Most PT owners outgrow word-of-mouth long before they build a true demand engine. In this episode, Chad Madden breaks down the five levels of marketing awareness—from “I don’t need marketing” to running a predictable patient pipeline—and shows how to pick the right next step for your stage. You’ll learn where most clinics stall, how to avoid the DIY trap, and what a unified system looks like when it’s working.

👉 Learn more or book a demo: https://getbreakthrough.com

Time Stamps

00:00 - Welcome & why DTC marketing now

02:54 - The 5-stage roadmap to predictable demand

03:56 - Level 1: Unaware — “Quality + word of mouth is enough”

08:34 - Level 2: Problem Aware — The costly DIY rabbit hole

14:36 - Level 3: Solution Aware — Channel dependence & algorithm shocks

17:40 - Level 4: Product Aware — The “duct tape” tech stack nightmare

20:34 - Level 5: Most Aware — One integrated, always-on system

28:48 - How Breakthrough helps & next steps (CTA)