The P.T. Entrepreneur Podcast

Ep804 | How I'd Build A Cash-Based PT Clinic From Scratch In 2025


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In this episode, Doc Danny—founder of Physical Therapy Biz—lays out the scrappy, step-by-step blueprint he’d follow if he had to start a cash-based clinic from scratch in 2025. No big budget, no fancy space—just hustle, clarity, and a game plan that works.

Whether you’re still working PRN or ready to jump all in, this episode is a masterclass in starting lean, gaining momentum, and going full-time fast.

🔑 Key Takeaways:

✔️ Get a Job You Don’t Love (On Purpose) – Choose flexible, high-paying side work like home health or hospital PRN. Why? More time, less conflict of interest, and more fire to grow your practice.

✔️ Pick a Niche You Actually Belong In – Don’t chase a niche because it sounds profitable. Start with the community you’re already a part of—runners, lifters, climbers, whatever. You need street cred.

✔️ Start Cheap and Local – Sublease a space near your niche. Think back office at a running store or gym. Don’t overthink aesthetics—just get started and build from there.

✔️ Teach First, Sell Later – Deliver value through workshops and Facebook groups. Empower people with knowledge, and watch how fast the word spreads—even from folks who never book a session.

✔️ Be Generous on Social – Engage with local micro-influencers. Comment, share, support. Build digital rapport before asking for anything. Reciprocity wins over time.

✔️ Know Your Numbers and Jump Sooner – Don’t hang on to that part-time job forever. Most clinicians wait too long out of fear. Once you can replace your income with 25–30 visits/month, it’s time to go all in.

🧠 Pro Tip: Task-switching burns energy and slows growth. When you go full-time, you not only get hours back—you get mental clarity that helps your business take off.

💬 “There’s a difference between fear and danger. Fear is starting your business. Danger is picking up a rattlesnake.”

🔥 Ready to go from side hustle to full-time? ✅ Take the free 5-Day Challenge → physicaltherapybiz.com ✅ Want guidance from an advisor? Book a free call today. ✅ Download the book and start mapping your plan now.

🚀 Try Clare AI for free → MeetClaire.ai

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The P.T. Entrepreneur PodcastBy Dr. Danny Matta, PT, DPT, OCS, CSCS, & Entrepreneur

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