EMPLOYMENT AGREEMENT


THIS EMPLOYMENT AGREEMENT ("Agreement") is entered into the 13th day of October,
2004,  by and  between  U.  S.  Physical  Therapy,  Inc.  a  Nevada  corporation
("Employer")  and  Lawrance W. McAfee  ("Employee")  effective as of November 1,
2004,  and  supersedes  that certain  Employment  Agreement  between the parties
effective  September  3, 2003.  Employer  and Employee may be referred to herein
collectively as the "Parties" and individually as a "Party." For the purposes of
this Agreement,  "Employer" includes U.S.P.T. Management, Inc.; for the purposes
of  Sections  11, 12, and 13  "Employer"  shall  include  all  subsidiaries  and
affiliates (as defined under the Securities Exchange Act of 1934, as amended and
regulations promulgated thereunder)

     Term.  Employer  hereby  continues the  employment of Employee and Employee
hereby  accepts  continued  employment  with Employer for a term (the "Term") of
three (3) years beginning on the effective date hereof ("Commencement Date") and
continuing  until  November 1, 2007;  provided,  however,  that effective on the
first and second  anniversary of the effective date of this Agreement,  the Term
shall  automatically  be extended for an additional  year (up to a maximum Term,
with such extensions,  of five (5) years) unless either party notifies the other
on or before  such  anniversary  dates that such party has elected not to extend
the Term.

     Duties  of  Employee.  Employee  is  engaged  to  serve as  Executive  Vice
President and Chief Financial Officer of Employer and to perform such duties and
responsibilities as are customarily performed by persons acting in such capacity
or such other duties as may be assigned by Employer from time to time.  Employee
shall report to the  President and Chief  Executive  officer of the Employer and
shall  perform  his  duties  in  accordance  with the  policies  and  objectives
established  by the  President  and  Chief  Executive  Officer  and the Board of
Directors of Employer.

     Full-Time  Employment.  Employee  shall  devote  substantially  all  of his
working time and talent to the  business of Employer  during the term hereof and
shall  diligently and to the best of his ability  perform all duties incident to
his  employment  hereunder,  using his best efforts to promote the  interests of
Employer.  Employee  agrees  that he shall  not serve as an  officer,  director,
consultant,  or  employee  of any other  person or  entity,  whether  or not for
compensation,  without the prior consent of the Employer's Board of Directors or
its Chairman.

     Position on the Board of Directors. Employer agrees to use its best efforts
to cause Employee to be elected to the Board of Directors of Employer.

     Base  Compensation.  Subject to the terms and conditions of this Agreement,
as compensation  for services  rendered and Employee's  covenants and agreements
under this  Agreement,  Employer  shall pay to  Employee a base  salary of THREE
HUNDRED TWENTY-FIVE THOUSAND AND NO/100THS DOLLARS ($325,000.00) per year ("Base
Compensation"),  payable  in  accordance  with  Employer's  then-prevailing  pay
practices.  From time to time (but at least once a year)  Employer  and Employee
shall review  Employee's  performance,  and at that time  Employer,  in its sole
discretion,  shall  determine  whether  Employee's Base  Compensation  should be
increased.  At no time during the Term hereof will Employee's Base  Compensation
be decreased.

     Additional  Compensation.  Subject  to the  terms  and  conditions  of this
Agreement, in addition to the Base Compensation,  Employer may provide incentive
compensation  in the form of cash bonuses and stock  options.  Contemporaneously
with the execution hereof, the Employer has issued to the Employee non-qualified
stock options to purchase 150,000 shares of the Employer's common stock pursuant
to the  Company's  current  shareholder-approved  Stock Option Plan,  which such
options shall vest at the rate of twenty percent (20%) per year beginning on the
first anniversary date of this Agreement, as will be more particularly set forth
in the Grant  Agreement to Employee.  The amount of any cash bonus and the award
of any  additional  stock  options  is  completely  discretionary  and  will  be
determined  solely by the  Board of  Directors  of  Employer  or a  compensation
committee  thereof,  taking into consideration any factor the Board of Directors
or compensation committee deems relevant.

     Business Expenses.  Employer shall reimburse Employee for business expenses
directly and reasonably incurred in the performance of his duties.

     Benefits  and Plans.  Employee  shall be entitled to such fringe  benefits,
including  20  vacation  days,  7 sick  and  personal  days,  company  holidays,
insurance  (health,  disability and life)  generally  available to the executive
officers of Employer, and Employee shall be entitled to participate,  subject to
all  conditions  of  eligibility,  in any  employee  benefit  plans which may be
adopted by Employer, including without limitation, qualified retirement plan(s),
deferred  compensation  plans, and salary  continuation,  disability  insurance,
hospitalization  insurance,  major medical insurance,  medical reimbursement and
life insurance benefit plans. Also,  Employer shall continue  Employee's monthly
salary for a period of up to ninety  (90)  continuous  days during any period of
Employee's sickness or disability.

     Termination.  This Agreement shall terminate prior to the expiration of the
Term hereof upon the occurrence of any one of the following events:

     (6)  Disability.  In the event that Employee is unable fully to perform his
     duties  and  responsibilities  hereunder  to the full  extent  required  by
     Employer  by reason  of  illness,  injury or  incapacity  for  ninety  (90)
     consecutive  days,  this  Agreement  may be  terminated  by  Employer,  and
     Employer  shall have no further  liability  or  obligation  to Employee for
     compensation or otherwise hereunder; provided, however, that Employee shall
     continue to be compensated as provided in this Agreement during such 90-day
     period and until termination under this section, and provided further, that
     Employee will be entitled to receive the benefits,  rights and/or  payments
     prescribed under any employee welfare or benefit plan in which Employee was
     participating  at the time of such  disability in accordance with the terms
     and  conditions  of such  plans.  In the event of any  dispute  under  this
     Section 9, Employee  shall submit to a physical  examination  by a licensed
     physician selected by Employer and reasonably acceptable to Employee.

     (7) Death. In the event that Employee dies during the term hereof, Employer
     shall pay to his executors,  legal  representatives  or  administrators  an
     amount  equal to one (1) year's  base  compensation  set forth in Section 5
     hereof,  and  thereafter  Employer  shall  have  no  further  liability  or
     obligation  hereunder  to  Employee's  executors,   legal  representatives,
     administrators,  heirs or assigns  or any other  person  claiming  under or
     through  Employee;   provided,   however,   that  Employee's  heirs,  legal
     representatives or administrators will be entitled to receive the benefits,
     rights and/or payments prescribed under any employee

     welfare or benefit plans in which Employee was participating at the time of
     his death in accordance with the terms and conditions of such plans.

     (8) Cause.  Nothing in this  Agreement  shall be  construed  to prevent its
     termination  by  Employer  at any time for  "cause".  For  purposes of this
     Agreement,  "cause"  shall mean (i) the  willful  and  material  failure of
     Employee  to perform  or observe  (other  than by reason of  disability  as
     contemplated  in  paragraph  9(a)) any of the terms or  provisions  of this
     Agreement,  including  the  failure of  Employee  to follow the  reasonable
     written  directions of Employer's  Board of Directors,  (ii)  dishonesty or
     misconduct on the part of Employee  that is or is  reasonably  likely to be
     damaging or detrimental to the business of Employer,  (iii) conviction of a
     crime involving  moral  turpitude,  (iv) habitual  insobriety or failure to
     perform duties due to abuse of alcohol or drugs, or (v) misappropriation of
     funds. Prior to terminating this Agreement on account of Employee's failure
     to perform or observe  any of the terms and  conditions  of this  Agreement
     (but not for any of the other  enumerated  "causes"  stated in (ii) through
     (v) above),  Employer  shall give Employee  thirty (30) days written notice
     and an  opportunity to cure such failure to the  satisfaction  of Employer.
     Upon termination for cause,  Employer shall pay to Employee all sums due to
     Employee   through  the  date  of  such   termination.   Following  such  a
     termination, Employer shall have no further duty or obligation to Employee;
     provided,  however, that Employee shall continue to be bound by Sections 11
     through 17.

     Special Benefits.
     -----------------

     Special  Benefit  in the Event of a Change in  Control.  Employee  shall be
entitled to a Change of Control benefit of $500,000 in the event of a "Change in
Control", defined as:

     1. The  transfer  or sale by Employer  of all or  substantially  all of the
     assets of Employer whether or not this Agreement is assigned or transferred
     as a part of such sale;

     2. The transfer or sale of more than fifty percent (50%) of the outstanding
     shares of Common Stock of Employer;

     3. A merger or consolidation  involving  Employer in a transaction in which
     the   shareholders  of  Employer   immediately   prior  to  the  merger  or
     consolidation  own less than fifty percent  (50%) of the company  surviving
     the merger or consolidation; or

     4. A merger or consolidation  involving  Employer in a transaction in which
     the board members of Employer after the merger or consolidation  constitute
     less than fifty  percent  (50%) of the board of the company  surviving  the
     merger or consolidation; or

     5. The voluntary or involuntary dissolution of Employer.

However,  if a Change in Control  occurs,  the Term shall be modified to end one
(1) year from the date the Change in Control occurs, regardless of the remaining
Term immediately prior to the Change of Control.

     Special  Benefit in the Event of  Termination  Without Cause or Resignation
for Good  Cause.  Employee  shall be also be  entitled  to the  special  benefit
described below in the event of the occurrence of either of the following events
(individually or collectively, a "Termination Event"):


     (9) The  termination of employment of Employee by Employer  without "cause"
     as cause is defined in Section 9(c) hereof; or

     (10) Employee resigns "for good reason" as defined in Section 10 F. hereof.

The special benefit payable upon the occurrence of a Termination  Event shall be
the sum of the following components:

     Employee's Base  Compensation then in effect for the remainder of the Term;
     and

     6. The greater of (i) the bonus paid or payable to Employee with respect to
     last fiscal  year of  Employer  completed  prior to the  occurrence  of the
     Termination  Event or (ii) the average of the bonuses paid to Employee over
     the three (3) fiscal  years of  Employer  ending  with last  fiscal year of
     Employer completed prior to the occurrence of the Termination Event; and

     7. Employee's accrued but unused vacation days.

If a Change in Control has occurred prior to a Termination Event, Employee shall
also be entitled  to a benefit  under this  Section 10 B. with the reduced  Term
described above.

     C.  Employee's  accrued but unused  vacation days shall be paid to Employee
within  thirty (30) days of the actual  date of the  termination  of  Employee's
employment.  The other  benefits  described in Sections 10 A. and 10 B. shall be
paid in equal amounts over the remaining Term as if the Employee  remained as an
Employee after the occurrence of the Change in Control or the Termination Event,
as the case may be.

     In the event  Employee's  employment is terminated  (whether by Employer or
Employee) as a result of a Termination Event, Employee shall be entitled to such
medical  insurance  benefits  as he  enjoyed  prior to his  termination  for the
remainder  of the Term and at the same cost to Employee  of such  benefits as in
effect prior to such termination.

     If Employee's employment is terminated (whether by Employer or Employee) as
the result of a Termination  Event within 12 months of a Change in Control,  the
period after termination during which the obligations imposed by Sections 11 and
12 remain  in effect  shall be  reduced  from two (2) years to one (1) year.  If
Employee continues to be employed by Employer for more than one (1) year after a
Change in Control occurs,  the  obligations  imposed by Sections 11 and 12 shall
remain in effect for the period after termination stated therein. Employee shall
be entitled to the Change in Control benefit  specified in Section 10 A. only if
he remains an employee of Employer to the date of  consummation of the Change in
Control,  unless  Employee  is  terminated  prior  to such  date  pursuant  to a
Termination  Event or as the  result  of  disability  or death  as  provided  in
Sections 9(a) and 9(b).  Should any special benefits provided in this Section 10
become payable,  the covenants  contained in Sections 11 through 17 hereof shall
continue to apply  except as  otherwise  provided in this Section 10, and should
Employee  violate the terms of such covenants  Employer may cease payment of the
benefits and terminate any and all future  payments  otherwise  called for under
this Section 10.

     For purposes of this  Agreement,  "for good reason" means the occurrence of
any one or more of the following:  (i) removal or other  termination of Employee
as the Executive Vice President

and/or Chief Financial Officer of Employer,  without  Employee's express written
consent; (ii) a reduction of Employee's duties, authority or responsibilities or
the   assignment   to   Employee   of  such   reduced   duties,   authority   or
responsibilities,  in either case without  Employee's  express written  consent,
(iii) a reduction by Employer in  Employee's  Base  Compensation;  (iv) Employer
delivers a notice  pursuant  to Section 1 that it has  elected not to extend the
Term for an additional year at the time stated therein; or (v) the relocation of
Employee to a facility  or a location  more than 30 miles from  Employee's  then
present location without Employee's express written consent.

     Non-Competition.  At  all  times  that  Employee  remains  employed  by the
Employer  and after the  termination  of  employment,  for a period which is the
lesser of a two- (2) year period  following the  termination  of his  employment
under this  Agreement for any reason or the remaining Term as of the date of his
termination of employment  (unless extended  pursuant to the second paragraph of
this Section 11), Employee shall not, directly or indirectly,  for himself or on
behalf of any other  person or  entity  as an  employee,  employer,  consultant,
agent, lender, principal, partner, stockholder,  corporate officer, director, or
in any other individual or representative  capacity,  (i) invest,  engage in, or
permit  his  name  to be  used  in  connection  with  any  business  that  is in
competition with Employer,  (ii) accept  employment with or render services to a
competitor  of Employer,  as a director,  officer,  agent  partner,  employee or
consultant,  or (iii) solicit or accept from any of the customers of Employer or
from any person or entity whose business Employer is soliciting, any business of
the type which  Employer is engaged in or actively  is  preparing  to engage in.
Employee  shall be prohibited  from engaging in the activities  described  above
within fifty (50) miles of any of Employer's rehabilitation clinic locations.

Notwithstanding  the foregoing:  (a) Employee may own the voting common stock of
any  publicly  held  corporation  so long as it does not  exceed  more than five
percent (5%) of the outstanding stock thereof; (b) In the event that Employee is
terminated for Cause or if Employee  terminates  other than for Good Reason,  as
defined in this  Agreement,  Employee agrees not compete with the Employer under
the terms of the  preceding  paragraph  for two (2) years  after his  employment
terminates;  (c) Employer and Employee agree that regardless of the terms of the
first  paragraph  of this Section 11, if Employee is  terminated  other than for
Cause or if Employee  terminates for Good Reason,  Employer shall have the right
and option to require that  Employee  not compete  with the  Employer  under the
terms of the preceding  paragraph  for up to two (2) years after his  employment
terminates  notwithstanding the period stated in the preceding paragraph so long
as  Employer   continues  to  pay  Employee  his  Base  Compensation  after  the
termination  of his  employment  in  accordance  with  Employer's  standard  pay
practices  whether such payments are made pursuant to the  provisions of section
10 or this section 11. Employer,  however,  may terminate such extended payments
of  Base  Compensation  at any  time  pursuant  to  this  Section  11 , and  the
restrictions of Employee under this Section 11 shall thereupon cease.

     Non-Solicitation.  For a two- (2) year period  following the termination of
the  employment of the Employee  under this  Agreement for any reason,  Employee
agrees not to,  directly  or  indirectly,  for himself or on behalf of any other
person or entity (a)  solicit or  induce,  or attempt to solicit or induce,  any
person  employed  by, or any agent of,  Employer,  to  terminate  employee's  or
agent's  relationship  with  Employer,  nor (b) call on,  solicit or divert,  or
attempt to call on,  solicit or divert any person,  firm,  corporation  or other
entity who was or had been a customer or a patient  referral source  (including,
without  limitation,  any  physician)  of  Employer  who  referred  ten or  more
customers  or patients  to  Employer,  who is a customer  or a patient  referral
source of  Employer  who has  referred  ten or more  customers  or  patients  to
Employer, or who is a prospective customer

or a patient  referral  source of Employer  with whom Employee had contact as an
employee of Employer and who, within six months of such  solicitation,  Employer
was or is actively recruiting as a customer or patient referral source.

     Confidential   Information.   Employee  will  not,   during  or  after  the
termination  of this  Agreement,  disclose  any  trade  secrets,  financial  and
accounting  information,  customer lists,  customer  mailing lists,  prospective
customer lists,  lists of referral sources or prospective  referral sources,  or
pricing,  marketing  or  advertising  plans or  methods  used by  Employer  (the
"Confidential  Information") to any person,  firm,  corporation,  association or
other entity for any reason or purpose  whatsoever,  nor shall Employee make use
of the  Confidential  Information for his own purposes or for the benefit of any
person,   firm,   corporation  or  other  entity  (except  Employer)  under  any
circumstances  during or after the termination of this  Agreement.  On demand of
Employer, at any time, Employee shall immediately deliver all printed or written
Confidential  Information to Employer.  To the extent that  Employee's  property
does not contain Confidential Information, Employee may remove all of Employee's
property  (such  as  computer  software  and  tapes)  upon  termination  of this
Agreement.  Confidential  Information  does  not  include  information  that (i)
currently is generally  available to or known by the public or hereafter becomes
generally available to or known by the public through no fault of Employee, (ii)
was already in the possession of Employee on the date of inception of Employee's
employment by Employer,  or (iii) is obtained by Employee from a third party who
is under no obligation of confidence to Employer.

     Reasonableness  of  Restrictions.  Employee  agrees that (a) the  covenants
contained in Sections 11, 12 and 13 hereof are necessary  for the  protection of
Employer's   business  goodwill  and  trade  secrets,   (b)  a  portion  of  the
compensation  paid to Employee under this Agreement is paid in  consideration of
the covenants herein contained, the sufficiency of which consideration is hereby
acknowledged,  and if the scope of any restriction  contained in Sections 11, 12
and 13 is too  broad  to  permit  enforcement  of such  restriction  to its full
extent, then such restriction shall be enforced to the maximum permitted by law,
and the  parties  hereby  consent  that such  scope may be  judicially  modified
accordingly in any proceeding brought to enforce such restriction.

     Enforcement.  Employee acknowledges  Employee's employment with Employer is
special and unique in character and that Employee will acquire special skill and
training and gain special knowledge during Employee's  employment with Employer,
that the restrictions  contained in Sections 11, 12 and 13 hereof are reasonable
and  necessary  to  protect  the  legitimate   interests  of  Employer  and  its
affiliates,  that  Employer  would not have entered  into this  Agreement in the
absence of such  restrictions,  and that any violation of any provision of those
sections  will  result  in  irreparable   injury  to  Employer.   Employee  also
acknowledges  that  Employer  shall be entitled  to  preliminary  and  permanent
injunctive relief, without the necessity of proving actual damages as well as an
equitable  accounting of all earnings,  profits and other benefits  arising from
any such  violation,  which  rights shall be  cumulative  and in addition to any
other rights or remedies to which Employer may be entitled. The existence of any
claim or cause of action of Employee  against  Employer,  whether  predicated on
this Agreement or otherwise,  except for nonpayment of amounts payable after the
termination of Employee's employment under the terms of this Agreement shall not
constitute a defense to the enforcement by Employer of these covenants.

     Copy of Covenants.  Until the  expiration of the  applicable  restrictions,
Employee  will  provide,  and  Employer  similarly  may  provide,  a copy of the
covenants  contained in Sections 11, 12 and 13 of this Agreement to any business
or  enterprise  which  Employee  may (i)  directly or  indirectly  own,  manage,
operate, finance, join, control or participate in the ownership, management

operation,  financing,  or  control  of,  (ii)  serve as an  officer,  director,
employee,  partner,  principal,  agent,  representative,  consultant,  lender or
otherwise, or (iii) with which he may use or permit his name to be used.

     Special Definition of Employer.  For the purposes of Sections 11 through 16
above,  the  definition of Employer shall include any subsidiary or affiliate of
Employer, including all affiliated physical therapy partnerships of Employer.

     Notices. Any notices to be given hereunder by either Party to the other may
be effected in writing  either by personal  delivery,  via facsimile or by mail,
registered or certified, postage prepaid with return receipt requested:

     If to Employer:   U.S. Physical Therapy, Inc.
                       1300 West Sam Houston Parkway South
                       Suite 300
                       Houston, Texas 77042
                       Attention:  President

     with a copy to:   Eddy J. Rogers, Jr., Esq.
                       Andrews Kurth LLP
                       600 Travis Street, Suite 4200
                       Houston, Texas  77002

     If to Employee:   Lawrance W. McAfee
                       11414 Dunbeath
                       Houston, Texas  77024

Mailed  notices  shall be  addressed to the Parties at the  addresses  set forth
above,  but each Party may change the  address by written  notice in  accordance
with this Section 18.  Notices  delivered  personally  or by facsimile  shall be
deemed  communicated  upon  actual  receipt.  Mailed  notices  shall  be  deemed
communicated three (3) days after mailing.

     Entire Agreement.  This Agreement  supersedes any and all other agreements,
either oral or in  writing,  between  the  parties  hereto  with  respect to the
employment  of Employee by  Employer,  and  contains  all of the  covenants  and
agreements  between the parties  with respect to such  employment  in any manner
whatsoever.

     Headings. The headings or titles to sections in this Agreement are intended
solely for  convenience and no provision of this Agreement is to be construed by
reference to the heading or title of any section.

     Amendment or  Modification;  Waiver.  No provision of this Agreement may be
amended,  modified or waived unless such  amendment,  modification  or waiver is
authorized by Employer and is agreed to in writing, signed by Employee and by an
officer of Employer (other than Employee)  thereunto duly authorized.  Except as
otherwise specifically provided in this Agreement, no waiver by any Party hereto
of any breach by any other Party  hereto of any  condition  or provision of this
Agreement  to be  performed  by such other  Party  shall be deemed a waiver of a
similar or  dissimilar  provision  or  condition  at the same or at any prior or
subsequent time nor shall the receipt or acceptance of Employee's  employment be
deemed a waiver of any condition or provision hereof.

     Assignability.  Employee shall not assign,  pledge or encumber any interest
in this  Agreement or any part thereof  without the express  written  consent of
Employer,  this  Agreement  being personal to Employee.  This  Agreement  shall,
however,  inure to the benefit of Employee's estate,  dependents,  beneficiaries
and legal  representatives.  This Agreement  shall not be assignable by Employer
without the written consent of Employee which will not be unreasonably withheld.
Subject to the terms of this Agreement,  Employer may merge or consolidate  with
or into, or transfer  substantially all of its assets to, another corporation or
other form of business  organization without Employee's consent, and as a result
of such  merger,  consolidation  or  transfer,  this  Agreement  shall  bind the
successor of Employer resulting from such merger,  consolidation or transfer. No
such merger,  consolidation or transfer, however, shall relieve the Parties from
liability and  responsibility for the performance of their respective duties and
obligations hereunder.

     Governing Law. This Agreement shall be interpreted,  construed and governed
by and in accordance with the internal substantive law of the State of Texas.

     Severability.  Each provision of this Agreement  constitutes a separate and
distinct  undertaking,  covenant and/or provision  hereof. In the event that any
provision of this  Agreement  shall finally be  determined to be unlawful,  such
provision shall be deemed severed from this Agreement, but every other provision
of this Agreement shall remain in full force and effect, and in substitution for
any such  provision  held  unlawful,  there shall be  substituted a provision of
similar  import  reflecting  the  original  intent of the Parties  hereto to the
extent permissible under law.


                                       EMPLOYER:

                                       U.S. PHYSICAL THERAPY, INC.



                                       By:
                                       Name:
                                       Position:

                                       EMPLOYEE:

                                       /s/ LAWRANCE W. MCAFEE

                                       Lawrance W. McAfee