L

BlueBird Therapy and Wellness

There are so many unknowns when starting your business. TBB has been so helpful properly starting and navigating your journey.

Sarah Bagley OTR/L, CDRS, CAPS

Adapted Life LLC

Just do it. As therapists, we can often over think situations because we are constantly bombarded with the constant focus on compliance and rules and making sure everything is “just right”. When starting a new business venture, there are so many small details that have to be done just right, it can become paralyzing. With TTB, they help navigate those small details and provide you a path to follow so you can get out of your head and actually make progress. Havig a group of people surrounding you who are either at your same stage or have made it through is highly encouraging and motivating.

Courtney

Kinetic Care Therapy

I was very skeptical about signing up with Therapy Business Builder in the beginning, but I am so glad I did and stuck with the program. I would recommend anyone who is considering starting a therapy business to sign up.

Laura, Ms, OTR/L

DRM Wellness

The skills and knowledge I have learned through this program are invaluable. There were things I never even considered that Kara and her team are helping me navigate. Honestly it is the most amazing program and the connections are priceless.

Madison Brummond OTR/L

Living Without Limits

The TBB program is an invaluable tool to guide you through starting and growing your business. It saved me countless hours, headaches and mistakes of doing it on my own.

Want More Help to Start or Grow Your Business?

We are your go-to resource for helping therapy professionals start and build their own businesses. Whether you are just starting out or have had your business for years and need to move it to the next level, we are here for you. At Next Level , we stand out by working with a dedicated team and collaborating with other industry experts to provide unparalleled support. Let us guide you on your journey to success and help you reach your professional goals.