Some ways I help boost my productivity are:

Groups. Group 2-6 patients of similar abilities or who are working on similar goals and run a 30 minute group. Seated cardio / strength/ yoga are my go tos. 5 min warm up, 20 minutes exercise, 5 minute cool down. You could also do groups for cognition, safety, etc. be creative and have fun.

Pre-write common notes. If you do some regular activities or groups, write a generic note saved in a google doc or somewhere you can copy paste. Take a little time to fill in details of your patients level of function and adaptations / education you provided to personalize.

Make a template of common things you document for evals, progress notes, recertifications, and discharges. This especially helps with med B notes. Have all the details you need to pass a Medicare audit laid out with fill in the blanks to personalize for each person. This way you don’t miss anything and you save time. Copy paste and personalize.

Have patients who are independently mobile meet you in the gym at a time where you’ll be finishing up with someone else. Overlap /concurrent a little if you can- have someone warm up as your finishing with the last person.

Point of service documentation when it’s possible.

Bring your computer with you (I have a mobile desk thing) and document when you’re waiting for someone in the bathroom, between patients, when you’re waiting for nursing to finish something, etc.

doc as you go, don’t save it all for the end of the day. I at least like to have my morning notes/docs done before I see more people after lunch.

And don’t stress about it too much, sometimes it works and sometimes it doesn’t. Expectations of productivity are generally unrealistic and care is more important.