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The P.T. Entrepreneur Podcast

Latest episodes

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Jul 10, 2025 • 17min

Ep831 | Why Most Clinicians Fail at Marketing (And How to Make It Easy)

The #1 Marketing Mistake Clinicians Make (And How to Fix It) In this episode, Doc Danny dives into the most common reason physical therapists struggle with marketing: unclear messaging and a lack of defined audience. If you’ve ever felt like your content is falling flat, your ads aren’t working, or your community doesn’t “get” what you do—this is a must-listen. Danny explains how to identify your avatar, craft a message that resonates, and why this one step makes or breaks every marketing strategy—no matter the platform. 🎯 Topics Covered Why marketing fails without a clearly defined avatar The biggest mistake PTs make when creating content How to build your marketing around one ideal client Why reach and views are meaningless without clarity How to stop being a generalist and start standing out Marketing as storytelling: speaking to past versions of yourself How specificity lowers price sensitivity and builds trust 💡 Key Quotes "If you’re not clear on who you’re talking to, you’ll blend into the noise—and no tactic will save you." "You don’t need another funnel—you need to know who you’re helping and why they should choose you." "Generalists are white noise in today’s healthcare economy." "Marketing is just you talking to a past version of yourself—or the client you know best." 🧠 Pro Tips Create a detailed avatar of your ideal client—name them, define their life, habits, and values Speak directly to that person in your emails, videos, and captions Forget about views and likes—focus on resonance and relevance Use marketing to solve real problems and connect through shared experience Clarity in message precedes success in any marketing channel 🔗 Resources & Links Visit PT Biz – Learn how we help clinicians grow without insurance Join the 5-Day Challenge – Build your marketing foundation the right way Book a Free Strategy Call – Talk to a senior advisor about your practice goals Subscribe on YouTube – Get weekly real-world advice from successful PTs 🧭 Final Thought If your marketing isn’t landing, it’s not because you’re bad at content. It’s because your message isn’t clear to the right person. Define your avatar, speak directly to them, and your entire strategy
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Jul 8, 2025 • 1h 5min

Ep830 | Dropoff Points When PTs Lose Momentum In The Clinic and Business With Yves Gege

The 3-Year & 5-Year Dilemmas: Burnout, Leadership & Long-Term Success In this episode, Doc Danny and Yves Gege break down two critical turning points they see repeatedly in physical therapy careers and business ownership: the three-year clinician dilemma and the five-year business owner burnout. They also dive into systems, leadership, continuity programs, and financial clarity as key tools to break through these walls. If you’ve ever felt stuck or unsure of your next move—this is the episode to hear. 🎯 Topics Covered Why so many PTs hit an identity crisis around 3 years into their career How lack of time freedom drives clinicians to explore new options The most common cause of burnout 5 years into business ownership Why continuity programs are the backbone of profitable, sustainable practices The difference between being a good clinician and a great business owner Leadership pitfalls: being too abrasive vs. trying to be everyone’s friend How poor systems and unclear financials stall growth and create chaos Why knowing your profit margin is like taking your business's blood pressure 💡 Key Quotes "Just because someone isn’t in pain doesn’t mean you can’t help them." "The #1 health metric for your business is profitability—don’t be afraid to measure it." "If you want flexibility, you’ll have to build the job you want. Otherwise, you’re stuck in someone else’s." "Starting and growing a business are completely different skill sets. Most fail by not learning the second one." 🧠 Pro Tips Track your finances monthly—know your gross revenue and profit margins Train your team on continuity, not just plan of care discharge Set clear core values and enforce them with consistency Don’t wait until you're burnt out—build systems early Balance clinical work and business work by reducing your treatment hours over time 🔗 Resources & Links Visit PT Biz – Learn how we help clinicians build successful practices Try Claire AI – Get 10 free AI-scribed notes and stop babysitting documentation Book a Free Strategy Call – Talk with a senior advisor about your practice goals Join the 5-Day Challenge – Go from part-time to full-time with a clear plan Subscribe on YouTube – Watch more deep dives and real-world advice 🧭 Final Thought Whether you’re hitting the three-year “do I want to be a PT?” wall or the five-year “did I build myself a prison?” moment in business, the answer lies in systems, leadership, continuity, and clarity. Don’t wing it. Learn the business side of things. And don’t wait until burnout hits—build proactively. You’ve got options. You’ve got support. Just don’t settle.
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Jul 3, 2025 • 17min

Ep829 | The #1 Reason Cash-Based Clinics Plateau At 30K/Month

Breaking the $30K Plateau: Why Growth Stalls & How to Scale Smart In this solo episode, Doc Danny dives into one of the most common pain points for cash-based and hybrid clinics: getting stuck between $20K–$30K/month in revenue. If you’re hitting that ceiling and can’t figure out how to break through, this episode unpacks the real reasons why—and what to do about it. From recurring services to team sales training, this is your roadmap out of the hardest growth phase in business. 🎯 Topics Covered Why $20K–$30K/month is a common plateau for clinic owners The hidden costs of growth: overhead, staff, and shrinking margins Why hiring a new provider often slows momentum—if done wrong The critical role of recurring revenue and retention How to teach your team to sell long-term transformation (not just plans of care) Why solving the “eval hamster wheel” unlocks true scale How to build a business that runs even when you’re not treating 💡 Key Quotes "Recurring services are the difference between a stressful grind and a scalable business." "This is where most clinics stall—and where the real growth starts if you do it right." "You’re not playing the insurance game anymore. You’re selling lifetime value, transformation, and long-term health." 🧠 Pro Tips Track how many new patients each provider truly needs—then cut it in half with better retention Train your staff to sell ongoing services: wellness, performance, prevention Stop playing the discharge game—play the long game instead Expect lower profit margins during growth—and don’t panic Build systems that eventually make you non-essential to daily fulfillment 🔗 Resources & Links Visit PT Biz – Learn how we help clinics grow and scale Book a Free Strategy Call – Work through this phase with expert guidance Subscribe on YouTube – More insights on growing a cash-based business 🧭 Final Thought If you’re stuck in the $25K–$30K/month grind, it’s not because you're not good at what you do. It’s because you're playing the wrong game. Shift to long-term value, train your team to sell transformation, and you’ll scale faster—and with less stress. This phase is hard, but it's also where real businesses are built.
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Jul 1, 2025 • 1h 2min

Ep828 | Important Trends In Physical Therapy With Yves Gege

AI, Accountability & The Future of Physical Therapy In this episode, Doc Danny and Yves Gege break down how AI is already reshaping healthcare—and how performance-based PTs can stay ahead. From ambient scribe tools to the cultural shift toward longevity, the guys explore why burnout, low compliance, and insurance gridlock are pushing more clinicians to rethink everything. If you're serious about building a future-proof practice, this is essential listening. 🎯 Topics Covered Why AI will disrupt admin-heavy healthcare roles (but not manual therapy) How tools like Claire are helping PTs win back time and improve patient care The real difference between high-accountability practices and commoditized care Why movement-based, lifestyle-focused clinicians are in high demand How cultural trends—like wearables, ruck clubs, and no-alcohol meetups—are shaping the next generation of patients Challenges and opportunities in practice acts and direct access laws The importance of building community and brand identity in your local market 💡 Key Quotes "One hour a day saved is 20 hours a month. That’s almost an entire day of your life you get back—just by changing how you document." "We’re not just PTs anymore—we’re human body consultants who can coach, program, and guide long-term transformation." 🧠 Pro Tips Start using AI tools for documentation now—before you’re forced to Double down on human connection; that’s what AI can’t replace Educate your patients—don’t assume they know PT isn’t just hot packs and massages Create a community—start a ruck club, host workshops, be part of local health trends If you’re burned out, don’t wait—there’s more opportunity than ever to build your own practice 🔗 Resources & Links Visit PT Biz – Learn how we help clinics grow beyond insurance Book a Free Strategy Call – Get help building your cash or hybrid model Subscribe on YouTube – For more real-talk business advice Check Out Claire AI – Save time, reduce burnout, and connect with your patients 🧭 Final Thought AI isn’t coming—it’s here. But for performance-based PTs who prioritiz
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Jun 26, 2025 • 19min

Ep827 | Why Insurance-Based PT Is Dying and How To Win The Next Era

The Slow Death of Insurance-Based Clinics (And How to Future-Proof Yours) In this episode, Danny explains why traditional insurance-based physical therapy clinics are slowly dying—and what you can do about it. He breaks down the rise of burnout, declining reimbursements, and increasing provider turnover, and why now more than ever, hybrid and cash-based models are the only sustainable path forward for most clinicians. Whether you're starting a clinic or trying to save one, this is a must-listen. 🎯 Topics Covered Why reimbursements are lower than ever—and what that means for your bottom line The burnout crisis among young clinicians and its impact on turnover How small clinics are losing to niche, cash-based competitors Why hybrid models are becoming the norm for modern clinics The rise of the informed consumer and how to win their trust How transparency and experience win in a crowded market What it takes to stand out and future-proof your practice 💡 Key Quote "You can’t just be a clinician who owns a business—you have to become a business owner." 🧠 Pro Tips Pick a niche and become the go-to expert in your area. Double down on your patient experience—know their names, goals, and stories. Educate clients on what they’re really paying at in-network clinics. Sell the transformation, not the treatment method. Be transparent and clear—no surprise bills, ever. Focus on long-term buy-in for long-term results. 🔗 Resources & Links Visit PT Biz – Learn how we help clinics grow beyond insurance Book a Free Strategy Call – Get help building your cash or hybrid model Subscribe on YouTube – For more real-talk business advice Read the PT Biz Book – Step-by-step playbook for cash-based growth 🧭 Final Thought The old model is crumbling. If you want to protect your team, your time, and your income—you need to adapt. Niche down, lead with transparency, and deliver a world-class experience. That's how you thrive in today’s healthcare environment.
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Jun 24, 2025 • 32min

Ep826 | The Perfect Weekly Schedule For Cash-Based PT Owners

How to Structure Your Week for Maximum Efficiency as a Clinic Owner In this episode, Danny shares the weekly time-blocking strategy that helped him build and run a thriving cash-based PT clinic—without burning out. If you're running around reacting to your schedule instead of designing it, this is a must-listen. You'll learn how to create a focused, sustainable weekly plan to maximize productivity, protect your energy, and still make time for patients, staff, and yourself. 🎯 Topics Covered Why most new business owners waste time without realizing it The hidden cost of constant task-switching (and how to avoid it) How to time-block your schedule based on your clinic size What a 34-hour structured week looks like in real life Building in admin time, mentorship, content, and networking How “Flex Fridays” can help you stay sane long-term Using structured vs. unstructured time for creative breakthroughs Why this schedule helps you be a better leader and clinician 💡 Key Quote "Most of us don't burn out from working too many hours—we burn out from the constant switching, lack of boundaries, and feeling like we’re always behind." 🧠 Pro Tips Batch similar tasks together to reduce mental fatigue. Designate one or two days for heavy patient care only. Use midweek days for deep administrative and creative work. Schedule staff meetings and mentorship early in the week to set the tone. Use Fridays for flex time—recovery, deep work, family, or strategy. Unstructured time outdoors can lead to your biggest breakthroughs. 🔗 Resources & Links Visit PT Biz – Learn how we help cash-based and hybrid practices grow Book a Free Strategy Call – Speak with our team and get clear on your next steps Subscribe on YouTube – Get insights, walkthroughs, and business coaching Read the PT Biz Book – Step-by-step guide to building a cash-based practice 🧭 Final Thought If you don’t structure your week, your week will structure you—and that usually means chaos. By getting disciplined with your time and creating boundaries, you unlock the freedom, energy, and focus to grow your business while staying sane. You can’t pour into others if you’re running on empty.
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Jun 19, 2025 • 14min

Ep825 | United Health Fraud and What It Means For Cash-Based PT Clinics

Why UnitedHealth's Criminal Investigation Is Fueling the Cash Practice Movement In this episode, Danny, founder of PT Biz, exposes the major criminal investigation into UnitedHealth and breaks down how their alleged Medicare Advantage fraud is creating the perfect storm for the rise of cash-based healthcare. With the Department of Justice involved and billions of taxpayer dollars at stake, this could be one of the biggest health insurance scandals of our time. More importantly, Danny explains how this chaos is a massive opportunity for providers who want to ditch the insurance system and build profitable, transparent, patient-first practices outside the traditional model. Topics Covered Why UnitedHealth is being criminally investigated by the DOJ How Medicare Advantage "upcoding" works—and why it's fraud Why more people are abandoning traditional insurance plans The connection between high deductibles and patient behavior How cash-based and out-of-network clinics are thriving in the mess The mindset shift from sick care to proactive health investment Why this is the best time to start or scale a cash-based clinic Common fears about market saturation—and why they’re unfounded Key Quote “People used to think I was a jackass for not taking insurance. Now they’re looking for clinics like this on purpose.” Resources & Links Visit PT Biz – See how we help cash-based and hybrid practices grow Book a Free Strategy Call – Speak with our team and get clear on your next steps Subscribe on YouTube – Get breakdowns, insights, and client case studies Read the PT Biz Book – Learn how to build your own cash-based practice Final Thought The system is broken—and people know it. With trust in insurance companies at an all-time low, more patients are seeking alternatives that put their health and dollars first. If you’ve ever considered going cash-based or out-of-network, there’s never been a better time to start.
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Jun 17, 2025 • 37min

Ep824 | The Cash-Based PT Clinic Silent Killer

The #1 Killer of Cash Practices In this episode, Danny breaks down the biggest threat facing cash-based and hybrid physical therapy practices today: shrinking net profit margins. With over 1,000 clinics supported through PT Biz, he’s seeing more business owners getting squeezed by rising expenses, stagnant revenue per provider, and mounting fatigue. Whether you're running a solo practice or leading a growing team, understanding and protecting your net profit is essential to long-term sustainability. Danny dives into the root issues and gives clear, actionable strategies to help you build a stronger, more resilient business—even in uncertain times. Topics Covered The difference between gross revenue and net profit (and why it matters) How inflation and rising costs are silently crushing practices The 3 critical options net profit provides you (and what happens if you lose them) The real reason owner fatigue sets in after 3-5 years Why revenue per provider must approach $300K/year How to build a brand that commands higher pricing The hidden power of recurring services to stabilize revenue What separates scalable practices from those that fizzle out Key Quote “Gross revenue is a vanity number. Net profit is what really matters.” Resources & Links Visit PT Biz – Explore how we help cash and hybrid clinics grow Book a Free Strategy Call – Chat with our team and get clarity on your next steps Subscribe on YouTube – Watch visual breakdowns and interviews Get the PT Biz Book – Learn the proven blueprint for building a cash practice Final Thought Are you trying to figure this all out on your own? It’s a tough time to navigate solo. But with the right systems, mentorship, and support, you can protect your margins and come out ahead when the market stabilizes.
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Jun 12, 2025 • 15min

Ep823 | The 100K Clinician Formula: Rates, Sessions and Overhead

The $100K Per Year Clinical Formula In this episode, Dr. Danny Matta breaks down the numbers behind running a lean, profitable lifestyle physical therapy business that nets $100,000/year pre-tax income—with just 15 visits a week. 🎯 Key Takeaways: 1. The $100K Goal Is Common—and Achievable Many PTs go out on their own hoping to hit a $100K income. In a traditional clinic, this usually requires being a director or working in high-paying but less desirable roles like home health. In cash-based outpatient ortho, it’s possible with fewer hours and more control. 2. Typical Overhead in a Subleased Lifestyle Clinic Rent: ~$1,500/month (subleased gym or wellness space) Tech stack: ~$300/month (EMR, communication, automations) Bookkeeping & CPA: ~$200/month Business insurance: ~$200/month Health insurance: ~$500/month Continuing ed & equipment: ~$400/month combined Total Overhead: ~$2,800/month or $33,600/year 3. How Many Visits to Hit $100K? Target income: $100,000 Total revenue needed: $133,600 (to cover overhead) Average visit rate: $185 Visits per year: 722 Visits per month: 60 Visits per week: 15 4. Why This Model Works Low overhead and lean systems = high margins. Fixed costs don’t rise with visit rate increases—so your profit scales faster. Flexibility in scheduling makes this perfect for work-life balance. 5. Real Examples & Possibility for Growth Some solo PTs are earning $20K–$35K/month with strong visit rates and low churn. This is achievable in affluent areas with optimized pricing and retention. You can stay small and flexible—or scale with systems and staff. ✅ What to Focus On Keep overhead low and consistent. Improve your average visit rate over time. Learn to market and sell effectively—skills you didn’t learn in PT school. 📈 Want Help Hitting $100K+ in Your Clinic? Whether you're just starting or looking to grow, PT Biz has programs to help: 👉 Visit PhysicalTherapyBiz.com 👉 Book a Free Discovery Call 🧠 Final Thought You don’t need a giant clinic or a massive team to make $100K+. You need a clear plan, low overhead, and consistent systems. The math works—if you work the model.
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Jun 10, 2025 • 58min

Ep822 | How To Use Your Business To Never Pay For Travel Ever Again

How to Travel for Free Using Credit Card Points In this episode, Dr. Danny Matta shares how clinic owners can travel—sometimes internationally—for nearly free by leveraging the power of credit card points. Whether you’re booking a snowboarding trip to Utah or sending your spouse to Europe, this guide will show you how to make it happen by using points you’re already earning through everyday business expenses. 🎯 Key Takeaways: 1. Use Business Expenses to Rack Up Points Put all business expenses—ads, travel, internet, phone, equipment—on a business credit card. Use a personal card for groceries, dining, and daily family expenses to double your rewards. Meet card minimum spends by timing them with large purchases (e.g., ConEd, travel, IRS payments). 2. Best Credit Cards for Clinic Owners Chase Ink Preferred (Business): Great bonus categories (3x points on ads, internet, travel); low $95 annual fee. Amex Gold (Business or Personal): 4x points on ads or groceries; higher $375 annual fee. Chase Sapphire Preferred (Personal): Solid intro bonus, low fee, easy-to-use transfer partners. 3. Transfer Points to Travel Partners—Not the Card Portal Transfer points to partners like Hyatt, Flying Blue (Air France), United, or Southwest. Booking directly through airline/hotel gives better value and fewer headaches during changes. Avoid using credit card travel portals or cash-back options—they yield less value and more hassle. 4. Example Travel Redemptions Snowboard Trip (Park City, UT): - Flights for two: ~60k points - Hotel for 3 nights: ~54k points - Total: ~114k points for two people Paris Trip (International): - Flights for two on Flying Blue: ~74k points + ~$300 in fees - Huge value during peak travel season 5. Bonus Perks Free rental car insurance through Chase/Amex cards saved Danny over $1,000 in damage claims. Increased credit limit and credit score over time due to low utilization and on-time payments. Share experiences with friends/family by booking their trips with your points—great for memory dividends. 🚫 What NOT to Do ⚠️ Don’t carry a balance. Pay your card off each month—interest rates are 25–28%. ⚠️ Don’t book through Chase or Amex travel portals. Use direct transfer partners. ⚠️ Don’t opt for cash-back if your goal is travel—it devalues the points. ✅ Action Steps Pick one personal and one business card to start (Chase or Amex). Use them for expenses you already have—ads, groceries, flights, utilities. Meet minimum spends during big purchases or tax payments. Transfer points to travel partners, not portals. Track and enjoy free travel—with friends or family along for the ride. 📺 Prefer to Watch? Check out the full visual walkthrough of cards, transfers, and real-time examples on the PT Biz YouTube Channel. 🌍 Final Thought Owning a business is hard. Travel is one of the few luxuries that pays you back in memories. If you’re paying for expenses anyway—why not earn free trips while you’re at it?

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