EXHIBIT 32

                        CERTIFICATION OF PERIODIC REPORT

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section
1350, Roy W. Spradlin, Chairman, President, and CEO of U.S. Physical Therapy,
Inc. (the "Company") and Lawrance W. McAfee, Chief Financial Officer of the
Company, certify that:

(1) the Quarterly Report on Form 10-Q of the Company for the period ended
September 30, 2003, as filed with the Securities and Exchange Commission on the
date hereof (the "Report"), fully complies with the requirements of Section
13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) the information contained in the Report fairly presents, in all material
respects, the financial condition and results of operations of the Company.

                             /s/ Roy Spradlin
                             ---------------------------------
                             Name: Roy W. Spradlin
                             Title: Chairman, President and CEO
                             Date: November 13, 2003

                             /s/ Lawrance W. McAfee
                             ------------------------------------
                             Name: Lawrance W. McAfee
                             Title: Chief Financial Officer
                             Date: November 13, 2003

This certification is made solely pursuant to the requirement of Section 1350 of
18 U.S.C., and is not for any other purpose.

                                       30