The P.T. Entrepreneur Podcast

Dr. Danny Matta, PT, DPT, OCS, CSCS, & Entrepreneur
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Dec 23, 2025 • 1h 9min

Ep878 | From Start Up To Scaling Up A Cash-Based PT Clinic With Kim Manlangit

Rainmaker to Mastermind: Kim's Cash Practice Journey Guest Coach: Michael (PT Biz Rainmaker Coach) Guest: Kim (Rainmaker Alum, PT Biz Mastermind Member) Episode Overview In this episode, Danny introduces a live conversation from inside the PT Biz Rainmaker program between coach Michael and Rainmaker alum Kim. Kim started in Rainmaker while she was just getting her practice off the ground. Now she is in the PT Biz Mastermind, actively scaling her clinic. This episode walks through her journey, early fears, mindset hurdles, and what it looks like to go from "Can I really do this?" to building a growing cash practice. What You'll Hear in This Episode How Kim first got started in the Rainmaker program The mindset challenges of the early stages of a cash practice Imposter syndrome and self doubt when you are not full time yet Why the Rainmaker stage is often the hardest mentally Specific struggles Kim faced while starting her clinic What helped her push through and go all in on her practice How her business looks now inside the PT Biz Mastermind Why hearing real stories from people just a few steps ahead matters Why This Conversation Matters The Rainmaker program is built for physical therapists who are in the earliest phases of their business. Many are still working full time elsewhere while trying to grow their practice on nights and weekends. It is the most mentally stressful stage because: You do not know if the business will work yet Your confidence goes up and down every week You are balancing work, family, and a new clinic at the same time Hearing Kim's story shows that the fear, doubt, and imposter syndrome you feel are normal. More importantly, it shows what is possible on the other side when you get clear guidance, do the work, and stay in the game long enough to make the leap. Inside the Rainmaker and Mastermind Journey Rainmaker Stage: Getting started, getting your first consistent patients, learning the basics of sales and local marketing, building enough momentum to leave your job. Mastermind Stage: Scaling systems, hiring, tightening operations, growing revenue, and building a business that can run without you doing everything. This episode lets you listen in on that transition. You will hear what Kim actually went through while starting and what she is focusing on now as she scales. Who This Episode Is For PTs who are thinking about starting a cash practice but feel uncertain Rainmaker level owners who are still in the early growth stage Clinicians who feel stuck in self doubt and imposter syndrome Owners who want to know what the next level after "launch" looks like Ready to Talk About Your Own Practice? Book a Free Discovery Call with PT Biz: Talk with a senior advisor about where you are now, where you want to go, and whether Rainmaker or the Mastermind is the right fit. Book your discovery call Learn More About PT Biz Programs: physicaltherapybiz.com About PT Entrepreneur Podcast Hosted by Dr. Danny Matta, the PT Entrepreneur Podcast shares real conversations, strategies, and stories from clinicians who are building cash based practices that give them more time and financial freedom.
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Dec 18, 2025 • 20min

Ep877 | The Best Book I've Read This Year

Money, Happiness, and the Race You're Actually Running as a Clinic Owner Episode Overview In this episode, Danny shares his favorite book of the year — The Art of Spending Money by Morgan Housel — and why it hit so hard as a cash-based business owner. He breaks down how money, attention, and expectations shape your happiness, why comparison quietly wrecks clinic owners, and how to use your business as a vehicle for the life you actually want instead of letting it become your whole identity. Key Topics Covered Why money mindset is such a big problem in the PT profession Why Danny recommends Morgan Housel's books to clinic owners "May I Have Your Attention Please?" – how attention drives happiness The danger of comparing your clinic to someone else's revenue Context you never see behind other people's success "The Happiest People I Know" – business as vehicle vs. business as life Trading time for money vs. protecting what matters most Lifestyle creep and constantly moving the goalposts Defining the race you're running and saying no on purpose Why "no thank you" money is real wealth Book Recommendation: The Art of Spending Money Danny highlights The Art of Spending Money by Morgan Housel as his favorite book of the year and a perfect follow-up to Housel's earlier book, The Psychology of Money. While the title sounds like a pure finance book, Danny and his wife both felt it's really about: How you make decisions around money How those decisions impact your happiness and contentment How self-awareness around money affects your quality of life For clinic owners, it's especially relevant because you're: Charging for your own services Paying staff and managing payroll Using money as a tool for growth, security, and freedom Attention, Comparison, and Feeling Miserable Danny breaks down a section from the book called "May I Have Your Attention Please?", which focuses on how your attention influences your happiness. Example: Your clinic is doing ~$500k a year. You're profitable, love your niche, and like your team and culture. Then you meet another owner doing $2M a year. If you put all your attention on that comparison, you go from proud to deflated in seconds: "I'm behind." "I must be doing something wrong." But you have no idea: What advantages they had going in (investors, family help, safety nets) What trade-offs they made (health, marriage, time with kids) Whether they'd actually trade lives with you If they're at $2M but wrecked their health and relationships, while you're at $500k with strong health and a solid home life, who's really winning? It depends on your values. The point: if you want to stay miserable, keep comparing yourself to everyone else. Business as Vehicle vs. Business as Your Whole Life Danny then shifts to another section: "The Happiest People I Know." The big idea: Your business should be the vehicle that supports the life you want. Most owners accidentally let the business become their life. He gives a simple comparison: Owner A: Works 60 hours/week, makes $300k. Owner B: Works 30 hours/week, makes $200k. Neither is right or wrong. It depends on your season of life and what you value more: extra money or extra time. Questions to ask: Do I want the extra $100k badly enough to trade 30 more hours a week? What am I saying "no" to when I say "yes" to more growth? Is this growth actually changing my life in a meaningful way? Lifestyle Creep and Moving the Goalposts Danny explains how success usually comes with two hidden traps: Lifestyle creep: As you earn more, your spending grows to match. Constantly moving the goalposts: Every time you hit one target, you immediately raise the bar. Result: you feel like you always have to keep saying yes to more growth, more risk, and more time in the business just to sustain a lifestyle you drifted into. Instead, he challenges clinic owners to: Define a clear income and lifestyle goal on purpose. Live below that level even as income grows. Build "no thank you" money – enough margin to say no to opportunities that don't fit. Run Your Own Race Danny uses a running analogy he often shares with PT Biz clients: If you're running a 10K and someone else is running a marathon, your paces and training look different. You can't compare your numbers and expect them to match. In business: Some owners just want one great clinic that they keep for decades. Others want a multi-location platform they eventually sell. Neither is better. But if you don't know which race you're running, you'll: Say yes to things that pull you away from what matters most. End up living a life you never intentionally chose. Big Takeaways Money is a tool, not a scoreboard. Your attention determines how happy or miserable you feel about your progress. Success without alignment can feel like a trap. Define your race, your goals, and your trade-offs on purpose. Real wealth is the ability to say "no" and still be fine. Free Resources from PT Biz PT Biz Part-Time to Full-Time 5-Day Challenge: Get crystal clear on how much you need to replace, how many patients you need to see, and what to charge so you can go full time in your practice. physicaltherapybiz.com/challenge Book a Free Discovery Call: Talk with a PT Biz advisor about your clinic, your goals, and the race you actually want to run. Book your discovery call Try Clair, the AI Scribe for PTs: Offload documentation so you can focus on patients and protect your time. meetclair.ai Connect with PT Biz Official Website Podcast: PT Entrepreneur Podcast
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Dec 16, 2025 • 13min

Ep876 | How To Use Gratitude As Fuel

How to Use Gratitude as Fuel in Your Cash-Based PT Journey Episode Overview In this episode, Danny breaks down how gratitude isn't just a feel-good idea – it's a practical performance tool for stressed-out cash-based practice owners, especially those in the early "nights-and-weekends" grind. He explains why the early stage of business is mentally brutal, how gratitude helps you zoom out, and how to use it as fuel instead of living in frustration over goals you haven't hit yet. Key Topics Covered The hardest stage of business: early Rainmaker-phase grind Why your confidence wobbles when you're part time and building on nights/weekends How to reframe "I'm not where I want to be yet" with gratitude Using your "past self" as a perspective check Why high achievers are most vulnerable to frustration and burnout Being grateful beyond revenue: health, family, and relationships Balancing ambition with contentment Gratitude as Fuel, Not Fluff Danny shares a post from PT Biz head coach, Courtney Morse, written to early-stage Rainmaker clients who feel like they're not moving fast enough: Your business might look early, messy, or slow – but you took control of your future. Most people stay stuck, complain, and never take action. You didn't. You stepped out, bet on yourself, and started building something from nothing. Gratitude isn't just a holiday feeling – it's a strategy to keep going. Reframing Your Progress One of the strongest gratitude practices Danny recommends: Imagine going back 2–10 years and telling your past self where you are today. That version of you would probably be fired up, proud, and amazed you actually took the leap. But current you might be frustrated that you haven't hit a certain revenue number yet. Gratitude helps you hold two truths at the same time: You're not where you ultimately want to be yet. You're also much further ahead than you used to be – and that's worth celebrating. High Achievers and the Gratitude Gap Danny talks about why ambitious clinicians struggle with gratitude: High achievers expect progress and often move the goalposts as soon as they hit something. They fixate on what hasn't happened yet instead of what has. This can lead to chronic frustration, even when things are objectively going well. Beyond Business Metrics Most practice owners can quote revenue and visit numbers on demand – but rarely track: Dinners or time spent with friends Moments with family they're building this whole thing for Time invested in their own health Danny challenges you to be grateful for: Your family, who supports you regardless of how the business performs Your health and ability to even take a swing at entrepreneurship The flexibility and privilege of having the option to start your own practice at all When You Miss a Goal Danny shares a story about missing a seven-figure revenue goal by ~$50k in one year and being miserable about it, until his wife reminded him: A few years prior, he would have been thrilled just to replace his $84k Army salary. In that context, "only" doing $950k in his own business is an incredible win. Perspective plus gratitude completely changes how you experience your progress. Practical Ways to Use Gratitude as a Strategy Regularly ask: "What would my past self think of my current life and business?" List non-business wins: family, health, relationships, freedom, flexibility. Use gratitude to pull yourself out of tunnel vision on a single missed number. Let gratitude energize you to build the next year, instead of beating yourself up. Big Takeaways Early-stage business is brutally stressful – especially when you're still working full time. Gratitude isn't soft; it's a mental reset button that keeps you from burning out. You can be ambitious and still deeply grateful for how far you've come. You don't have to be miserable to hit big goals. Free Resources from PT Biz PT Biz Part-Time to Full-Time 5-Day Challenge: Get crystal clear on your numbers, visit rate, and path to leaving your job for your practice. physicaltherapybiz.com/challenge Book a Free Discovery Call: Talk with a PT Biz advisor about your clinic, challenges, and next steps. Book your discovery call Try Clair, the AI Scribe for PTs: Offload your notes so you can focus on patients and get your time back. meetclair.ai Connect with PT Biz Official Website Podcast: PT Entrepreneur Podcast
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Dec 11, 2025 • 12min

Ep875 | Why Your Cash-Based PT Clinic Isn't Growing

The Momentum Equation: Why Effort Alone Won't Grow Your Cash PT Clinic In this episode, Doc Danny Matta uses a simple physics concept—momentum—to explain why some cash practices take off and others stall out. He breaks down his "business momentum equation" (effort × accuracy), shows why hard work on the wrong things keeps you stuck, and explains how to aim your effort at the right tasks so your clinic actually moves forward. Quick Ask If this episode helps you see your business more clearly, share it with another clinician who's grinding but not gaining traction—and tag @dannymattaPT so he can reshare it. Episode Summary Physics meets practice: Danny borrows the momentum formula (mass × velocity) and adapts it to business. The new equation: In business, momentum = effort × accuracy. Effort isn't the issue: Most cash PT owners work hard; the problem is where that effort goes. Accuracy is the multiplier: Working on the right tasks, in the right order, is what creates real momentum. Wrong work, no progress: You can row 80 hours a week and still go in circles if your strategy is off. Foundations first: Just like rehab progressions, business skills must be built in sequence. Clarity relieves stress: Knowing "what's next" eliminates the anxiety of guessing your way forward. Get help when stuck: Coaching and proven frameworks improve accuracy and speed up results. Lessons & Takeaways Momentum is earned: It shows up when focused effort stacks on top of clear priorities. Hard work isn't rare: What's rare is hard work applied to the right problems. Sequence matters: Don't skip from "no leads" to "advanced funnels" without basic sales and marketing skills. Self-awareness is a skill: Admitting what you don't know is the first step to changing your results. Help = faster, safer growth: Guidance reduces mistakes when your business is how you feed your family. Mindset & Motivation Stop blaming effort: If you're already grinding, your problem is almost always accuracy, not hustle. Reframe "stuck" as mis-aimed: Feeling stalled usually means your work is pointed at the wrong targets. Accept that it's hard: Building a clinic that changes your life is supposed to be difficult—and that's why it's meaningful. Decisiveness beats drift: Endless learning with no action is purgatory; pick a plan and move. Pro Tips for Clinic Owners Audit your week: List your tasks and circle only the ones that directly drive revenue, retention, or referrals. Kill "busy work": Offload or eliminate tasks that don't move you toward your goals. Set one main target: Focus your effort on a single primary objective for the next 90 days. Use tech to free capacity: Tools like Claire can take documentation off your plate so you can work on higher-value projects. Get outside eyes: A coach or advisor can quickly spot where your accuracy is off and help redirect your effort. Notable Quotes "Momentum in business isn't mass × velocity—it's effort × accuracy." "Most entrepreneurs aren't lazy. They're just rowing hard in the wrong direction." "If nothing changes, nothing changes. Learning without implementation doesn't move your life forward." "The stress comes from not knowing if you're doing the right things, not from hard work itself." Action Items Review your last two weeks and identify where most of your effort is going. Circle 2–3 tasks that truly drive growth (new evals, follow-ups, referrals, key projects). Eliminate or delegate at least one "busy" task that doesn't impact revenue or retention. Define your next 90-day priority and align your calendar to it. Schedule a strategy call with PT Biz to get a second set of eyes on where your effort and accuracy are misaligned. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get crystal clear on your numbers, pricing, and plan to go full time in your practice. Join here. Resources & Links PT Biz Website Free PT Biz 5-Day Challenge Book a PT Biz Discovery Call MeetClaire AI – AI scribe for PTs with a free 7-day trial About the Host: Doc Danny Matta is a physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, and scale successful cash practices and is on a mission to help PTs build businesses that create both time and financial freedom.
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Dec 9, 2025 • 28min

Ep874 | The 3 Paths You Can Take When Starting Your Cash-Based PT Clinic

3 Choices When You're Thinking About Starting a Cash PT Clinic In this episode, Doc Danny Matta breaks down the real decision points for clinicians who are thinking about starting their own cash-based practice. He explains why staying stuck in "research mode" is dangerous, what it actually takes to make the leap, and the three clear paths you can choose—staying employed, going solo, or getting guided support. Quick Ask If this episode helps you get clarity on your next move, share it with another clinician who's on the fence about starting a practice—and tag @dannymattaPT so he can see what resonated with you. Episode Summary Claire math: If Claire saves a staff PT 6 hours/week, even using 3 of those for patient visits at $200/visit can add ~$30k/year in revenue per clinician. Why decisions feel awful: Danny compares making a big move (like starting a clinic) to knowing you're about to throw up—you dread it, but feel better once it's done. The real problem: Most people hide in endless "learning" (podcasts, books, courses) instead of making an actual decision. 3 choices you actually have: Stay in your current role and own that decision. Go the DIY route and figure business out alone. Get guided support from people who've already done it. Who shouldn't start a clinic: Highly risk-averse, conflict-avoidant, or extremely introverted clinicians may be better off in a great employed role. The trap of DIY: Going solo usually means slower progress, more expensive mistakes, more stress, and more risk for your family. The case for mentorship: Guided support is like residency/fellowship for business—it speeds up results and increases your odds of success. Why this is serious: Your business is how you pay rent, buy groceries, and take care of your family—treat it like it matters. Decision purgatory: Staying stuck in "maybe" is the worst place to live—nothing changes, and frustration grows. Lessons & Takeaways Indecision is a decision: Avoiding a choice is still choosing—the status quo wins by default. Acceptance can be powerful: If you stay employed, own it, and aim to be world-class—not secretly resentful. DIY has a cost: You'll likely spend more time, more money, and experience more stress figuring everything out on your own. Guided support = faster, safer: Proven systems and mentorship are like insurance for one of the biggest financial decisions of your life. Business is a skill set: Just like clinical skills, business skills can be learned with the right teachers and reps. Mindset & Motivation Stop chasing greener grass: Comparing yourself to other owners while doing nothing is a recipe for misery. Own your path: Whether you're an employed PT or a clinic owner, commit to excellence in the lane you choose. Respect the risk: When your business feeds your family, being "proudly stubborn" is not a strategy—it's a liability. Decisiveness is a superpower: Successful entrepreneurs make decisions, take action, and adjust as they go. Pro Tips for Clinicians on the Fence Be brutally honest: Do you truly want to be a business owner, or do you just want a better job? Know your wiring: If you hate uncertainty and change, ownership may not be the right move right now. Count the real cost: Time, money, stress, and impact on your family—not just the price of a program or course. Treat support like insurance: Mentorship isn't cheating; it's reducing the odds that you crash your business (and savings) in the first few years. Get out of research purgatory: Podcasts and books are great—but only if they eventually lead to action. How Claire Fits In Save clinician time: Claire is saving staff clinicians about six hours a week on documentation. Turn time into revenue: Even converting half that into extra patient visits can generate ~$30,000 per clinician per year. Protect your team: Use tech to increase volume without burning clinicians out. Try it free: Test Claire with a 7-day free trial at MeetClaire AI. Notable Quotes "If nothing changes, nothing changes." "For some of you, you have no business starting a clinic—and that's okay." "Guided support is basically residency and fellowship for your business." "Purgatory for your future is endlessly gathering information and never making a decision." Action Items Decide your lane: Are you going to stay employed, go DIY, or pursue guided support? Audit your reasons: Write down why you actually want a clinic—is it meaning, freedom, income, or all of the above? Count the risk: Look at your family, your bills, and your responsibilities. What level of risk are you really willing to take? Set a deadline: Give yourself a hard date to decide and take your first concrete step. Explore support options: If guided help makes sense, look into programs built specifically for cash PT clinic owners. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get crystal clear on your numbers, your plan, and the steps to replace your income and go all-in on your practice. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClaire AI — Free 7-day trial for PTs About the Host: Doc Danny Matta is a physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, and scale successful cash practices and is committed to helping PTs build businesses that support real time and financial freedom.
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Dec 4, 2025 • 13min

Ep873 | 8 Trillion Reasons Why You Should Lean Into Longevity

Longevity, Cash PT, and the $8 Trillion Opportunity You Can't Ignore In this episode, Doc Danny Matta breaks down why the global shift toward longevity is one of the biggest opportunities cash-based physical therapists will see in their careers. He shares real-world examples from high-end longevity models, explains why proactive, long-term health programming is exploding, and shows how cash PTs are uniquely positioned to lead this space. Quick Ask If this episode gets your wheels turning about longevity and long-term care, share it with another clinician who needs to hear it—and tag @dannymattaPT so he can reshare it. Episode Summary Patient experience as an edge: While competitors step out mid-session to finish notes, you can stay fully engaged by using Clair, an AI scribe that handles documentation instantly. Operational advantage: Clair gives you more time for follow-ups, planning, and patient touchpoints—leading to better retention and more efficient operations. Danny's background: Staff PT, active duty military PT, cash practice founder, seller, and now founder of PT Biz, which has helped 1,000+ clinicians start, grow, and scale their own cash practices. The longevity trend: Patients are realizing they'll live longer and want to be proactive, not reactive, about their health and performance. 10x-style models: Peter Attia's "10x"/10 Squared-type gym in Austin employs performance clinicians doing assessments, hands-on care, and programming over months and years at premium pricing. Equinox Longevity: Equinox launched a longevity offering priced around $35,000–$45,000 per year, combining assessments, bloodwork, training, and bodywork. Market validation: Big brands like Equinox don't roll out programs like this without deep market research—there is clear demand. The $8 trillion forecast: A UBS report projects the global longevity market could reach roughly $8 trillion by 2030. High continuity, low volume: Danny's friend running a longevity-focused model only needs ~30–40 new patients per year because clients stay for years. LTV over churn: With long-term, continuity-based care, you don't need a constant flood of new patients—you need strong retention and deep relationships. What these programs include: Long-term programming, movement and performance assessments, VO2 max testing, force plate work, blood panel interpretation, and lifestyle coaching around sleep, nutrition, and stress. Why cash PT is perfect for this: No insurance rules; you can spend an hour on sleep, stress, or habit coaching if that's what the patient needs. Visual differentiation: Cash clinics often look and feel like a high-performance lab or gym—nothing like a crowded hospital outpatient clinic. Community and referrals: Patients in long-term programs naturally talk about what they're doing and pull friends and family into your ecosystem. Tech as a differentiator: Tools like force plates, VO2 testing, structured assessments, and periodic retests make progress visible and drive buy-in. Standardizing longevity in cash PT: Danny sees longevity as a pillar every successful cash practice will eventually integrate in some form. Not one-size-fits-all: You can build your own version—solo, with a functional medicine group, or as part of a broader performance ecosystem. Lessons & Takeaways Longevity is a macro trend: People know they're going to live longer and want to invest in staying active, capable, and independent. Continuity beats volume: A few dozen long-term clients can support a strong business if they stay with you for years. Cash PT has structural advantages: You're not limited by insurance codes, visit caps, or what a payer thinks is "medically necessary." Data builds trust: Objective testing plus retesting makes progress real and keeps clients engaged. Longevity is "sticky" business: Once people see value in long-term health, they're less price sensitive and more loyal. Early adopters benefit most: Clinics that build longevity offerings now get ahead of a trend that large systems are just starting to chase. Mindset & Motivation Think in decades, not visits: Stop viewing patients as "10-visit plans" and start thinking in 5–10 year relationships. See yourself as a guide, not a fixer: You're not just solving pain—you're guiding someone's health span and performance over time. Health is real wealth: For your patients and for you—longevity work aligns your business model with what truly matters. Don't wait for permission: You don't need a big brand or hospital system to validate this for you; the demand already exists. Pro Tips for Clinic Owners Start with what you know: Build a simple longevity track around your existing strengths: strength, mobility, running, or performance. Add one objective test: Integrate VO2 testing, force plate jumps, or standardized movement screens with baseline + retest cycles. Layer in basic lifestyle coaching: Learn enough about sleep, stress, and nutrition to guide your patients or partner with someone who can. Use tech wisely: Don't buy everything at once—choose tools you'll actually use and that support your specific model. Leverage an AI scribe: Implement Clair so documentation doesn't steal time from long, relationship-based care. Notable Quotes "People are realizing they're going to live longer—and they want to be proactive, not reactive." "If a giant like Equinox is rolling out a $40,000-a-year longevity program, they've done the research. The demand is there." "My buddy needs 30 to 40 new patients a year. That's it. What game do you want to play?" "Cash-based PTs are uniquely positioned to capitalize on this trend—we're not handcuffed by insurance." "Health is real wealth. If you're not healthy, it doesn't matter how much money you have." Action Items Audit your current services: where could you naturally extend into long-term, proactive care? Sketch a simple 6–12 month "longevity track" for your ideal client, including assessments and retests. Identify one piece of tech or testing you could add to make your results more objective and compelling. Look for local partners (functional medicine, labs, coaches) who could complement your skill set. Consider using Clair to free up time so you can deepen relationships instead of chasing notes. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Learn exactly how much income you need to replace, how many people you need to see, and the specific strategies to go from side hustle to full-time practice owner. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClair AI — Free 7-day trial for PTs About the Host: Doc Danny Matta — physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, scale, and sometimes sell their cash practices, and he's passionate about helping PTs build businesses that support long-term health and real financial freedom.
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Dec 2, 2025 • 13min

Ep872 | Christmas Tree Lots, Steaks and Why The Work Should Be Hard

The Christmas Tree Lot, the Steak, and Why the Hard Part Is What Makes It Worth It In this episode, Doc Danny Matta shares a story about a Christmas tree lot in Columbus, Georgia, the best steak he's ever eaten, and how hard work—and the struggle that comes with it—makes success and reward deeply meaningful. He connects that experience to clinic ownership, growth, and why building a successful cash practice is supposed to be hard. Quick Ask If this episode helps you reframe the hard parts of business, share it with another clinician who's grinding through a tough season—and tag @dannymattaPT so he can reshare it. Episode Summary Documentation pain: The #1 complaint on satisfaction surveys is clinicians hating to write notes. Clair AI scribe: Clair has been trained specifically for PTs to write high-quality notes, like a meticulous student in the corner capturing everything. Time freedom: Using Clair allows clinicians to reclaim hours of documentation time and spend it with family, hobbies, or simply resting. Danny's background: Staff PT, active duty military PT, cash practice founder, seller, and founder of PT Biz, helping 1,000+ clinicians build cash practices. The Christmas tree lot job: As a teenager in Columbus, GA, Danny and his brother took a sketchy, hard manual-labor job at a Christmas tree lot near Fort Benning. Uncertain payoff: The owner warned them they'd only get paid if they worked hard—and not until the end of the season. Hard work in the cold: Long days hauling trees, sawing, tying them to cars, all while smelling Texas Roadhouse across the street they couldn't yet afford. Finally getting paid: On the last day, the owner pulled out a wad of cash, paid them what he owed, and even gave them a bonus for working hard. The greatest steak ever: They walked across the street to Texas Roadhouse, ordered the most expensive steak, and it remains the best steak Danny's ever had—because of what it represented. Meaning through struggle: The steak wasn't special because of the restaurant; it was special because of the work it took to earn it. Business parallel: The hard parts of clinic ownership—slow growth, cash stress, buildouts, staffing—are what make the wins meaningful. Normalizing struggle: Building a successful clinic that changes your life and your family's life should not be easy. Celebrate wins: Most entrepreneurs power past achievements without celebrating; Danny argues you need to mark the "steak moments." Reframing frustration: Instead of "Why is this so hard?" shift to "It's supposed to be hard—and that's why it will feel incredible when it works." Lessons & Takeaways Hard work makes reward meaningful: Wins feel better when they're earned through discomfort, sacrifice, and persistence. You need contrast: Without the "shitty stuff," victories don't stand out—you need struggle to appreciate success. Business is not meant to be easy: A clinic that creates time and financial freedom will demand hard things from you. Struggle is not a sign you're failing: It's a sign you're doing something significant and transformative. School and business are similar: Graduation and growth feel good precisely because the journey is challenging. Positive reinforcement matters: Celebrating wins keeps you moving through the next tough stretch. Mindset & Motivation Embrace the hard: Instead of resenting the grind, accept that it's the price of a different life. You're not broken: Being tired, stretched, and challenged doesn't mean you picked the wrong path. Remember what's at stake: A successful clinic can change your family's finances, your time, and your identity. Reframe the question: Move from "Why is this so hard?" to "Who am I becoming because I'm doing hard things?" Use the steak moment: Have a tangible reward in mind—your version of Texas Roadhouse—to look forward to after big milestones. Pro Tips for Clinic Owners Automate documentation: Use Clair to remove hours of note writing and free up time for life outside the clinic. Define your "steak": Choose a specific reward (trip, dinner, purchase) you'll give yourself after a big business milestone. Track your wins: Keep a running list of milestones reached so you can look back and see your progress. Expect friction: When something feels hard, remind yourself: "This is exactly what I signed up for." Build celebration into your plan: Schedule a pause to celebrate when you hit revenue, hire, or space goals. Notable Quotes "If you don't have the shitty stuff, then it doesn't feel very good whenever you get the good stuff." "Why would something that changes your life be easy?" "Anything meaningful—like a successful clinic—should be hard." "If you can just reframe from 'Why is this hard?' to 'This is supposed to be hard,' it changes everything." "The hard part is what makes the win feel like the greatest steak you've ever had." Action Items Identify one current "hard thing" in your business and consciously reframe it as part of what makes your future success meaningful. Pick a specific reward you'll give yourself when you hit your next major milestone. Write down three big wins you've already earned and how hard you worked for them. Consider trying Clair for a 7-day free trial to reclaim documentation time. Share this story with a spouse, partner, or friend so they understand why you're pushing through the hard season. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get crystal clear on how much money you need to replace, how many people you need to see, and the strategies to go from side hustle to full-time practice owner. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClair AI — Free 7-day trial for PTs About the Host: Doc Danny Matta — physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, scale, and sometimes sell their cash practices and is dedicated to helping PTs build businesses that create true time and financial freedom.
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Nov 27, 2025 • 17min

Ep871 | The Key To A Successful First Hire In Your Cash-Based PT

The Hardest Hire: How to Nail Your First Staff Clinician in a Cash PT Clinic In this episode, Doc Danny Matta explains why your first staff clinician is the hardest hire you'll ever make—and how to do it the right way. He breaks down why your business looks risky from a candidate's perspective, why most PTs are wired for security (not startups), and how to sell the future vision of your clinic instead of apologizing for your current "shitty little room." Quick Ask If this episode helps you think differently about hiring and leadership, share it with another clinic owner who's gearing up for their first hire—and tag @dannymattaPT so he can reshare it. Episode Summary Clair keeps you present: AI scribe Clair lets you focus 100% on patients instead of your EMR, improving rapport and outcomes. Time and outcomes: Better attention in the session = better engagement, better buy-in, and better clinical results. Danny's background: Staff PT, active duty military officer, cash practice founder, seller, and now CEO of PT Biz, helping 1,000+ clinicians build cash practices. The hardest hire: Your first staff clinician is the toughest hire you'll ever make. Why it's so hard: Your business looks risky—small sublease, no track record, limited capital, and no big benefits. PT personality problem: Most PTs are risk-averse, security-driven, and not naturally entrepreneurial. The failed first hire story: Danny flew in a phenomenal clinician and his fiancée to see their rough CrossFit sublease in Atlanta—she wasn't impressed, and they turned down the job. Vision vs. reality: Danny saw a future seven-figure clinic; they saw one small room in a sketchy area. Why candidates say no: From their side, it means relocating, taking on more risk, and joining an unproven business. What you're really selling: Not "what the clinic is today" but "where the clinic is going in 5–10 years" and their role in that story. First hire profile: The person who says yes is usually more comfortable with risk—and more likely to eventually start their own thing. Turnover isn't a failure: Early clinicians who leave often still move the business forward and become success stories you're proud of. Credibility boost: Having more than one clinician builds brand trust, shows the clinic is bigger than one personality, and validates the model. Leadership mistake: Danny used to think "that's what the money's for" (Mad Men style) instead of appreciating the risk people were taking on him. Respect the risk: Your first hire is betting on your vision—treat that with gratitude, not entitlement. Hardest growth cycle: The most brutal stage is going from solo to first clinician and toward standalone space—not later multi-location growth. Cash flow and stress: Hiring, ramping up schedules, and surviving turnover during this phase can feel like a gut punch. Lessons & Takeaways Your clinic looks risky to candidates: No benefits, no track record, small space, and uncertain schedule feel like red flags to security-driven PTs. Don't take "no" personally: Risk-averse people saying no to a risky offer is normal, not a reflection of your worth. Sell the vision, not the room: You must paint a clear picture of what the clinic will become and how they'll be part of it. First hires may not stay long-term: Risk-tolerant people who join early often go on to open their own practices—and that's okay. Early hires still matter: They help build the brand, establish a second schedule, and prove your model works beyond just you. Appreciation beats "that's what the money's for": You're not doing them a favor—they're taking a chance on your unproven business. Growth requires new skills: The owner you are at solo stage is not the same owner you must become with staff. Mindset & Motivation Respect the leap: That first clinician is making a bigger jump than you think—especially if they're moving states. Stay future-focused: Your job is to keep your eyes—and theirs—on where the clinic is going, not just today's rough edges. Expect churn: Some early hires will leave; it's part of the entrepreneurial cycle, not a personal betrayal. See the hard stage for what it is: The first growth cycle is supposed to feel heavy; it builds your capacity as a leader. Be proud of those who outgrow you: Former employees who go on to open clinics are part of your legacy, not your failure. Pro Tips for Clinic Owners Use an AI scribe: Implement Clair so you and future staff can stay fully present with patients and avoid note fatigue. Practice your "vision pitch": Be able to clearly explain where your clinic will be in 5–10 years and what "employee #1" means. Be honest about the tradeoffs: Don't oversell security—sell autonomy, growth, impact, and the excitement of building something. Show appreciation early and often: Make it clear you understand and value the risk they're taking by joining you. Plan for turnover: Assume that some early hires will leave and build systems that outlast any one person. Notable Quotes "The hardest hire you'll ever make is your first staff clinician." "To most candidates, your business looks risky. Small space, no track record, no benefits—that's their reality." "You're not selling them on what the business is today. You're selling them on what it's going to be in 5 or 10 years." "Your first hire is taking a risk on you. Respect that. Appreciate that. Don't act like they owe you." "The solo-to-first-clinician growth cycle is where most people quit. It's also where you grow the most." Action Items Write out a clear, compelling vision story of where your clinic will be in 5–10 years. Audit your current offer: pay, benefits, schedule, growth—what's truly attractive to a candidate? Practice your "employee #1" pitch out loud before your next interview. List three ways you can show more appreciation to current or future staff. Consider using Clair to reduce documentation friction before you bring on your first or next clinician. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get ultra clear on how much money you need to replace, how many people you need to see, and the strategies to go from side hustle to full-time practice owner. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClair AI — Free 7-day trial for PTs About the Host: Doc Danny Matta — physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, scale, and sometimes sell their cash practices, and is committed to helping PTs build businesses that create true time and financial freedom.
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Nov 25, 2025 • 20min

Ep870 | Big Things Start In Little Rooms

Little Rooms: Why Scrappy Starts Create Standout Cash PT Clinics In this episode, Doc Danny Matta unpacks a simple but powerful idea inspired by Andre 3000's Rock & Roll Hall of Fame speech: "Little rooms. Great things start. Little rooms." He connects Outkast's legendary basement studio—The Dungeon—to the tiny subleased spaces where most cash PT clinics begin, and shows why those gritty starts are not a disadvantage, but an asset that sharpens your skills, your story, and your impact. Quick Ask If this episode encourages you to see your "little room" differently, share it with another clinician who's thinking about starting or growing a practice—and tag @dannymattaPT so he can reshare it. Episode Summary AI scribe advantage: Clair saves staff clinicians ~6 hours per week, freeing up time for patient visits and revenue growth. Math of time: Even 3 extra visits per week at $200/visit adds roughly $30,000/year in revenue per clinician. Little rooms concept: Inspired by Andre 3000's "little rooms" quote and Outkast's early days recording in The Dungeon. Outkast's origin: Teenagers making music in a carpet-lined basement in a rough Atlanta neighborhood, with no funding and no guarantees. Clinic parallels: Most cash PT clinics start in tiny, imperfect subleased spaces with limited resources. Danny's first space: A sketchy CrossFit sublease with break-ins, rats, building shutdowns, and bad client experience—but strong outcomes. Skill as your differentiator: In a little room, you can't hide behind fancy equipment or build-outs—your outcomes are the product. Art, not just career: Obsessing over outcomes, studying cases, seeking mentorship, and treating PT like your craft is what gets you out of the small room. Word-of-mouth "virality": When your results are unique, people can't help but talk about you—just like people shared Outkast's early music. Growth phases: Start gritty & clinical, then evolve into a real business owner—leader, hirer, systems builder, and operator at scale. Lessons & Takeaways Everyone starts small: Basements, garages, subleases, apartment gyms—"little rooms" are the norm, not the exception. Your environment doesn't define you: A rough space does not limit your upside if your outcomes are excellent. Constraints create creativity: Limited resources force you to get scrappy, sharpen your craft, and focus on what really matters. Obsess over outcomes: Losing sleep over stalled cases, studying, and improving is part of turning PT into your art. Your story is an asset: The weird, stressful, funny early days become the part of your story people remember and root for. New phase, new skills: Once you're busy, the game shifts from being a great clinician to becoming a strong owner and leader. Mindset & Motivation Don't be ashamed of your "shitty little room": No windows, rats, sketchy parking lots—it's all part of your origin story. Treat PT like art: Outcomes and the way you care for people should matter to you at a deeper level than "just a job." You can't hold talent down: Great outcomes and care are like a beach ball underwater—eventually they pop to the surface. Respect the grind: The start is hard and scary—but also fun, intense, and memorable. Remember where you came from: If you're in a bigger clinic now, don't forget to tell the story of your little room—it makes you relatable. Pro Tips for Clinic Owners Leverage an AI scribe: Use tools like Clair to pull 5–6 hours/week off your clinicians' plates and reinvest that time into patients or higher-level work. Focus on outcomes first: Before worrying about decor and equipment, make sure your results are undeniably better than the clinic down the street. Document your story: Take photos, jot notes, and remember the early days—you'll use this later in marketing, branding, and leadership. Invest in yourself: Study, read, get mentorship, and ask for help on tough cases—your skill set is your first real "marketing budget." Level up as you grow: Once your schedule is full, actively learn hiring, leadership, finance, systems, and SOPs. Notable Quotes "Little rooms. Great things start. Little rooms." – Andre 3000 "If you're in a little room, you can't hide your skill set. You have to be really good at what you do." "Your product is you. You need to obsess over it. It's got to be your art, not just your career." "You can't hold talent down. It's like trying to push a beach ball underwater—it's going to pop up eventually." "Don't be ashamed of your shitty little room with no windows and a rat above your head. Everybody's got to start somewhere." Action Items Run the math on your time: how many extra visits could you add with an AI scribe like Clair? Audit your outcomes: are your results meaningfully better than your local competition? Write down your "little room" story: where did you start, and what did you have to overcome? Commit to one learning action this week: a course, article deep dive, or mentor conversation about a tough case. If you're on the fence about starting, accept that your first space will be small—and start planning anyway. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get crystal clear on how much money you need to replace, how many people you need to see, and the strategies to go from side hustle to full-time. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClair AI — Free 7-day trial for PTs About the Host: Doc Danny Matta — physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He has helped over 1,000 clinicians start, grow, scale, and sometimes sell their cash practices, and is passionate about helping PTs turn their craft into true time and financial freedom.
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Nov 20, 2025 • 12min

Ep869 | Why Community Is The Foundation Of All Successful Clinics

Community: The Hidden Engine Behind Every Successful Cash PT Clinic In this episode, Doc Danny Matta shares the single theme that stood out after spending a full week embedded inside four different cash-based and boutique rehab businesses in Washington, D.C.: community. He breaks down why community involvement is the ultimate competitive advantage, how it fuels long-term growth, and why you can't fake it—or skip it—if you want a thriving practice. Quick Ask If this episode challenges the way you think about growing your practice, share it with another clinician who needs to hear it—and tag @dannymattaPT so he can reshare it. Episode Summary Documentation burden solved: AI scribes like Clair eliminate notes so you stay present with patients. The D.C. trip: Danny spent full days inside four thriving clinics, observing their operations, patients, and culture. One takeaway: Every successful clinic shared the same backbone—deep community involvement. Community is earned: You can't fake participation; you must show up consistently and authentically. Clinician examples: Pilates studios, running groups, boutique fitness hubs—all thriving because owners live inside the communities they serve. Your niche = your tribe: If you're not plugged into your niche's world, someone else will be. Give more than you take: Communities reward contributors, not extractors. Lessons & Takeaways Community drives retention: Patients stick when they feel connected—not just treated. You must participate: Go to races, gyms, events, tournaments; be where your niche actually lives. You can't fake interest: If you hate running, don't try to be a running PT—hire someone who loves it. Your presence builds reputation: When people see you consistently, trust builds effortlessly. Local involvement compounds: Over years, you become a recognizable part of your city's health ecosystem. Mindset & Motivation Play the long game: Community isn't built in 30 days—it's built through years of showing up. Pick what you enjoy: Your energy is higher and your authenticity obvious when you actually like the niche you serve. Give first, receive later: The tribe takes care of contributors. Local roots matter: Even if you grew up moving around (like Danny), you can build community intentionally. Community is a moat: No amount of marketing can replace genuine involvement. Pro Tips for Clinic Owners Use an AI scribe: Tools like Clair free up hours so you can deepen relationships, not write notes. Engage where your niche lives: Join their gyms, events, groups, classes—don't just "network." Participate. Host or join local events: Run groups, wellness fairs, meetups, workshops, boutique fitness partnerships. Be a connector: Bring other local business owners together—become the hub. Hire for gaps: If you don't love a niche, hire clinicians who genuinely do. Notable Quotes "You can't fake community. People know when you're genuinely involved versus when you're just showing up for patients." "If you pour into your community, your community will take care of you." "Some of these clinics are like local celebrities in their niche—because they've earned it." "Pick the community you enjoy. You'll never stick with something you secretly hate." Action Items Identify one niche you naturally enjoy being around. Join three of their events or classes this month. Start conversations—not pitches—with people in your niche community. Partner with one local gym, coach, or instructor. Evaluate your schedule and offload notes with Clair so you can spend more time engaging locally. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get crystal clear on how to replace your income and go full time. Join here. Resources & Links PT Biz Website Free 5-Day Challenge MeetClair AI — Free 7-day trial About the Host: Doc Danny Matta — physical therapist, entrepreneur, founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, and scale successful cash practices and is committed to developing leaders who build meaningful, community-rooted businesses.

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