How can physical therapists grow thriving practices across multiple states while combining physical therapy with fitness and innovative revenue streams?

What does it take to manage acquisitions, startups, and a diversified care model?

Join me on today’s episode of The Dave Kittle Show as I sit down with Mike Giunta, CEO of Evolution Physical Therapy. Mike shares his journey from staff therapist to CEO of a bi-coastal physical therapy company, detailing how Evolution PT has expanded through mergers, acquisitions, and innovative care models.

In this episode, we cover:

• The evolution of Evolution Physical Therapy: from one location to a bi-coastal operation.
• How merging physical therapy with fitness creates diversified revenue streams.
• Why calculated risks, like SBA loans and acquisitions, drive growth.
• The philosophy behind Evolution’s 1:1 model of care while accepting insurance.
• Why prioritizing staff development and offering unique benefits retains top talent.
• How Mike is leveraging acquisitions, partnerships, and startups to scale nationwide.
• The importance of embracing social media and online video for patient education and business growth.

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

How can physical therapy practice owners effectively recruit, onboard, and retain therapists while fostering lasting relationships with patients?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

• Strategies for finding ideal candidates using platforms like LinkedIn and manual prospecting.
• How to create a seamless onboarding process, including training on EMR systems, mentorship, and setting expectations.
• How to find the right therapists using platforms like LinkedIn, virtual assistants, and personal outreach.
• Why it is important to implement trial periods and maintain transparency during the hiring process.
• How to create a step-by-step onboarding process to ensure seamless integration of new hires.
• How sending handwritten notes and holiday cards can foster goodwill and drive patient reactivation.
• Why offering therapy sessions in non-traditional settings (e.g., golf simulators, parks) can meet patient preferences.
• How to create transparent agreements that outline services, benefits, and costs.

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

Can digital physical therapy match the outcomes of in-person care?

What are the barriers and opportunities for physical therapists to embrace virtual care?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Jimmy McKay, Director of Communications at Mount Sinai Hospital and Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

• How platforms like Sword Health and Hinge Health are reshaping patient care.
• Are employers’ investments in digital health saving money in the long term?
• What do virtual care models mean for traditional PT clinics?
• Pros and Cons of Virtual Care
• What are the current limitations in AI and motion-tracking technology?
• Does in-person care lead to faster and better outcomes for complex cases?
• Predictions for a hybrid model that balances digital and hands-on care.
• Leveraging digital platforms to scale practices.
• Specializing in populations that benefit most from digital or hybrid models.

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

How can physical therapists overcome patient acquisition struggles and leverage modern marketing techniques to grow their businesses?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

• Why running a physical therapy practice requires unwavering focus, effort, and a willingness to tackle challenges head-on.
• The “go deep, not wide” approach to marketing.
• How short-form video content can generate massive visibility.
• Leveraging Facebook, Instagram, YouTube Shorts, and TikTok to grow your audience and brand.
• Setting expectations for profit margins and evaluating marketing ROI effectively.
• How Tony monetizes video content through ad revenue, affiliate marketing, and online communities.
• Understanding whether you're suited for business ownership or better positioned in a clinical role.

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

Is the $610k physical therapy practice in Queens County, NY, a good investment?

What should potential buyers consider before sealing the deal?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

• Why small practices carry higher risks due to limited staff and operational redundancy.
• Does $240k in cash flow on $600k in revenue make it a “cash cow”?
• Are $190k in tangible assets realistic for this location?
• Why poor photos and descriptions can undermine a business’s credibility.
• The potential of professional CEOs or tech companies in transforming small physical therapy practices into scalable, resalable businesses.
• How seller financing can create win-win opportunities, but only when executed strategically.

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

Is the FYZICAL Therapy location in Union County, NJ, worth its $500k price tag?

What should buyers consider before making an offer?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

• Why the owner's salary often skews profit margin calculations—and how to correct it.
• Realistic expectations for profit margins in physical therapy practices (hint: most fall between 18–25%).
• The financial red flags that signal a deal might be too good to be true.
• Key questions to ask when evaluating a franchise opportunity, like the "Physical" brand in Union County, NJ.
• How buyer expectations for absentee ownership versus hands-on management affect valuations.
• The hidden costs of replacing an owner’s operational role, from marketing to maintenance.

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

How can buyers assess if a physical therapy business is worth the asking price?

What red flags and opportunities should they watch for during due diligence?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

• How to calculate profit margins and what to make of the claimed 41%.
• Revenue-per-employee inconsistencies and what they mean for prospective buyers.
• Why financial transparency is key to avoiding overvalued purchases.
• Why most physical therapy practices have profit margins of 18–25% and how outliers should be scrutinized.
• The difference between asking for less than a 2x multiple vs. a potential 5–6x when cash flow is overestimated.
• What smaller and larger practices typically see in terms of valuation.

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

How can healthcare business owners, especially physical therapists, prepare their practice for sale and maximize its value?

What are the biggest challenges in mergers and acquisitions for small business owners?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

• What’s EBITDA and why is it the key metric for buyers in valuing your practice? 
• Why smaller practices typically see 3x multiples, while larger practices can command up to 8x.
• What are the common delays in the process of practice valuation? 
• Leveraging "good" debt to expand your practice and improve valuations.
• Should you “build” a business with the intent to sell? How do you separate personal and business finances?
• Why do business sales lack the transparency and comparable metrics of real estate and what you can do about it?

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

How will artificial intelligence reshape the healthcare industry by 2025, especially in physical therapy? What are the potential barriers and opportunities for physical therapists?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Jimmy McKay, Director of Communications at Mount Sinai Hospital and Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

• Is AI shaping strategies in healthcare business acquisitions and mergers? 
• How AI is expected to transform healthcare practices, including diagnostics, treatment planning, and patient management.
• How do you integrate AI tools & automated treatment protocols in physical therapy?
• Are there any potential economic growth with AI in healthcare? 
• Why are physical therapists hesitant to adopt AI? 
• What are the opportunities waiting for physical therapists in patient-care and engagement? 

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

Why are patients willing to spend thousands on physical products but hesitate to invest in physical therapy services? How can physical therapists meet patients where they are and provide value through innovative care and marketing strategies?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Jimmy McKay, Director of Communications at Mount Sinai Hospital and Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

• What is the “Free Water” business model? 
• How incorporating TENS units, resistance bands, and custom orthotics into care plans can enhance patient outcomes and drive additional revenue?
• Why are patients willing to spend on physical products like $1,600 orthotics but often hesitate to pay for therapy services? 
• Are platforms like Amazon and YouTube able to identify your marketing campaign for your potential patients for your retention-patients? And how? 
• Is it possible to expand your physical therapy practice through telehealth, remote therapeutic monitoring, and digital tools? 

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.