PT Pintcast - Physical Therapy
PT Pintcast is a physical therapy podcast that features conversations with physical therapists, clinic owners, educators, and leaders in the field. Hosted by Jimmy McKay, PT, DPT, the show combines real talk, big ideas, and practical insight on clinical care, business, and culture. It explores where physical therapy is headed next, with a style that blends a TED Talk and a radio show.
Episodes
Stop Waiting for Perfect
What if the biggest thing holding your clinic back isn’t a lack of ideas?It’s waiting until the idea feels safe.Jimmy McKay, Tony Maritato and Dave Kittle bounce from Airbnb cereal to physical therapy marketing, hiring, recruiting, content creation and virtual assistants in an episode that keeps arriving at the same conclusion:Take the shot. Learn. Adjust.Dave breaks down the five levels of custom
Your PT Job Ad Is Probably Selling the Wrong Thing
What if the goal of your next physical therapy job ad wasn’t to attract more people?What if it was to repel almost everyone except the few clinicians who would actually love working for you?Jimmy McKay and Tony Maritato dig into recruiting, advertising, AI and psychology after Tony asks a fascinating question:What would advertising legend David Ogilvy want to know before writing a job ad for a phy
Your Practice Sale Starts Years Before You Sell
Your Practice Sale Starts Years Before You SellMost physical therapy practice owners think about selling their business when they’re ready to sell.Paul Martin thinks that’s already too late.Paul is a physical therapist, founder of Martin Healthcare Advisors, and former clinic owner who helped grow a three-clinic operation into 21 locations.After decades working with PT practice owners, he says one
PTs Are Overthinking Everything
Are physical therapists spending too much time optimizing things that barely matter?Jimmy McKay and Tony Maritato start with the growing backlash against AI-generated content and quickly uncover a much bigger question: Are we arguing about the tool, the output, or just something we don't like?That same tendency shows up everywhere in physical therapy.We obsess over perfect exercise form.We debate
The Cost of Swinging the Bat Is Almost Zero
AI has made experimentation cheap. So why are we still acting like every idea costs $5,000?On this episode of PT Breakfast Club, Jimmy McKay and Tony Maritato start with the debate over AI in education and end up somewhere much bigger: what happens to physical therapy when the cost of learning, creating, testing, building, and iterating drops dramatically?Tony walks through using AI to build a new
Why PT Clinics Feel Broken: Hiring, Efficiency and the Race to the Bottom
Why do physical therapy clinics feel broken even when everyone seems to be working harder?On this episode of PT Breakfast Club, Jimmy McKay, Tony Maritato, and Dave Kittle dig into physical therapist hiring, clinician recruitment, clinic marketing, reimbursement, RTM, AI-driven efficiency, and the economics of running a PT practice.The conversation starts with a simple hiring problem: most clinics
Do you own a business or just a job?
Should physical therapists be the only people who own physical therapy clinics?In this episode of PT Breakfast Club, Jimmy McKay and Tony Maritato dig into the business of healthcare, AI documentation, EMR adoption, and what happens when a clinic is built entirely around one clinician.Dave Kittle has the day off, but Jimmy previews part of his upcoming APTA Florida keynote, including a speed round
State Boards Are Coming for PT Packages
Can cash-pay physical therapy clinics sell packages?In this episode of PT Breakfast Club, Tony Maritato, Dave Kittle, and Jimmy McKay react to recent discussion around state PT boards in North Carolina and Texas questioning whether cash-based, self-pay, or direct-pay physical therapy clinics can sell discounted treatment packages or collect payment for services that have not yet been delivered.The
Your One-Star Review Is Content
What if your one-star review is not a disaster?What if it is actually one of the clearest ways to show people what your clinic stands for?In this episode of PT Breakfast Club, Jimmy McKay, Dave Kittle, and Tony Maritato talk about content, clinic storytelling, virtual assistants, outsourcing, moonlighting, AI, and referral relationships.Jimmy and Dave start by talking about why PT Breakfast Club s
Can Cash Pay PT Actually Scale?
What if the future of physical therapy is not just more visits, more units, and more productivity pressure?In this episode of PT Breakfast Club, Tony Maritato, Dave Kittle, and Jimmy McKay start with a productivity benchmark chart comparing outpatient private practice, corporate clinics, cash-based care, hospital outpatient, sports med, and high-volume clinics.That opens up a bigger discussion abo
The Therapist Who Took the Interview While Driving
What matters more in a physical therapy hire: clinical skill, reliability, values, or fit?In this episode of PT Breakfast Club, Dave Kittle and Tony Maritato talk through the uncomfortable parts of hiring that rarely make it into job descriptions.Tony starts with a question every clinic owner eventually faces: what do you do with someone who is great with patients, but unreliable? Dave shares his
John Gallucci: You’re Never Smarter Than the Curve
John Gallucci, CEO of JAG Physical Therapy, joins PT Pintcast for a conversation about business, failure, community, mentorship, branding, and building a physical therapy company that lasts.John traces his story back to Brooklyn, Staten Island, and his family’s surgical supply business. When consolidation took away his father’s hospital contracts, the family lost the business and the home John gre
Make 100 Mediocre Things!
Your clinic is already full of content. You just may not be noticing it.In this episode of PT Breakfast Club, Tony Maritato and Jimmy McKay dig into what is actually working in physical therapy content right now.Jimmy shares what he is learning from LinkedIn, including why heat maps, rankings, dogs, sneakers, and “PT but make it…” posts perform well. The reason is not magic. People engage when the
The Apple Pie Lesson for PT Clinics
Is physical therapy school still worth it?In this episode of PT Breakfast Club, Jimmy McKay joins from the APTA Connecticut golf fundraiser at Lyman Orchards, where every round comes with a free apple pie. That becomes the first business lesson of the morning: people remember what is worth remarking on.Tony Maritato, Dave Kittle, and Jimmy use that idea to talk about what makes a clinic memorable,
Payment, Reimbursement, and Grandpa the Mailbox Guy
This episode of PT Breakfast Club starts with Jimmy McKay reporting from Prompt HQ after a trip to Portland for APTA’s Payment Summit and House of Delegates.Jimmy explains how he got in trouble for live tweeting the House of Delegates, why he likes the word “payment” more than “reimbursement,” and what it felt like watching the profession debate policy language in real time.Dave Kittle pushes hard
What’s Your Clinic’s Zip Line?
What does Sophie Cunningham have to do with physical therapy?More than you might think.In this episode of PT Breakfast Club, Tony Maritato, Dave Kittle, and Jimmy McKay start with WNBA attention, athlete branding, Tom Brady publicity stunts, and the uncomfortable truth that the biggest money often comes from what surrounds the game, not the game itself.Then the crew brings that back to PT.If a phy
The Business Model Behind the Care
What if physical therapy is not bad at care, but bad at naming, packaging, and selling the thing patients actually want?In this episode of PT Breakfast Club, Jimmy McKay, Tony Maritato, and Dave Kittle start with Dave’s poker night in New York City and end up in a much bigger conversation about relationship-building, recruiting, cash-pay offers, performance training, AI, and why clinics may need t
The PT Profession Has a Math Problem
Physical therapy has always told students some version of the same story:Work hard. Get the degree. Help people. There will be a job waiting.But what happens when the math starts to break?In this episode of PT Breakfast Club, Jimmy McKay and Tony Maritato start with a post from Richard Severin about the financial viability of the physical therapy profession. The conversation quickly moves into PT
Would You Do PT Again?
Would you become a physical therapist again?That question sits underneath this episode of PT Breakfast Club with Jimmy McKay, Tony Maritato, and Dave Kittle.The conversation starts with physical therapy burnout. Tony reacts to a survey suggesting nearly half of PTs report burnout, and the crew debates what burnout actually means. Is it exhaustion? Cynicism? Reduced effectiveness? Or has the word b
Stop Making the EMR Suck Less
This episode of PT Breakfast Club starts with a simple question:What should an EMR actually do?Tony Maritato and Jimmy McKay discuss the divide between the clinical and administrative sides of EMRs, why AI should be more than ambient documentation, and how the future of physical therapy technology should make clinicians better instead of turning them into data-entry horses with name badges.Jimmy i
Understand What Game You’re Playing
Today on PT Breakfast Club, we’re talking physical therapy business, cash PT positioning, fall recovery, and the uncomfortable question: are trainers reaching patients better than physical therapists?Jimmy McKay, Tony Meritato, and Dave Kittle dig into whether PTs are defending the wrong thing: the license, the title, the visit, the referral, the insurance model, or the certification.The conversat
The Messy Middle Between Physical Therapy and Fitness | Sean Pastuch
Being medically cleared does not always mean someone feels capable of returning to the life they actually want.In this episode of PT Pintcast, Jimmy McKay sits down with Dr. Sean Pastuch, founder of Active Life and author of Live More, Hurt Less, to explore the “messy middle” between physical therapy and fitness.A patient may be able to work, drive, sleep, and complete every activity of daily livi
The Golden Mile Problem: Money, PR, and Why AI Still Needs You
Dave Kittle and Tony Maritato open with a prediction: Sophie Cunningham becomes the WNBA's first billionaire — not from basketball, but from the same social-media gravity that's already reshaping how physical therapists build wealth outside patient care. Jimmy joins mid-scooter-commute to Hoboken and the conversation turns practical fast: why PR only works as a growth lever when you're the underdo
Burnout, Better Jobs, and the PT Social Media Game
On this episode of PT Breakfast Club, Jimmy McKay, Tony Maritato, and Dave Kittle unpack one of the profession’s loudest conversations: burnout.But instead of stopping at “PTs are burned out,” they push into the more useful question: what are clinicians actually asking for when they say they want fewer patients?More time? A buffer between visits? Better systems? Less emotional carryover? A job tha
How Physical Therapists Can Turn Content Into Patients, Income and Opportunity
Physical therapists spend years learning how to help people—but almost no time learning how to reach them.Jimmy McKay is joined by Tony Maritato and Dave Kittle to unpack what actually works on social media for physical therapists, clinic owners and students. Tony shares how simple Facebook posts generated more than a million views and approximately $2,000 in ad revenue over 28 days. Dave explains
Why Patients Quit PT After Visit 3
This week on PT Breakfast Club, Jimmy McKay and Dave Kittle start with a simple patient text exchange and end up inside one of the biggest problems in physical therapy:Expectation rarely matches reality.Dave shares how he responds when a prospective patient asks whether his clinic is in-network or out-of-network. Instead of dodging the question or pushing the sale, he explains the difference betwe
Why Most PT Ads Don’t Work
This week on PT Breakfast Club, Tony Maritato, Dave Kittle, and Jimmy McKay look at a real physical therapy Instagram ad and ask a simple question:Would this actually make someone take action?The answer leads to a bigger conversation about physical therapy marketing, cluttered ads, weak offers, fake scarcity, AI-generated creative, trendjacking, TikTok Shop, LinkedIn recruiting, and how clinics ca
Physical Therapists Need to Stop Selling Visits
Physical therapists keep saying they provide value — but then many clinics hand patients a confusing menu of visits, rates, packages, discounts, weekday pricing, weekend pricing, and “per visit” math.That confusion may be costing you patients.In this episode of PT Breakfast Club, Tony Meritato, Dave Kittle, and Jimmy McKay break down a real cash pay physical therapy pricing problem and ask a bigge
What PT Clinics Can Learn From Amazon Prime Day
In this episode of PT Breakfast Club, Jimmy McKay, Tony Maritato, and Dave Kittle look outside healthcare to ask a practical clinic question: what are other industries doing to create demand, loyalty, and repeat behavior that physical therapy keeps ignoring?The conversation starts with Amazon Prime Day and the idea that the event matters more than the discount. From there, the group talks about ho
Stop Pricing Physical Therapy Like Billing Codes
This episode of PT Breakfast Club is a practical conversation about value, access, content, and revenue in physical therapy. Jimmy McKay, Tony Maritato, and Dave Kittle start with a wild sports pricing example, then bring the conversation back to the clinic: why do PTs struggle to charge for expertise when other industries clearly understand premium access?The group digs into insurance reimburseme
Content Is Not The Business. Patients Are.
This episode is a practical clinic-owner conversation about marketing that actually has a job to do.Jimmy McKay, Dave Kittle, and Tony Maritato talk through content creation, direct mail, therapist branding, anonymous posts, AI comments, and why PT clinic owners need to understand the game they are playing before spending money or time.Key insights from the discussion:• Content should attract some
Chronic Pain Isn’t What You Think It Is
Chronic pain patients are some of the toughest cases in physical therapy—not because they’re complicated, but because they’re often misunderstood.In this episode, we break down why treating chronic pain like an acute injury leads to poor outcomes—and what to do instead. The shift is simple but powerful: stop focusing only on tissue and start understanding the person.If you run a clinic or treat pa
What a Rock Radio DJ Learned That Every PT Needs to Hear
Most episodes, Jimmy McKay is the one asking the questions. Not this time.In this episode, Amit Gagliani flips the script and turns the mic on the host himself — using AI-generated questions to dig into the story Jimmy rarely tells. You'll hear how a morning announcement in sixth grade led to running a rock radio station, interning at K-Rock (yes, Howard Stern's station), and eventually walking aw
Why PTs Are Underpaid (And What To Do About It)
Most physical therapists don’t have a clinical problem — they have a business model problem.In this episode, Jimmy sits down with Courtney Morse to unpack what happens when you step away from traditional outpatient care and rethink how a PT clinic should operate. From burnout and stacked schedules to launching a cash-based practice out of a hair salon, this conversation shows what’s possible when
PT Burnout Isn’t What You Think
Burnout in physical therapy isn’t just about workload—it’s about how clinicians process stress over time.In this episode, Jimmy talks with Charles Inniss about why optimism is not a personality trait, but a trainable skill. They break down how burnout develops in PT careers, why cynicism follows exhaustion, and what clinicians and clinic owners can actually do about it.If you run a clinic, this ma
Decision Fatigue Is Costing Your Clinic More Than You Think
Decision fatigue isn’t just a mindset issue—it’s a business problem.In this episode, Jimmy, Tony, and Dave break down how hesitation around hiring, outsourcing, and systems decisions slows clinic growth. From front desk staffing to outsourcing intake, they show how trying to make the “perfect” decision often leads to doing nothing—and that’s where clinics lose momentum.One of the biggest insights:
Why Doing Less Makes Your PT Clinic More Profitable
This episode challenges one of the biggest assumptions in physical therapy: that offering more services leads to better outcomes and business growth. Instead, the conversation explores how narrowing your focus can improve efficiency, hiring, patient experience, and long-term profitability.Key Insights:• Clinics trying to serve everyone end up differentiating to no one• Simplifying services improve
Why Insurance PT Models Are Breaking Down
This episode dives into one of the biggest shifts happening in physical therapy right now: the gap between what patients need and what insurance allows.Jimmy, Tony, and Dave break down:• Why most AI solutions in healthcare never make it past pilot phase• How insurance limitations are shaping care delivery• The rise of hybrid and post-rehab fitness models• Why clinical skill is no longer the main d
If You Can’t Prove It, Stop Doing It
Most physical therapy clinics don’t have a marketing problem—they have a measurement problem.In this episode, Jimmy and Andrea break down why marketing often gets labeled as a cost instead of a growth driver, and what needs to change for clinics to actually see ROI.If you’re a clinic owner or leader trying to justify marketing spend, this episode gives you a clear framework to connect activity to
Communication Skills PTs Need But Don’t Learn
This episode dives into one of the biggest frustrations in physical therapy: feeling unheard at work. Rebecca Griffith breaks down how to communicate with leadership, advocate for patients, and avoid being labeled “difficult.”Key Insights:• Most leadership decisions are system-driven, not personal• Curiosity beats criticism in tough conversations• Timing, tone, and delivery matter as much as the m
AI in PT Clinics: What Actually Works
This episode breaks down how AI is being used inside real physical therapy clinics—not as hype, but as a tool to improve operations.The biggest mistake clinics make is treating AI like a feature instead of building it into workflows. When Sal Aprea from Flagler Health shows you that done right, AI helps reduce no-shows, improves patient engagement, and creates new revenue opportunities without add
Why PT Clinics Are Missing the Biggest Opportunity
This episode explores how AI, business strategy, and human relationships intersect in physical therapy—and what clinic owners should actually do about it.Key Insights:• AI can scale listening and communication—but not human connection• In-person relationships still drive referrals and business growth• Other industries (sports, retail) are winning by owning attention and data• PT clinics are sittin
You’re Not Stuck: Rethinking Your PT Career
Most physical therapists think their career path is set the moment they graduate. This episode challenges that idea.Elana Yavetz shares how she transitioned from clinical practice into a project management role in tech—and why her PT background was actually her biggest advantage, not a limitation.If you’re a clinic owner, this changes how you think about your team. If you’re a clinician, it change
Volume vs Value: The Future of PT Clinics
In this episode of PT Pintcast, we unpack a major shift happening inside the physical therapy profession: the growing divide between high-volume clinics and high-value, premium care models.From hiring struggles to reimbursement pressure, from patient behavior to AI disruption—this conversation challenges how PTs think about care delivery and business sustainability.If you're a clinic owner, this e
The 90-Day Content Plan for Clinics
Most clinic marketing isn’t failing because of effort—it’s failing because it’s irrelevant.In this episode, Jimmy and Andrea break down why traditional approaches (press releases, feature updates, polished promos) don’t work anymore—and what actually does.They explore:Why “when everyone is shouting, it’s just noise”The critical difference between storytelling and self-promotionA practical 90-day s
Why So Many PT Leaders Feel Like Imposters
Most clinicians are trained to treat patients — not lead teams.So when a physical therapist suddenly becomes a supervisor, director, or clinic leader, it’s common to feel unprepared. That feeling often shows up as imposter syndrome.In this episode of PT Pintcast, Jimmy McKay talks with speech-language pathologist and leadership coach Katie Holterman about why imposter syndrome is so common in heal
The Real Reason Your Website Isn’t Bringing Patients
Most PT clinic owners assume growth comes from referrals—until those referrals slow down.In this episode, Lex Lancaster breaks down how patients actually find clinics today and why most PT websites fail to convert visitors into patients. This conversation focuses on practical, actionable strategies clinic owners can use immediately.Key Takeaways:• SEO is about getting found by the right patients,
Getting Patient Buy-In When They Don’t Want Help
Most patients don’t want to be in physical therapy—especially in acute care. That creates friction, resistance, and missed opportunities for better outcomes.In this episode, Sid Stoddard breaks down a practical communication framework PTs can use immediately to improve patient buy-in without adding time or complexity.Key Takeaways:“Embrace the suck” → patients are already frustrated before you wal
4.9 Stars ≠ Good Care: The Problem with Healthcare Metrics (with Larry Benz)
What if the problem in healthcare isn’t a lack of data… but the wrong data?In this episode, Larry Benz joins the show to unpack a quiet shift that’s happening across healthcare:We’ve started confusing what’s easy to measure with what actually matters.Star ratings, patient satisfaction scores, and online reviews have become the scoreboard—but they were never designed to measure true clinical excell
Why PT Burnout Is About Ownership, Not Volume
This episode dives into what it actually takes to build a modern physical therapy business — starting with almost nothing and scaling through smart decisions, not big budgets.Nathan LeMaster shares how he launched a clinic during the pandemic with less than $4,000 and grew it into a multi-state company by focusing on culture, ownership, and patient experience.Key Insights:• You don’t need big capi
Why Most PTs Overthink Marketing (And Stay Invisible)
In this episode, Jimmy McKay sits down with Tony Maritato and Dave Kittle to break down what actually works in physical therapy marketing today.The conversation cuts through the noise around content creation and focuses on what busy PTs and clinic owners need to know: how to get attention, build trust, and turn that into patients.Key Insights:• You don’t need high-end production to get results—con
Why PTs Struggle to Negotiate (And What to Do About It)
Most physical therapists know they should negotiate—but few feel confident doing it.In this episode, Jimmy McKay and Rebekah Griffith break down why negotiation feels uncomfortable in PT and how that hesitation impacts salary, contracts, and clinic growth.This isn’t about becoming a “salesperson.” It’s about communicating value clearly so you can get paid appropriately and build better professiona
Your PT Clinic Isn’t Growing Because You’re Invisible
Most PT clinics still believe growth comes from referrals alone. But patients don’t choose clinics the way they used to.In this episode, Jimmy breaks down why digital presence is now the first impression—and often the deciding factor—for new patients.If your clinic isn’t showing up online in a meaningful way, you’re losing patients before they ever call.Key Insights:• Digital is now the front door
Why Physical Therapists Are Burnt Out (And What Actually Fixes It)
Physical therapy feels harder than ever for many clinicians—burnout, declining reimbursement, and career uncertainty are constant conversations.But what if the problem isn’t the profession… it’s perspective?In this episode, Derek Landis shares what happens when you step outside the U.S. system and practice in a place where access to care is limited and every PT skill matters.Key Takeaways:Why PT b
The Numbers That Actually Grow a PT Business
Most physical therapy clinics are tracking metrics—but not all metrics actually matter.In this episode, Jimmy and Tony break down how KPIs can unintentionally drive the wrong behavior inside your clinic. From arrival rate to cancellation tracking, they explain how focusing on the wrong numbers can lead to worse patient outcomes and stalled business growth.They also explore a bigger shift: why PT c
The Career Move Most PTs Ignore (And Pay For Later)
Most PTs focus on getting better clinically. The ones who build lasting careers do something different—they get involved.In this episode, Edie Benner shares how engagement in associations, events, and community directly impacts your career, your clinic, and your long-term satisfaction in the profession.If you’re feeling stuck, isolated, or burned out, this episode gives you a practical path forwar
Why PT Clinics Need Metrics (And Clinicians Should Care)
Many clinicians feel tension between patient care and productivity targets. In reality, that tension often exists because clinicians were never taught how the business side of healthcare works.In this episode of PT Pintcast, Jimmy McKay talks with Katie Holterman about how clinics can bridge the gap between clinical excellence and operational performance.The discussion focuses on practical ways cl
Authenticity Beats Hospital Marketing
Healthcare organizations spend millions on marketing — yet patients often trust a clinician with a phone more than a polished hospital commercial.In this episode, Jimmy and Andrea unpack why authenticity beats traditional healthcare marketing and how PT clinics can leverage clinician voices to build trust with patients.They also dive into one uncomfortable truth:Many clinics believe they have a ma
Why Physical Therapists Chase Credentials Instead of Expertise
Physical therapists often feel pressure to collect certifications and letters after their name.But does that actually make better clinicians?In this episode, Jimmy talks with Clint Serafino and Nate Henry about why the PT profession needs more mentorship, deeper clinical reasoning, and better collaboration across healthcare disciplines.They also share the story behind Global Physio Training, a non
The Systems That Burn Out Physical Therapists
Most physical therapists feel stuck between productivity expectations, documentation requirements, and changing reimbursement models.But what if the problem isn’t clinicians — it’s the systems around them?In this episode, Jimmy talks with Katie Holterman about how healthcare systems, documentation processes, and compliance frameworks can either burn clinicians out or support them.Katie explains wh
What Wendy’s Can Teach Physical Therapists About Growth
Physical therapy clinics don’t struggle because they lack skill. They struggle because they lack attention.In this episode of PT Breakfast Club, Jimmy McKay and Tony Maritato explore how PT clinic owners can rethink marketing using lessons from unexpected places — viral videos, restaurant chains, and real-world business strategy.Instead of chasing trends or expensive advertising, the conversation
When EBITDA Becomes the Mission
If you've worked inside a healthcare organization you've probably heard the question:“What's the EBITDA impact?”But what happens when a financial reporting metric slowly becomes the mission of the entire organization?In this conversation, Jimmy McKay and Larry Benz unpack: • What EBITDA actually measures • How "Adjusted EBITDA" becomes a fiction contest • Why chasing the metric can distort clinica
The 7 KPIs Every Physical Therapy Practice Owner Needs to Run a Smarter Clinic
Private practice physical therapy owners: learn the KPIs that drive clinic growth, PT marketing ROI, and revenue forecasting. This MBA for the DPT lesson shows PT clinic owners how to track leads, visits per case, and key business metrics that predict success.Most physical therapists open a clinic without ever learning how to read the business numbers behind it.In this **MBA for the DPT** episode,
Stop Selling. Start Teaching Patients
Most physical therapy clinics approach marketing backwards.Instead of teaching and building trust, they try to promote services — and patients can see through it instantly.In this episode, Jimmy McKay, Dave Kittle, and Tony Maritato discuss what actually works when it comes to content and clinic growth.They break down how attention drives patient acquisition, why authenticity beats corporate messa
You Don’t Have a Skill Problem. You Have a Leverage Problem.
Most physical therapists were taught that clinical excellence leads to career success.But according to Greg Todd, that model no longer works.In this episode, Greg explains why many PTs feel stuck despite doing everything “right” — earning a doctorate, taking continuing education courses, and working long clinical hours.The problem isn’t skill.It’s leverage.Greg breaks down how clinicians can start
Healthcare Marketing Doesn’t Work—Until You Fix the Experience
Most healthcare marketing does not fail because marketing is useless. It fails because clinics make it hard to trust them, hard to book, and hard to talk about them.In this episode, Jimmy McKay and Andrea Cheney unpack what PT clinic owners and healthcare marketers keep getting wrong. They break down why patients now behave more like consumers, what they actually look at before booking, and why re
The Legislative Playbook Every PT Should Study
Most physical therapists assume healthcare policy is decided somewhere far away.But Utah PTs just proved something different.In this episode, Howard Quackenbush explains how competing physical therapy clinics united to pass legislation that recognizes PTs as primary care providers for co-pay purposes—reducing financial barriers and improving patient access.Instead of waiting for national policy ch
“Rehab Athletes Like Athletes” (And Prove It With Data)
PTs are expected to be the movement experts—yet most movement assessment is still subjective: “knee valgus noted,” “pelvic drop,” “looks better.” Dan Seidler (Business Development Lead, DorsaVi USA) and Maka Lange unpack what changes when clinics can quantify biomechanics with video AI and wearable sensors.They cover how objective data improves patient education and buy-in, strengthens documentati
Why PT Clinics Must Sell Transformations, Not Visits
Most physical therapy clinics market the wrong thing.They promote visits, treatments, and techniques — but patients don’t actually want those things. What they want is the outcome: getting back to running, lifting, sports, or living pain-free.In this episode, Jimmy McKay and Dave Kittle explore how PT clinic owners can shift from transactional care to transformation-based care.Drawing insights fro
“Discharge Monkey” Isn’t A Job Title
A comment calling hospital PTs “discharge monkeys” kicks off a real conversation about burnout, autonomy, and what the system incentivizes. Rebekah Griffith and Jimmy McKay unpack why acute care PTs feel boxed into discharge throughput, how that attitude spreads through teams (presenteeism), and what leaders can do to get great clinicians back to practicing with purpose.What You’ll LearnWhy “we’re
One Eeyore Can Kill Everything!
A real-world clinic-owner problem: a therapist who wants the upside (patients “dropped in their lap”) but won’t do the minimum (timely notes, accountability). Dave and Jimmy walk through the practical HR/documentation approach, how one low-effort teammate drags culture and outcomes, and the retention strategies that keep high-value patients loyal to the practice even when staff changes.What you’ll
Marketing Doesn’t Work (Until Ops Works)
Episode theme: If your marketing “isn’t working,” your real bottleneck is usually operations + friction—and tech/ads will only amplify what’s already broken.What we coveredThe blizzard story: how a “post-visit survey” fired after a visit that never happened—and what that signals about your systemsWhy everything is marketing in direct-to-consumer healthcare: phones, response time, scheduling, cance
You’re Either Rowing Or You’re The Anchor
Physical therapy can’t survive on “me, me, me” messaging. Dr. Lisa VanHoose breaks down why rehabilitation deserts are growing, why gatekeeping admissions is fueling the PT workforce shortage, and what it looks like to rebuild the profession around community, access, and relational capacity—not just credentials and productivity.We talk rural retention, community-based rehab, why “bootstraps” is a
Why Saying Yes to Everyone Is Killing Your Clinic
If your clinic feels busy but profit isn’t increasing, this episode will hit home.Doug Adams joins Jimmy to break down one of the most uncomfortable truths in private practice physical therapy: growth does not come from treating more people. It comes from treating the right people.Key Takeaways:• Why every PT clinic needs a defined sales process • The difference between commoditized visits and tra
Positivity Is Slower… But It Wins.
Jeremy VanDevender shares a practical clinic-growth and leadership framework built on a few core ideas: lead with optimism, listen like it’s your job (because it is), and create real pathways for clinicians to grow—clinically or into leadership—without burning out.In this episode, we cover:How Jeremy earned internal buy-in and built “followership” through autonomy + supportWhy negativity gets atte
AI Is Already Referring Self-Pay Patients to PT Clinics
AI is no longer theoretical for clinic owners.A PT in Ohio just received a 12-visit self-pay package from a patient who found her through AI search.That changes the conversation.In this episode, we explore:How AI platforms decide which clinics to recommendWhy your digital footprint matters more than everThe role of frequency in modern marketingWhether AI-sourced patients are more decisive and cash
Stop Running a 1998 Clinic in 2026
Stop Running a 1998 Clinic in 2026Reimbursement is shrinking. Expenses are rising. And too many PT clinics are still operating like it’s 1998.Albert Katz, CEO of Flagler Health, joins Jimmy to talk about:Why most healthcare tech failsThe real hidden costs of not modernizingHow missed calls and slow intake quietly drain revenueVendor fatigue and point-solution overloadWhy AI in billing still requir
What the 2025 State of Rehab Therapy Report Reveals
Heidi Jannenga has been part of this show since the early days — and she returns with data every clinic owner and staff PT needs to see.The 2025 State of Rehab Therapy Report reveals a widening gap between clinicians and leadership. While leaders assume pay is the biggest issue, clinicians say they’re motivated by purpose, autonomy, and meaningful work.This episode explores:Why misalignment is acc
Are PTs Ignoring a Massive Revenue Stream?
Are PTs Leaving Money on the Table?In this episode, Jimmy, Tony Maritato, and Dave Kittle dig into something most physical therapists aren’t even considering:Live selling. Affiliate income. Attention as the business model.It starts with Jimmy testing live selling premium recovery devices through Amazon Live.But it quickly turns into a bigger conversation:Are PTs avoiding affiliate revenue because
Change the Model: Why PT’s Business Model Is Breaking
Physical therapy doesn’t have a value problem. It has a positioning problem.In this episode, Jimmy talks with Matthew Pratte about why private outpatient practices are getting squeezed — and what to do about it.Key Topics Covered:Why fee-for-service puts control in someone else’s handsHow inflation + stagnant reimbursement compress marginsWhy scale favors hospital systems and large chainsThe rise
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