Abstract: A Physical Therapy Occupational Therapy (PT/OT) system, method, and environment using game embodiments is disclosed. The game embodiments are created by qualified astute and assertive game developers, and thus are games first and foremost. This results in the games having a higher level of entertainment value, yet still providing important PT/OT functionality. The embodiments transform standard PT/OT exercises into fun and immersive virtual reality games which increases efficacy, patient retention, and value to physical therapists. The embodiments also enhance patient experience, ultimately resulting in better patient outcomes. Consequently, the embodiments drive up patient retention and reduce cancellations/no shows while stabilizing clinic cash flow.