Why 10x-ing Your PT Business Might Be Easier Than 2x-ing It

Episode Highlights:

• Why small, “safe” goals are limiting your growth
• How 10x goals force innovation and smarter systems
• Real-life client examples who went from 100K to 1M+
• The mindset shift that separates growing clinics from stagnant ones
• Why even “failing” at a big goal gets you further than hitting a small one

Resources Mentioned:

• Get the PT Biz Manual
• Sign up for the Part-Time to Full-Time Challenge

Like what you’re hearing? Please consider sharing this episode with a fellow PT and tagging Danny on Instagram. Let us know what part stood out most!

Scaling Smart: Lessons from Building a Multi-Location Hybrid PT Clinic

In this episode, Danny interviews Chris Roble, a longtime friend, PT Biz coach, and founder of Physio Room, a hybrid model clinic with 4 locations in Colorado. They dive deep into the evolution of his business, how he’s structured team incentives, front desk systems, and the mindset shifts that allowed him to scale without sacrificing culture or profitability.

🎯 Topics Covered

• The pros and cons of early business partnerships
• How Chris structured his hybrid model (cash + limited insurance)
• Why the front desk is your most important (and underutilized) sales asset
• How he builds team culture and accountability from the inside out
• What most PT owners get wrong about compensation and growth
• Opportunities for cash-based clinics in the next 5 years

💡 Key Quotes “Culture eats strategy for breakfast. Mindset drives everything.” “The front desk is the most important position in the clinic. They’re client experience and sales in one.” “You can’t think small and expect to scale. You have to set scary goals.” “If you want to pay your team more, you either raise your rates or raise your volume. Those are the levers.” 🧠 Pro Tips

• Invest in your front desk like they’re a high-level salesperson—they are
• Set up clear benchmarks and career ladders for your clinicians
• Use a 75/25 cash-to-insurance ratio to maintain margins while growing
• Let your team lead—give them lanes, then let them run in them
• Don’t underestimate the power of local reputation and word of mouth

🔗 Resources & Links

• PT Biz Website – Business coaching and training for cash-based clinicians
• Join the 5-Day Challenge – Learn how to go full-time with your practice
• Download the PT Biz Manual – Lessons from 1,000+ clinicians who went from burnt out to in control
• PT Biz YouTube Channel – Weekly videos on sales, leadership, marketing, and more

📍 About Physio Room

Founded by Chris Roble, Physio Room operates multiple hybrid clinics across Colorado with a focus on culture, autonomy, and scalable systems. Learn more at www.physioroomco.com

🧭 Final Thought

If you're serious about scaling your clinic, you need more than visits—you need systems, mindset, and culture. Chris shows how it's done in this must-listen conversation for growth-minded PTs.

How to Get More New Patients From Local Workshops

Most clinicians who run workshops don’t know how to confidently position themselves—and as a result, they walk away with little to no new patients.

In this episode, we break down:

• The mindset shift that turns workshops into patient drivers
• Why most clinicians fail to confidently pre-frame and close
• Exactly what to say at the end of a workshop to get new patients

Resources & Links:

• Join the 5-Day Challenge – Learn how to go full-time with a clear, actionable plan
• Get the PT Biz Book – Discover how cash-based PTs overcame fear, imposter syndrome, and built thriving practices
• Watch our YouTube Channel – Weekly strategies for mindset, marketing, and more
• Visit PT Biz – Coaching and support to build your dream practice

Connect With Us:

• Instagram: https://www.instagram.com/ptbiz
• YouTube: https://www.youtube.com/@ptbiztraining
• Website: https://www.physicaltherapybiz.com

Enjoy the episode—and if you’re ready to stop winging it and start seeing results, check out our free challenge or book a strategy call.

3 Important Cash-Based PT Trends in 2025

What’s changing in the world of cash-based physical therapy? In this episode, Danny Mattei breaks down three emerging trends in 2025 that every clinician should know—whether you're just starting your practice or trying to scale past yourself. These shifts are reshaping the profession and will impact how you grow, hire, and stay profitable.

📈 The 3 Trends

1. Clinicians are starting younger than ever: More DPT grads are skipping traditional jobs and going straight into private practice. Is this the new norm?
2. The first growth cycle is getting harder: Inflation, higher overhead, and tougher competition make scaling past yourself a real challenge—and many get stuck or quit.
3. Compensation plans must evolve: Clinicians want more guaranteed income and less variable pay. Business owners need better systems and higher margins to compete.

💡 Big Ideas

• Why early-stage solo clinics are exploding in number
• Why it's harder (but more profitable) to grow past $20K/month
• How private equity interest shows the maturity of the cash PT model
• Why performance-only pay structures are being rejected—and what to do instead
• The importance of becoming a business owner first, clinician second

🔗 Resources & Links

• PT Biz Website – Coaching & strategy for starting or scaling your cash-based practice
• Join the 5-Day Challenge – Go from part-time to full-time with a clear plan
• Get the PT Biz Book – How 240+ clinicians grew thriving cash practices
• PT Biz YouTube Channel – Weekly training for entrepreneurial PTs

🧭 Final Takeaway

The landscape is better than ever for starting a cash-based clinic—but scaling is harder. The reward? Massive income potential and time freedom if you can push through. Know the trends. Prepare to lead. And build a real business, not just a side hustle.

The Speed Trap: Why Going Too Slow Is Costing Your Business

In this episode, Danny explains why momentum is everything in business—and how clinicians often sabotage their growth by going too slow. Using the analogy of riding a bike or snowboard, he breaks down how fear, hesitation, and “waiting for the right time” lead to instability and burnout, not safety.

🎯 Topics Covered

• Why clinicians tend to move too slowly—and how it backfires
• The difference between healthy speed and reckless acceleration
• How going too slow creates pain, burnout, and lost momentum
• The mindset behind self-sabotage and hesitation
• How to identify when you're playing small out of fear
• Why momentum matters more than perfection

💡 Key Quotes "Going too slow might feel safe, but it’s actually where most people fall." "Momentum creates stability. Without it, your business wobbles and crashes." "You’re not stuck—you’re scared. And that’s costing you growth." "Playing it safe often leads to the exact pain you were trying to avoid." 🧠 Pro Tips

• Push yourself to make timely decisions, even when it’s uncomfortable
• Recognize when fear—not logic—is driving your delay
• Audit your pace: Are you stuck in “prep mode” for too long?
• Realize that momentum attracts opportunity—don’t let it die
• Leaning in creates confidence. Hesitating kills it

🔗 Resources & Links

• PT Biz Website – Strategy and coaching to build your dream clinic
• Join the 5-Day Challenge – Free training to break out of neutral and start scaling
• Get the PT Biz Book – Learn from 240+ clinicians who stopped playing small
• PT Biz YouTube Channel – Weekly insights on growth, mindset, and leadership

🧭 Final Thought

The biggest risk isn't going too fast—it's moving too slow. Momentum brings clarity, opportunity, and control. If your growth feels wobbly, it might be time to pick up the pace.

The Debt Mindset Shift You Need to Scale Your Clinic

In this episode, Danny breaks down one of the most overlooked barriers to growth: fear of debt. He shares hard-earned lessons from building his own clinic and working with 1,000+ others—and explains why your mindset around borrowing can make or break your business as you grow past the lifestyle phase.

🎯 Topics Covered

• Why PTs are so debt-averse (and why it makes sense)
• How bootstrapping can hurt your growth
• The real risks of borrowing vs. self-funding
• Why strategic debt isn’t bad—it’s a business investment
• The scary truth about growing from 1 to 3+ employees
• How to push through the “profit dip” and build a real business
• The mindset shift from clinician to CEO/investor

💡 Key Quotes "You're a business owner now. Think like an investor—not just a clinician who happens to own a business." "Bootstrapping your growth sounds noble, but it’s usually just slower and more stressful." "Borrow in a position of strength, not when you’re desperate. That’s when banks will actually lend to you." "Push through the tough stage as fast as you can. Profit comes back. Freedom follows." 🧠 Pro Tips

• Start lean—but don’t try to scale lean. Growth needs capital.
• Use debt strategically to accelerate team building and capacity.
• Expect your profits to dip before they rise again—it’s normal.
• Borrow when you’re stable, not scrambling—it puts you in control.
• If you want a scalable clinic, shift your identity to business owner/investor.

🔗 Resources & Links

• PT Biz Website – Get expert coaching to start and scale your clinic
• Join the 5-Day Challenge – Build your practice with clarity and momentum
• Get the PT Biz Book – Learn how 240+ clinicians grew their dream practice (many with smart debt)
• PT Biz YouTube Channel – Weekly insights on business growth and strategy

🧭 Final Thought

If you want to build a practice that gives you freedom—financial, time, and impact—you can’t stay stuck in a debt-avoidant mindset. Learn to think like an investor. Borrow wisely. Grow faster. And build the business you were meant to run.

How to Use Imposter Syndrome as Fuel (Not a Roadblock)

In this episode, Danny shares how to turn imposter syndrome from a source of fear into a tool for personal growth. Whether you're starting a business, hiring a team, or simply trying to charge what you're worth, Danny breaks down how to reframe your doubt and use it to level up—again and again.

🎯 Topics Covered

• Why almost every high performer feels like an imposter
• The story of TJ McConnell and the power of outworking everyone
• How to flip self-doubt into motivation for growth
• The difference between confidence, humility, and arrogance
• Why imposter syndrome shows up at every stage of success
• How to become the person worthy of your next goal

💡 Key Quotes "At every stage you level up, you’ll feel like an imposter again. That’s the game." "It’s not ‘Who am I to do this?’ It’s ‘Who do I need to become?’" "Imposter syndrome is a sign you care—and that you’re ready to grow." "You can be confident and humble. That’s not arrogance. That’s power." 🧠 Pro Tips

• Use your doubt to drive consistent learning and growth
• Seek out mentorship, education, and new challenges
• Reframe imposter syndrome as a signal—not a stop sign
• Commit to becoming the person your goals require
• Understand that each stage of business brings new challenges

🔗 Resources & Links

• PT Biz Website – Build and scale your cash-based clinic
• Join the 5-Day Challenge – Gain momentum with a clear, proven plan
• Get the PT Biz Book – Discover how cash-based PTs overcame fear, imposter syndrome, and built thriving practices
• PT Biz YouTube Channel – Subscribe for weekly coaching and insight

🧭 Final Thought

Imposter syndrome doesn’t mean you’re unqualified—it means you care. Use it as fuel to become the kind of leader, business owner, or clinician that no longer questions whether they belong. That’s how you win—one stage at a time.

Why Your Customer Experience Is Killing Referrals (and How to Fix It)

In this episode, Doc Danny shares the three-step customer experience framework that drives more referrals, boosts retention, and builds a reputation that speaks for itself. Inspired by a recent emergency surgery experience with his son, Danny lays out exactly how clinics can elevate their communication and consistency—without spending a dime on marketing.

🎯 Topics Covered

• The two biggest reasons patients refer (it’s not just outcomes)
• What hospitals get wrong about communication—and how not to repeat it
• Why breakdowns happen when you scale past yourself
• The three phases of a 5-star customer experience
• How to systematize follow-up for better retention and referrals
• Why internal communication channels make or break your team
• The power of weekly meetings to unify your staff and improve outcomes

💡 Key Quotes "Your reputation is earned in drops and lost in buckets." "Don’t be the clinic people have to make excuses for." "If you want word-of-mouth referrals, deliver the experience people will rave about." "The best time to generate a referral isn’t after discharge—it’s in the first few visits." 🧠 Pro Tips

• Break the customer journey into three parts: set expectations, meet them, and follow up
• Have a centralized communication channel like Slack to reduce miscommunication
• Build weekly team meetings to review patient progress and follow-up needs
• Create a system for post-visit touchpoints to check in and reinforce trust
• Remember: Patients refer based on how they feel, not just how they heal

🔗 Resources & Links

• PT Biz Website – Business coaching for cash-based clinicians
• Join the 5-Day Challenge – Learn how to grow your clinic without burnout
• Get the PT Biz Book – Real-world stories from 240+ cash-based PTs
• PT Biz YouTube Channel – Subscribe for weekly tactical content

🧭 Final Thought

Most clinics think great outcomes are enough. They're not. Patients remember how they were treated more than the treatment itself. Communication is free, but the ROI is massive. Start with clear expectations, deliver consistently, and follow up like it matters—because it does. Your clinic’s reputation (and referrals) depend on it.

Clinician or CEO? The Mindset Shift You Must Make to Grow

In this episode, Danny shares the single most important mindset shift physical therapists must make if they want to build a scalable, impactful business. It’s a brutally honest look at what it takes to transition from clinician to entrepreneur—and why trying to be world-class at both is a losing game.

🎯 Topics Covered

• Why “PT first” thinking limits your business potential
• The mindset difference between lifestyle clinics vs. scalable ones
• How obsession with clinical outcomes can transfer to business growth
• Why you can’t be elite at both treating and building
• What happens when you finally stop treating patients
• How to redirect your skills into sales, marketing, leadership, and finance
• When to let go—and how to avoid becoming the weakest clinician in your own clinic

💡 Key Quotes "You're either a physical therapist who owns a business... or you're a business owner who happens to be a physical therapist. There's a massive difference." "You can’t be world-class at both. Eventually, you have to choose." "Your obsession with patient outcomes? That’s the same energy you need to bring to business." "If you want financial and time freedom, you need to treat your clinic like a real business—not a side gig." 🧠 Pro Tips

• Make the identity shift from clinician to CEO if you want to grow
• Use your learning skills to master business: sales, marketing, operations
• Let go of treating if it’s limiting your growth—it doesn’t mean you’ve failed
• Build a team of badass clinicians better than you
• Start viewing your clinic as a vehicle for impact, not just income

🔗 Resources & Links

• PT Biz Website – Learn how to build and scale your cash-based clinic
• Join the 5-Day Challenge – Get your practice out of neutral and moving forward
• Get the PT Biz Book – Stories of 240+ clinicians who made the leap
• PT Biz YouTube Channel – Subscribe for more coaching and business insight

🧭 Final Thought

The best clinicians don’t always build the best clinics. To grow something great, you’ll have to let go of old identities and embrace new ones. Becoming a business owner isn’t abandoning your profession—it’s expanding your potential. Make the shift, build the team, and step into the leader your clinic needs.

How to Rank #1 on Google Maps: Danny & Jeremy on Local SEO for PT Clinics

In this episode, Danny sits down with marketing expert and former clinic owner Jeremy Dupont to break down what every clinic owner needs to know about ranking high in local search in 2025. They cover why Google Business Profiles matter more than ever, how AI is changing search results, and the simple steps to boost your local visibility—without wasting money on bad ad spend.

🎯 Topics Covered

• How AI is changing local SEO—and what it means for your clinic
• The death of traditional SEO and why traffic alone doesn't cut it
• Why your Google Business Profile is now your most important asset
• How to rank top 3 in Google Maps within 30 days
• The 3 most important factors for local SEO in 2025
• Why most clinics are invisible in Google’s AI summaries
• How to get more patients without increasing ad spend
• Why consistency and “digital trust” matter more than ever

💡 Key Quotes "If your Google Business Profile is dormant, Google assumes you’re out of business." "Ranking on Google Maps is AI-proofing your business." "You can't just clone a landing page—you need real, human content to build trust." "Digital word of mouth—aka Google reviews—can make or break your clinic’s visibility." 🧠 Pro Tips

• Update your Google Business Profile weekly (photos, posts, hours, services)
• Track and improve your Google review velocity, not just volume
• Create location-specific and service-specific landing pages with real human content
• List your business on multiple directories (not just Google and Facebook)
• Train your admin to manage reviews, directory listings, and local SEO tasks

🔗 Resources & Links

• The Patch System – Get a free SEO audit for your clinic
• Follow Jeremy Dupont on Instagram – See local SEO case studies and tips
• Join the 5-Day PT Biz Challenge – Go from part-time to full-time in your practice
• PT Biz YouTube Channel – More tactical advice for cash-based practices

🧭 Final Thought

SEO isn’t dead—it’s just changed. And if you own a physical therapy clinic, understanding local SEO is one of the highest ROI activities you can focus on in 2025. From optimizing your Google Business Profile to building real content for AI summaries, the steps are simple—but the impact is massive. Do the work now, and your clinic will be miles ahead while others are still catching up.