Private Practice Success Stories

Leaving the SNF Life Behind: Finding Purpose Again in Private Practice with Meghan Powers


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What if you could walk away from corporate pressure, create a career on your own terms, and finally feel like you’re making a real difference? That’s exactly what Meghan Powers did when she left the skilled nursing world and built her private practice, Gateway to the Rockies Speech Therapy, in Aurora, Colorado.

Meghan is a speech-language pathologist who has spent her career helping adults. But, after years working in SNFs, she realized she could no longer align with productivity standards that prioritized numbers over patient care. That frustration became the catalyst for her private practice journey. 

Meghan’s journey into speech therapy began early—she was inspired as a teen while shadowing therapists in a pediatric clinic. She went on to work with both kids and adults before spending nearly a decade in skilled nursing. Over time, however, the corporate-driven demands of that environment took their toll. She was tired of seeing patients rushed through sessions and wanted to provide care based on what her clients truly needed—not what fit into an arbitrary productivity model. So, she took a leap of faith, joined the Start Your Private Practice Program, and launched her own business.

At first, Meghan worked part-time at an assisted living facility while building her caseload. Within months, she transitioned fully into private practice—treating clients on her own schedule and building strong community partnerships along the way.

In this episode, Meghan shares how she runs Gateway to the Rockies Speech Therapy, serving adults with Parkinson’s, stroke, and voice disorders. She’s known for functional, patient-centered care and strong collaboration with ENTs and PTs. As a mom, Meghan values the freedom to design her schedule around her son’s life, taking family time when she chooses—something her patients wholeheartedly support.

In Today's Episode, We Discuss:
  • Making the leap from employee to business owner (without overthinking it)
  • Building strong referral relationships through genuine connection
  • Balancing parenthood, life, and business with intention
  • And why she believes the more of us in private practice, the better

Meghan’s story is proof that you can take your clinical skills, your passion, and your values—and turn them into a thriving, fulfilling business. With courage and community support, she created a practice that gives her freedom, flexibility, and impact on her own terms.

Ready to create a private practice that gives you the flexibility and fulfillment you deserve—just like Meghan has? The Start Your Private Practice Program will show you exactly how to do it, this is where Meghan and so many other SLPs and OTs have gotten the tools, systems, and confidence to make the leap. Visit www.StartYourPrivatePractice.com to learn more.

Whether you want to Start or Grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more.

Resources Mentioned:

Follow Meghan on Instagram: instagram.com/gatewaytotherockiesst/

Check out her website: gatewaytotherockiesspeechtherapy.com

Where We Can Connect: 

Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199

Follow Me on Instagram: https://www.instagram.com/independentclinician/

Follow Me on Facebook: https://www.facebook.com/jena.castrocasbon/

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Private Practice Success StoriesBy Jena Castro-Casbon

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