Revolutionizing Physical Therapy private practice must start with environment first. It will then lead into the proper structure which will attract the right personnel so that you have who you need to help you implement the best systems of operations.  So many owners know what they don’t want and they can often articulate what’s less than ideal in their practice but they don’t have the solutions necessary to bring about the change they desire. The first step is knowing how to attack the situation and then learning what you don’t know.  Once you have the new knowledge in your head it’s all about the implementation step if things are really going to change.