Become a certified 4xT®Therapist – Develop your career as a therapist
Follow the official 4xT®Therapist Trajectory and distinguish yourself as an expert in innovative therapeutic treatment. Start today with Block 1 and gain access to the 4xT®Therapist Quality Network.
👉 Register now for Block 1 of the 4xT®Therapist trajectoryAre you...
Innovative Method
Proven effective
Your path to 4xT®Therapist
The trajectory consists of 3 blocks that guide you step by step towards full recognition as a 4xT®Therapist.
Block 1: Orthopedic Rehabilitation (4xT®Method)
What you get:
Increase your market value through better and faster results.
Block 2: Orthopedic Rehabilitation Advanced
After Block 1, you follow one of our in-depth modules for further specialization.
Block 3: Exclusive courses – only accessible with certification
Arthromyofascial Therapy (4xT® Protocols)
Learn all 4xT®Protocols step by step with direct effect and take your skills to the highest level.
Orthopedic Rehabilitation PLP (Internship with Master 4xT®Therapist Karl Noten)
A unique internship with real patients under direct and personal guidance of Karl Noten, founder of the 4xT®Method.
Blocks in detail
Discover exactly what you can expect from the first two blocks of the trajectory.
You learn to treat joint complaints more effectively and faster, and the basic principles of the 4xT®Method, including arthromyofascial manipulations, taping, and training.
What you get:
Fascial Release of Abdominal and Organ Fascia
Discover how to treat visceral fascia and effectively reduce various complaints..
Scar Therapy
Learn to treat scar tissue, promote recovery, and reduce (pain) complaints.
Headache & Facial Pain
Treat migraine and headache effectively.
Ankle and Foot Complaints: Orthopedic Rehabilitation Advanced
Learn advanced techniques for complex ankle and foot complaints.
Arthromyofascial Therapy (4xT® Protocols)
In this 2-day course, you will learn to apply the full 4xT®Protocols step by step. Focus on skills, palpation, differentiation, and systematic treatment.
Orthopedic Rehabilitation PLP
A unique 4-day internship with Master 4xT®Therapist Karl Noten. Work with real patients, improve your skills, and receive direct feedback from the founder of the 4xT®Method. This internship is a prerequisite for registration as a Registered 4xT®Therapist.
⭐ Prerequisite for registration as a Registered 4xT®Therapist
*Note: Access only with certification
💰 Discount Trajectory – Growth is rewarded
For every course you successfully complete, you receive a discount on your next registration within the trajectory. This makes growing as a therapist increasingly attractive and accessible.
👉 Benefit from our discount trajectoryWhy choose the 4xT®Therapist Trajectory?
More than just a training - it is your gateway to a professional network and career acceleration.
✅ Access to the quality network
Of certified therapists - with 4x per year Skills Days
✅ Distinguish yourself as an expert
In innovative physiotherapy
✅ Discount on every course
Successfully completed course
✅ Direct patients
Referral via our 4xT®Network
✅ Official certification
And inclusion in the 4xT®Therapist Quality House
✅ Listing on 4xT®Website
With name and registration number and referral of patients
🎯 Unique Opportunity: Receive Patients Directly
Within the 4xT®Network, you receive patient referrals. No guarantee, but a unique opportunity only available to certified 4xT®Therapists.
What do therapists say?
Discover how the 4xT®Trajectory has helped other physiotherapists take their careers to the next level.
"The 4xT®Method has completely changed my way of treating. I see faster results with my patients and feel more confident as a therapist."
"Practice-oriented and directly applicable. The quality network opens doors."
"The internship with Karl Noten was incredibly valuable. True expertise."
"Excellent training with direct impact on my practice management."
Free online webinar
Discover how the 4xT® Method gives direct results. Live demo + Q&A with Karl Noten.
Frequently Asked Questions (FAQ)
Find answers to the most frequently asked questions about the 4xT®Therapist trajectory.
Still in doubt? Chat directly with our team.
💬 Ask your question via WhatsAppYour career as a 4xT®Therapist starts here
With Block 1 & 2 you take the first step towards certification, network, and specialization. Join the 4xT®community and develop into a leading physiotherapist.
⚠️ Only 20 places available
Register before January 9, 2026, to guarantee your spot.