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