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Documentation is one of the biggest time drains in physical therapy clinics. As schedules fill up, charting starts to spill into evenings, weekends, and gaps between patients.
Many physical therapists still rely on manual typing, reused templates, or separate dictation tools. Over time, this leads to repetitive notes, unfinished charts by mid-week, and documentation that falls short when insurance reviews are conducted. The work adds up fast and often takes time away from patient care.
AI SOAP note software is designed to ease that burden. When it aligns with the way a clinic actually operates, it can reduce documentation time and ensure consistent notes without adding extra steps.
This guide breaks down the best AI SOAP note tools for physical therapists and where each one excels in real-world clinic settings.
Here’s a summary of all the tools:
| Tool | Best for | Capterra Rating | Pricing |
| Noterro | AI SOAP notes and predictive charting inside a full practice system | 4.8/5 | Starts at $28.05/month with a 14-day free trial |
| AizaMD | Automated SOAP structuring from visit conversations | NA | Contact for a custom quote |
| PlusPhysio | Multi-disciplinary assessments and clinic operations | NA | Free basic plan available; paid plans start at $829/month |
| Freed.AI | Hands-free, real-time, conversation-driven documentation | NA | Starts at $19/month per clinician |
| PatientNotes | Consent-based SOAP note drafts with strong privacy controls | NA | Starts around $199 per practitioner per month |
| ezPT Tech | Customizable PT-focused note templates | NA | Starting around $16/month |
| TwoFold | AI notes with built-in collaboration and flat pricing | 0.0/5 | Starts around $19/month |
| DeepScribe | Ambient, medical-grade dictation accuracy | 4.3/5 | Contact for a custom quote |
| SPRY PT | All-in-one practice management with AI notes | 4.8/5 | Contact for a custom quote |
| Deepgram | Speech-to-text foundation for custom documentation builds | NA | Usage-based; contact for a custom quote |
Below is a breakdown of AI SOAP notes tools used by physical therapists, with a focus on how each one handles documentation, accuracy, and daily clinic workflows.
Noterro is a comprehensive practice management system designed for hands-on clinics, including physical therapy, chiropractic, massage therapy, and osteopathic practices. It combines scheduling, clinical documentation, billing, and patient communication in one platform.
Its AI tool, Noterro Scribe, is built directly into the system, allowing physical therapists to create SOAP notes using voice without switching tools or copying content between systems. This keeps documentation, scheduling, and billing connected throughout the day.
Key Features:
Capterra Rating: 4.8/5
Pricing: Starts at $28.05/month with a 14-day free trial.

AizaMD is an AI documentation tool focused on converting visit conversations into structured clinical notes. It is designed for clinics that want SOAP notes automatically organized into clear sections, with an emphasis on documentation that supports coding and insurance workflows. AizaMD works as a standalone AI scribe rather than a full practice management system, so notes are typically reviewed and transferred into an existing EHR.
Key Features:
Capterra Rating: NA
Pricing: Contact for a custom quote.

Freed.AI is an ambient AI scribe designed to listen during patient sessions and generate draft clinical notes from conversation. It is built for therapists who want minimal interaction with a screen during treatment. Freed.AI works independently of most practice management systems, so notes usually need to be reviewed and pasted into an existing EHR.
Key Features:
Capterra Rating: NA
Pricing: Starts at $19/month/clinician.

PatientNotes focuses on simplicity and privacy. It records sessions with patient consent and produces SOAP-style draft notes that clinicians can review and edit. The platform suits therapists who want straightforward documentation support without complex configuration, while maintaining strong controls around data security.
Key Features:
Capterra Rating: NA
Pricing: Plans start around $199/ per practitioner per month.

ezPT Tech is positioned as a physical therapy–focused documentation tool with an emphasis on control over note structure. It is designed for clinics that want to customize templates, formats, and documentation workflows rather than rely on generic AI output. The system aims to reduce repetitive typing while maintaining consistent documentation standards.
Key Features:
Capterra Rating: NA
Pricing: Starting around $16/month.

TwoFold is an AI scribe tool built for small clinics and teams that want predictable pricing and shared documentation workflows. It focuses on generating draft clinical notes while allowing teams to collaborate on templates and formatting. TwoFold is often considered by clinics that want AI documentation support without adopting a full practice management platform.
Key Features:
Capterra Rating: 0.0/5
Pricing: Starts around $19/month.

DeepScribe is an ambient AI documentation platform used across healthcare. It captures audio during patient visits and generates detailed draft notes afterwards. Physical therapy clinics often shortlist DeepScribe when they want a more medical-style dictation approach and are comfortable with vendor-led onboarding.
Key Features:
Capterra Rating: 4.3/5
Pricing: Contact for a custom quote.

SPRY PT is a full physical therapy practice management platform that includes scheduling, billing, and documentation features. It also offers AI scribe functionality as part of its broader system. SPRY is typically used by clinics that want one platform to manage both front-desk operations and clinical documentation.
Key Features:
Capterra Rating: 4.8/5
Pricing: Contact for a custom quote.

Deepgram is a speech-to-text technology platform rather than a PT-specific SOAP notes tool. It provides transcription infrastructure that can be used to build custom documentation workflows. Clinics typically use Deepgram only if they have technical resources or are working with a vendor that integrates it into a PT documentation system.
Key Features:
Capterra Rating: Pay as you go
Pricing: Contact for a custom quote.
When comparing AI SOAP note tools, it is helpful to look beyond feature lists and focus on how they integrate into day-to-day clinic work. The goal is not just to take faster notes, but to create documentation that remains accurate, consistent, and usable throughout the week. Key questions to consider include:
If a tool looks impressive on paper but feels slow or awkward during real sessions, it will only add friction over time. For most PT clinics, the right choice becomes clear after a few test notes with real patients.
The strongest all-around choice for solo practitioners and small PT clinics. AI SOAP notes are built directly into the same system used for scheduling, billing, and patient records, which helps keep documentation aligned with daily workflows. Clinics that want fewer systems and less admin overhead tend to find this approach easier to maintain over time.
A good fit for clinics that prefer hands-free documentation and are comfortable reviewing and transferring notes into their EHR after sessions. It works best when clinics already have a solid documentation process and want AI to handle the first draft.
Well-suited for clinics that want an ambient dictation approach and are comfortable with vendor-led onboarding. Often chosen by teams that value medical-style dictation accuracy and structured deployment.
The most reliable way to decide is to shortlist two or three tools, book demos, and run the same patient scenarios through each system to compare their performance. The option that feels calm, predictable, and easy to repeat during a busy week is usually the right fit for the clinic.
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