Savannah-based Spine & Sport — a physical and occupational therapy and personal training company — has made Inc. Magazine’s 500|5,000 list of fastest-growing companies in America for the fourth consecutive year.

Between April 2006 and April 2009, the company grew more than 600 percent. In 2009, Inc. ranked the company No. 357 on its list of fastest-growing privately owned companies in America.

Spine & Sport also has locations in Hinesville, Richmond Hill, Effingham, Whitemarsh Island and Jacksonville.