Spencer Shoemaker took Performance Therapy from 5 clinics to 23 in just a few years expanding across multiple specialties including pediatrics, OT, speech, ABA, chiropractic, pelvic health, and sports performance. His growth hasn’t come from luck, it’s come from vision, tough leadership, and the ability to find the right people to bring ideas to life.

In this episode of the Private Practice Owners Club Podcast, Nathan Shields sits down with Spencer to unpack how visionaries can turn ideas into reality without getting buried in the details.

They dive into:

• The visionary trap most owners fall into (and how to avoid shiny object syndrome)
• Why holding providers accountable to KPIs is non-negotiable
• How to recruit and align top talent around your vision
• The “Who, not How” mindset that unlocks rapid expansion
• Practical steps for testing and launching new specialties inside your practice

If you’ve ever felt stuck between having big ideas and actually executing them, this conversation is the playbook.

🎙️ And don’t miss Spencer live at the Private Practice Owners Club Conference, October 2–4, 2025, in Destin, FL, where he’ll go deeper on building team buy-in and leading through growth.

👉 Register now at ppoclubevents.com/homepage

Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall

Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

99.5% of successful owners interviewed on this podcast have at one time or another leveraged a business coach to improve their business. Private Practice Owners Club is coach you need - ppoclub.com

Blaine Stimac started with one small clinic in Kalispell, Montana. Today, he’s the founder and CEO of Health & Rehab Solutions, leading 40 clinics across five states. Few people in our industry have navigated the growth journey at that scale—and even fewer can break it down as clearly as Blaine.

In this episode of the Private Practice Owners Club Podcast, Nathan Shields sits down with Blaine to unpack the five phases of private practice growth—from the scrappy early days of solvency to scaling multiple clinics with strong leadership teams.

They dive into:

• The hidden challenges in each phase of ownership (and why most stall out in Phase 2)
• How to know when it’s time to hire, expand, or shift your focus
• Why profits aren’t linear—and what to expect as you grow
• The leadership leap every owner must make to scale beyond themselves
• How to keep your systems running even when you step away

If you’ve ever wondered, “What’s next for my practice?”—this episode will give you the roadmap.

🎙️ Blaine will also be a keynote speaker at the Private Practice Owners Club Conference, October 2–4, 2025, in Destin, FL, where he’ll go deeper into the financials of scaling.

Don’t just survive the growth journey—master it.

👉 Register now at ppoclubevents.com/homepage

Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall

Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

Many therapy clinic owners struggle with the idea of making money — as if profit somehow conflicts with patient care. In this episode of the Private Practice Owners Club Podcast, Nathan Shields sits down with Eric Miller of Econologics to unpack the deep mindset blocks that keep physical therapy, occupational therapy, and speech therapy clinic owners from achieving real growth and financial freedom.

We discuss:

• Why profit is essential — not optional — for impact and sustainability
• The hidden beliefs holding back your revenue
• How to adopt the CEO mindset your clinic needs to scale
• Tactical strategies for shifting from scarcity to abundance in your business

Whether you're just starting out or leading a growing team, this episode will help you stop playing small and start building a truly profitable practice — without selling out your values.

To more from Eric Miller and Nathan Shields, be sure to register for the upcoming PPOClub Conference, Oct. 2-4, 2025 in Destin, FL, register now: https://ppoclubevents.com/homepage

Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall

Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

In this episode of the Private Practice Owners Club podcast, Nathan Shields sits down with Lance Gross of GTS Physical Therapy to tackle one of the most overlooked profit killers in private practice: poor revenue cycle management (RCM), leading to sub-optimal revenue and profits.

Lance breaks down how clinic owners can dramatically improve cash flow, revenue, and profitability by tightening up RCM systems—without seeing more patients or working more hours. From monitoring provider billing habits to boosting patient retention and increasing frequency of care, we explore the small tweaks that lead to big financial wins.

If your clinic is bringing in patients but profits aren't where they should be, this conversation will show you exactly where to look and what to change.

Whether you're in growth mode or just trying to stop the bleeding, this episode gives you the tools to take control of your financial future—starting today.

To hear more from Lance and how he grew to 25 clinics in 7 years, join us at the PPOClub Conference in Destin, FL, Oct. 2-4, 2025. Register here - https://ppoclubevents.com/homepage

In this eye-opening episode, Nathan Shields sits down with a PPOClub Conference keynote speaker Scott Gardner, founder of the United Physical Therapy Association (UPTA), for a candid conversation about his noble stand against industry failure. He talks about his mission to address the growing challenges facing private practice owners and why many feel abandoned by the APTA. Scott also shares what pushed him to launch a new association built by and for private practice PTs, and what it will take to turn the tide in our industry.

They dive into:

• Why so many PT owners are losing trust in traditional advocacy groups
• The origin story of the United Physical Therapy Association
• Key policy issues threatening private practices today
• What real representation should look like – and how to get it
• How private practice owners can unify and push for change

If you're tired of feeling like you are on your own, this is a must-listen episode.

🎙️ Join the movement. Get connected. Take action.

And don’t miss the upcoming Private Practice Owners Club Conference where conversations like this go even deeper. Register now at ppoclubevents.com/homepage

Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall

Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

Have you ever considered what it would take for you to stand out in your community, what you would have to do differently to grow your practice and make a bigger impact? In this episode, Nathan Shields and Adam Robin discuss the 5 things you must do if you want to generate the impact that you're seeking. You may be surprised to find that it doesn't require a significant amount a month, doesn't require any new equipment, and simply relies on improving your product and leveraging what you already have.

These processes aren't new, but just well laid-out for Private Practice Owners to implement easily and quickly. And if you like the podcast and you're looking for more support in transforming your business, reach out to Adam at [email protected] or book a call via our website: www.ppoclub.com.

In this high-impact roundtable, Nathan Shields brings together three leading voices in the private practice space to tackle two of the biggest challenges clinic owners face today: filling your schedule with new patients and enrolling your team to take ownership in driving your business forward. Join expert panelists Adam Robin (co-owner of Private Practice Owners Club Coaching), Justin Gilligan, (founder of Carbon PT Marketing), and Greg Todd (creator of Smart Success Healthcare) share actionable insights, hard-won lessons, and proven strategies to help you stop doing it all yourself and start building a practice that runs with clarity, consistency, and collaboration. Whether you are a seasoned owner or scaling your first location, this episode is packed with the kind of wisdom that turns stress into systems and effort into results.

Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall

Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

Be Among The First PTs To Empower Your Patients — And Get Paid Doing It

Dive into a powerful conversation on ilovept.org’s XPRT2ND initiative, a PT-led movement transforming the way medical referrals are being made. Through a patient-first, surgery-last approach, orthopedic care has been greatly improved and made more accessible.

What you’ll discover in this episode between Adam Robin and Joe Simon:

• A mission born from necessity. Learn how XPRT2ND empowers clinicians and patients with expert second opinions within 48 hours, ensuring truly medically necessary interventions
• A win-win for PTs and patients. Physical therapists can help guide better orthopedic decisions, earn referral rewards, and solidify their role as essential healthcare advocates
• How to partner and grow. Hear about the affiliate model: early-access recruitment, access to marketing materials, pitch decks, and training designed to boost both patient care and revenue

Join us as we explore how PTs can lead change, support better clinical outcomes, and grow their practice, all through a patient-first lens.

Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall

Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

Nathan Shields attended the Nashville Mastermind with members of the PPOClub this June. Adam Robin joins him in this insightful conversation about the things they have learned during the event, particularly the top three challenges currently faced by private practice owners. Tune in as they break down valuable tips about leadership development, talent recruitment, and time-focus management.

Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall

Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

Ready to punch through plateaus and scale with purpose? In this high-energy solo episode, Nathan Shields—former multi-clinic owner and founder of the Private Practice Owners Club—shares the five guidelines he uses with coaching clients to ignite sustainable growth. Whether you’re running a single location and considering hiring a new therapist, or looking to open your next location, these principles will tighten your systems, lift profitability, and buy back your time, making it easier and more likely that expansion is a success.

Stick around to hear real-world examples, quick-hit action steps, and the one mindset shift that prevents growth from crushing culture. Plus, Nathan drops a super-early-bird invite to the next PPOClub beach-side conference—Elevate & Expand-- in Destin, FL, October 2-4, 2025. Register Here ===> https://ppoclubevents.com/homepage