4xT®Therapist - Professional Development in Physiotherapy

Become a certified 4xT®Therapist – Advance your career as a therapist

Follow the official 4xT®Therapist Program and distinguish yourself as an expert in innovative therapeutic treatments. Start today with Block 1 and gain access to the 4xT®Therapist Quality Network.

👉 Enroll now for Block 1 of the 4xT®Therapist Program

More information? Download the free brochure and discover all details.

Official certification
Quality Network
Directly applicable

Are you a...

Professional physiotherapy session with 4xT therapy techniques

Innovative Method

Proven effective

Your path to 4xT®Therapist

The program consists of 3 blocks that guide you step-by-step towards full recognition as a 4xT®Therapist.

FUNDAMENTALS

Block 1: Orthopedic Rehabilitation (4xT®Method)

What you get:

Improved skills for effective treatment of back, neck, shoulder, pelvis, hip, knee, and ankle complaints
Path to full 4xT® certification
New anatomical insights

Increase your market value through better and faster results.

Block 3: Exclusive training – only accessible with certification

EXCLUSIVE

Arthromyofascial Therapy (4xT® Protocols)

Accreditation Quality House 4xT®

Learn all 4xT®Protocols step-by-step with immediate effect and elevate your skills to the highest level.

Orthopedische Revalidatie PLP Stage
MASTER INTERNSHIP

Orthopedic Rehabilitation PLP (Internship with Master 4xT®Therapist Karl Noten)

Accreditation Quality House 4xT®

A unique internship with real patients under direct and personal guidance from Karl Noten, founder of the 4xT®Method.

Blocks in detail

Discover what exactly you can expect from the first two blocks of the program.

1
Block 1 – Orthopedic Rehabilitation (4xT®Method)
This intensive 16-day training is the foundation of the program.

You will learn to treat joint complaints more effectively and quickly, and the basic principles of the 4xT®Method, including arthromyofascial manipulations, taping, and training.

What you get:

✅ KNGF 106 points, SKF 106 points, ADAP 80 points
✅ Practice-oriented learning with real patients
✅ Online videos & treatment techniques
✅ New anatomical model with focus on fascia
✅ Directly applicable in your practice
16 days of practice
Complete basic training
Live patients
Practice-oriented learning
Online material
Videos & techniques
👉 Enroll now for Orthopedic Rehabilitation – Block 1
3
Block 3 – Exclusive for registered therapists
Only accessible with certification from Block 1 & 2.

Arthromyofascial Therapy (4xT®Protocols)

2 days

In this 2-day training you will learn to apply the complete 4xT®Protocols step-by-step. Focus on skills, palpation, differentiation, and systematic treatment.

Orthopedic Rehabilitation PLP

4 days

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

👉 Enroll now for Orthopedic Rehabilitation – Block 3 (Only accessible with certification)

*Note: Access exclusively with certification

💰 Discount Program – Growth is rewarded

For every course you successfully complete, you receive a discount on your next enrollment within the program. This makes growing as a therapist increasingly attractive and accessible.

👉 Benefit from our discount program

Why choose the 4xT®Therapist Program?

More than just a training - it's your gateway to a professional network and career acceleration.

✅ Access to the quality network

Of certified therapists - with 4 Skills Days per year

✅ Distinguish yourself as an expert

In innovative physiotherapy

✅ Discount with every course

After successfully completed course

✅ Direct patients

Referral via our 4xT®Network

✅ Official certification

And inclusion in the 4xT®Therapist Quality House

✅ Mention on 4xT®Website

With name and registration number and patient referral

🎯 Unique Opportunity: Receive Patients Directly

Within the 4xT®Network you receive patient referrals. No guarantee, but a unique opportunity that is only available for certified 4xT®Therapists.

Exclusive for certified professionals

What do therapists say?

Discover how the 4xT®Program has helped other physiotherapists to elevate their careers to a higher 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."
FT
Physiotherapist
Utrecht

"Practice-oriented and directly applicable. The quality network opens doors."

MF
Manual Therapist
Amsterdam

"The internship with Karl Noten was incredibly valuable. True expertise."

JS
Sports Physiotherapist
Rotterdam

"Excellent training with direct impact on my practice."

LK
Physiotherapist
The Hague
500+
Certified therapists
95%
Satisfaction score
15+
Years of experience

Free online webinar

Discover how the 4xT® Method delivers immediate results. Live demo + Q&A with Karl Noten.

Frequently Asked Questions (FAQ)

Find answers to the most common questions about the 4xT®Therapist program.

Still in doubt? Chat directly with our team.

💬 Ask your question via WhatsApp
Block 1 - Orthopedic Rehabilitation (4xT®Method) lasts 16 days and forms the intensive basic training of the program. These days are spread over several weekends to optimize learning and enable you to directly apply what you have learned in practice.
For Block 1 you receive KNGF 106 points, SKF 106 points, and ADAP 80 points. This means that the training is recognized by the most important professional organizations in the Netherlands and contributes to your mandatory further training.
After certification, you gain access to our exclusive network of 4xT®Therapists. Within this network you can participate in masterclasses, gain access to patient referrals, and collaborate with other certified therapists. The network also offers opportunities for referral and knowledge exchange.
For each course you successfully complete within the program, you receive a discount on your next enrollment. The discount percentages vary per course, but the principle is that continuous development is rewarded with financial benefits.
As a certified 4xT®Therapist, you may have the opportunity within our quality network to receive patients directly. This is not a guarantee, but a unique opportunity that is only available to therapists who have completed the full program and meet our quality standards.
The 4xT®Method is an innovative approach to physiotherapy that focuses on faster and more effective treatment of joint complaints. The method combines arthromyofascial manipulations, taping, and specialized training programs, developed by Master Therapist Karl Noten.

More questions?

Download our comprehensive brochure with all details about the program, start dates, costs, and conditions.

👉 Download free brochure

Your 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.

Official 4xT® Certification
Access to Quality Network
Direct Specialization Opportunities
Career Acceleration Guaranteed
500+
Certified therapists
15+
Years of proven method
95%
Satisfaction score
106
Accreditation points

⚠️ Only 20 spots left

Enroll before January 9, 2026 to secure your spot.

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