Sharp Rees-Stealy Downtown Physical Therapy operates from the first floor at 300 Fir Street in downtown San Diego's Bankers Hill, embedded within a multispecialty medical campus founded in 1923. Post-visit prescriptions route directly to the co-located Sharp Rees-Stealy Downtown Pharmacy on the same floor, eliminating the lag between discharge and medication pickup for patients managing post-surgical pain or inflammation. Sharp Rees-Stealy's unified electronic health record links physical therapy notes to referring physicians, radiologists, and specialists across 19 county locations, ensuring real-time visibility into ROM measurements, strength benchmarks, and functional outcome scores. The integrated care model extends to co-located vision and optometric services through providers like Jane D. Goodwin, OD, supporting vestibular and balance rehabilitation patients who require concurrent oculomotor assessment. The department's highest-acuity protocols involve post-operative total shoulder arthroplasty rehabilitation with intraoperative ROM benchmarks fed directly from the surgical team's EHR notes into the PT treatment plan.