Data Analysis & Statistical Considerations: The investigators will calculate differences in total and MSK specific costs and charges between the physical therapist first group and the primary care provider group using standard T-tests or tests of medians depending on the distribution of data (parametric vs. non-parametric). The investigators will also calculate differences in the number of opioid prescriptions and emergency department visits between the two groups using chi-square categorical data analysis. The investigators will calculate changes in already routinely collected disease specific measures stored in electronic health record. Physical therapy missed appointments, patient and provider satisfaction will be reported as descriptive data. The investigators will also explore differences in outcomes of cost/charges, opioid prescriptions, emergency department visits and missed appointments between onsite provided physical therapy to offsite physical therapy.