OBJECTIVES Allied health care (AHC) disciplines, such as physical (PT) and occupational therapy (OT), are primarily performed by non-medical healthcare professionals.  Although the budget impact of AHC is generally low, reimbursements are often scrutinized for their financial impact and benefit/risk ratios.  To better inform the healthcare decision making regarding AHC, the aim of this study was to examine trends and utilization of PT and OT. METHODS Data from the 2013 US (N=75,000) and 2013 5EU (France, Germany, Italy, Spain, and UK; N=62,000) National Health and Wellness Survey (NHWS). The NHWS is a patient-reported survey administered to a demographically representative sample of adults (with respect to age, sex, and region) in each country.  Overall rates of OT/PT visits were reported.  Patients who reported an OT/PT visit in the past six months were compared with those who did not with respect to demographics, health history, and comorbidity variables. Logistic regression models were then conducted to predict OT/PT visits from these variables. RESULTS Rates of OT/PT visits did not change from 2010 to 2013 but significant differences among countries was observed (p<.05).  In 2013, France (0.54%) and the US (4.51%) had the most infrequent visits while Spain (11.13%) and Germany (11.92%) had the most frequent.  Being in Germany (OR=3.46), being in Spain (OR=3.24), and having an above the median income (OR=1.14) were the strongest demographic predictors of an OT/PT visit (all p<.05).  Although most comorbidities were associated with an increased probability of an OT/PT visit, pain (OR=2.30), arthritis conditions (OR=1.73), and psychiatric conditions (OR=1.73) were most strongly associated (all p<.05). CONCLUSIONS PT and OT utilization varies significantly across countries, being highest in Germany and Spain where over 10% of adults reported a visit in the past six months.  Pain-related (pain, arthritis) and psychiatric comorbidities were among the strongest predictors of PT/OT use.