Prompt markets itself as one of the best AI scribe for physical therapy options on the market. That claim deserves a closer look at where the AI actually lives.

SPRY's AI Scribe Agent isn't a separate tier. It's part of the core EMR from day one. Prompt's scribe, Sidekick, wasn't built by Prompt. It came from PredictionHealth, a company Prompt acquired in June 2025. Even after the acquisition and a November 2025 rebrand, Prompt's own website still lists Sidekick under "Enhancements" — a separate tier from its "Core: EMR" product.

This guide compares both platforms on architecture, pricing, and verified user reviews — so you can see past the marketing on both sides.

Why the Architecture Question Matters

The physical therapy AI software market is projected to grow from $1.67 billion in 2026 to $8.93 billion by 2035 — a 20.48% annual growth rate [3]. Every vendor in rehab therapy now claims to be "AI-first."

But ownership and integration depth vary widely. Epic, athenahealth, and Oracle Health are all moving toward AI built directly into their core platforms rather than delivered through add-ons or extensions. Raintree, a rehab-specific competitor, launched its own natively built scribe, ScribeIQ, in February 2025 — evidence that even legacy vendors are racing to close this exact gap.

Against that backdrop, how a scribe is packaged and delivered is a real signal of how deeply it's integrated — not just a technicality.

How Prompt's Sidekick Works

Sidekick runs as a Chrome browser extension — a common setup among AI scribe for PT tools that plug into an existing EMR rather than replacing it. Prompt's own Chrome Web Store listing confirms this: it "brings Prompt's real-time AI directly into supported web-based EHRs" and requires a signed HIPAA BAA to activate.

The workflow:

1. The therapist installs the Sidekick browser extension.
2. A visit is recorded or dictated through the extension.
3. Sidekick drafts a SOAP note and suggests CPT codes.
4. The therapist inserts the draft into the EMR note field.

This is true whether the clinic is on Prompt's own EMR or a different one — Sidekick is architected as an add-on layer, not a built-in EMR function

How SPRY's AI Scribe Works

SPRY's Scribe Agent sits inside the same data layer as scheduling, billing, and patient history — there's no separate extension to install or BAA to sign for a second vendor. This is what native AI documentation for physical therapists looks like when a physical therapy AI scribe is built into the core platform rather than bolted on.

In practice, that produces six specific capabilities:

SPRY vs Prompt Sidekick: Side-by-Side

The table below breaks down how each piece of physical therapy AI software stacks up, point by point.

What Prompt Users Are Actually Saying

Prompt earns strong overall ratings — 4.9 on G2 and 4.7 on Capterra — and many verified reviews are genuinely positive about ease of use and support.

But specific, recurring complaints show up underneath those averages.

Pricing. One Capterra reviewer called Prompt "way overpriced for what it is," noting that "most of the features cost extra". Independent pricing research puts real-world costs at $100–$500 per provider per month depending on add-ons, with one user reporting $867/month for a 3-provider clinic.

AI scribe reliability. The same reviewer noted "the AI feature works sometimes but not always so it can take longer". A separate review aggregator summarizing Sidekick feedback found recurring mentions of "occasional glitches or recording reliability issues," including notes that it "will sometimes fail to record," with no built-in way to flag issues before they cost editing time on the back end.

Fit for smaller clinics. One owner-operator wrote, "I wouldn't recommend them for smaller practices. They don't seem to know what they are doing when it comes to smaller clinics or startup clinics".

Customer service. The same review described multiple people replying to a single support email, making it hard to get resolution on the original issue.

To be fair, these are a minority of reviews against a large base of satisfied users. But they point to the same root issue: even after being acquired and rebranded, Sidekick is still delivered as an add-on layer, and some of the friction users report — recording drop-outs, inconsistent performance — is consistent with that architecture. Reviews like these matter because they reflect how a physical therapy AI scribe performs in daily practice, not just in a sales demo.

Where the Data Favors SPRY

SPRY's strongest data points are independently reported, not self-published:

• 98% clean-claim rate and a $79,000 productivity lift in 90 days, reported by Healthcare IT News at a 5-clinic group after adopting SPRY's EHR and RCM platform
• 37% overall revenue growth, with eval notes dropping from 30–40 minutes to about 5, reported by Healthcare IT News at a three-location outpatient practice in Florida

SPRY's internal sales materials also cite a cost comparison worth noting, though this figure comes from SPRY's own analysis rather than an independent audit: at $150/provider/month flat versus a reported $700+/provider/month for Prompt once add-ons are included, plus a 4% versus 6–10% revenue-cycle-management fee, SPRY calculates roughly $18,600 in annual savings per provider for a practice at $300K in collections. Numbers like these are a big reason SPRY is increasingly named among the best AI scribe for physical therapy platforms serving multi-site groups.

Switching from Prompt: What It Involves

For PT clinics comparing the best AI documentation software for PT clinics in 2026, switching costs and migration risk are often the bigger hesitation than whether native AI is worth it. SPRY's general migration process — not specific to any one prior EMR — is built around predictable timelines by practice size:

The process includes a data pull and cleanup phase, a sandbox review where the clinic signs off on sample patients and billing rules, and a planned go-live with live chat and phone support while legacy claims wrap up.

The Bottom Line

Prompt built genuine momentum by acquiring a well-regarded scribe and folding it into its ecosystem. But "acquired and rebranded" is a different architecture than "built in." Prompt's own site still treats Sidekick as an add-on enhancement, not a core EMR function — and some of the reliability complaints in verified reviews trace back to that same extension-based design.

For clinics researching the best AI documentation software for PT clinics in 2026, the real question is the same one that applies across this entire market: do you want an AI scribe added to your EMR, or an EMR where the AI was never a separate product to begin with?

Frequently Asked Questions

Is Prompt's Sidekick built by Prompt?

No. Sidekick originated at Prediction Health, a company Prompt acquired in June 2025 [1]. It was rebranded "Prompt Sidekick" in November 2025 but still operates as a Chrome browser extension.

Is Sidekick part of Prompt's core EMR?

Prompt's own website lists Sidekick under "Enhancements," a separate product tier from its "Core: EMR".

Is SPRY's AI Scribe a separate purchase?

No. It's included as part of the core EMR, sharing the same data layer as scheduling, billing, and patient history.

How does Prompt's pricing compare to SPRY's?

Prompt's reported real-world pricing ranges from $100–$500 per provider per month depending on add-ons, with SPRY's own research citing a user-reported $867/month for a 3-provider clinic [8]. SPRY publishes a flat $150/provider/month rate.

Is native AI scribing becoming the industry standard?

Yes. The AI medical scribing market is growing at a 20.48% CAGR through 2035, and major EHR vendors — including rehab-specific competitor Raintree — are building scribes natively rather than through acquired, extension-based tools.

Which is the best AI scribe for physical therapy — Prompt or SPRY?

It depends on what a clinic values most. A physical therapy AI scribe fully embedded in the EMR's core data layer, like SPRY's, fits the definition of native AI documentation for physical therapists. An AI scribe for PT layered onto an existing workflow, like Sidekick, remains a capable option for clinics already invested in Prompt — it just isn't physical therapy AI software built in from day one.

References

Independent / third-party sources

[1] PRNewswire. "Prompt Health Acquires PredictionHealth to Amplify AI-Driven Rehab Therapy Innovation." June 23, 2025.

[2] Prompt Health. "Sidekick: The #1 AI Scribe and Documentation Assistant for Rehab Therapy."

[3] Towards Healthcare. "AI in Medical Scribing Market Trends for 2026."

[4] SOAPNoteAI. "Healthcare AI Trends 2026: What Providers Need to Know."

[5] Towards Healthcare. "Physical Therapy Market Size." April 2026.

[6] Google Chrome Web Store. "Prompt Sidekick."

[7] Capterra. "Prompt Reviews 2026: Verified Reviews, Pros & Cons."

[8] SPRY. "PT EMR Pricing Comparison: SPRY vs WebPT vs Prompt vs Raintree (2026)." (Citing user-reported pricing via ProactiveChart.)

[10] G2. "Prompt Health Reviews 2026."

[11] Capterra. "Prompt Software Pricing, Alternatives & More 2026."

[12] Chrome-Stats. "Prompt Sidekick - AI Audio-to-Note for EMRs."

[13] Healthcare IT News. "AI-enabled EHR-RCM platform saves 5-clinic group $79K in just 3 months."

[14] Siwicki, Bill. "First Rehabilitation boosts revenue 37% with outpatient platform." Healthcare IT News, May 6, 2026.

SPRY internal / company-provided sources (not independently audited)

[9] SPRY Vs Prompt Salesplaybook — internal pricing document citing $150/provider/month flat rate.

[15] SPRY Vs Prompt Salesplaybook — internal cost-comparison calculation ($18,600/year per-provider savings estimate).

[16] Migration Brochure — internal SPRY migration documentation providing the general (non-vendor-specific) timeline table.

All figures reflect publicly available sources and SPRY-provided materials as of July 2026. Pricing, features, and vendor positioning may change — verify current details directly with each vendor before making a purchasing decision.