The P.t. Entrepreneur Podcast

Just got back from a working retreat with my business partners, Yves and Jerred, where we knocked out our quarterly planning. Jerred led an awesome exercise I want to share. If you are not tracking and planning in your business, you are driving blind. This simple framework can give you clarity and help you make serious progress in the next 90 days, maybe even double your revenue. As a profession, we are often great clinicians but terrible at business. This planning process is a learnable skill, just like dry needling.

Fresh off a family vacation. Vacations are tough for me, I have a hard time disconnecting. But this trip, I had a serious gut check. My godmother, a super successful business owner, recently got hit hard with an autoimmune disease, likely stress induced from decades of building her company. It was a stark reminder: you HAVE to take care of yourself. Genetics loads the gun, life habits pull the trigger. We preach this to patients all the time: sleep, nutrition, stress management, activity. But are we practicing it? When you love what you do, it is easy to work constantly, but that stress still takes a toll.

Fresh off a trip to Chicago. Amazing city in the summer, and the 4th of July fireworks from a rooftop deck were unforgettable. It got me thinking about this whole "passive income" thing that gets thrown around so much, especially with younger PTs and students. Let us be real, the "laptop lifestyle" gurus are selling a dream that is mostly bullshit. I get emails weekly from students asking how to generate passive revenue. Here is the truth: there is no magic bullet. True passive income takes a ton of active work upfront.

This one is for all you new PT grads out there. I remember my graduation day vividly, feeling like I accomplished something huge but also having no freaking idea what was next. That is normal. You have put in the work, and now it is time to figure out what you want your career and life to look like. First off, congratulations. What you have done is special. Take a moment to celebrate that marathon you just finished.

Got a question from a mastermind member that I think a lot of you can relate to. He is feeling like his practice has flatlined, scrambling for new patients, and what he is doing just is not working. This is a common struggle, especially if you have moved to a new area and are building from scratch. It is like being the new kid at school all over again. If you are in this boat, first, grab my book at FinsuranceBook.com. It is free, just pay shipping, and it is packed with lessons I learned the hard way.

Mind blown by a post from our mastermind member, Lauren. One of her clients has spent $21,000 over three years for ongoing maintenance work. That is $7,000 a year. It got me thinking: Would a patient pay that much to work with you? So many of us, especially younger PTs, massively undervalue what we do. If you do not believe in your worth, how can you expect your clients to? This client clearly sees immense value in staying active and healthy. It is a huge perspective shift from just fixing acute pain to providing long term wellness and preventing bigger problems down the road. My godmother spent hundreds of thousands on immunotherapy for an autoimmune issue likely linked to stress. $7,000 a year for proactive care looks like a bargain in comparison.

Fresh off a family vacation. Vacations are tough for me, I have a hard time disconnecting. But this trip, I had a serious gut check. My godmother, a super successful business owner, recently got hit hard with an autoimmune disease, likely stress induced from decades of building her company. It was a stark reminder: you HAVE to take care of yourself. Genetics loads the gun, life habits pull the trigger. We preach this to patients all the time: sleep, nutrition, stress management, activity. But are we practicing it? When you love what you do, it is easy to work constantly, but that stress still takes a toll.

Got an email from a student who is frustrated. He is still in school but seeing other PTs opening practices and building relationships in the city he plans to move to after graduation. He is feeling that scarcity mindset kick in. It is easy to say "have an abundance mentality," but how do you deal with it in real time when it feels like others are getting a head start? The truth is, there are plenty of people to help. Most of us are fighting over the 20% who already know they need us, while 80% of potential clients do not even know we exist or how we can help them.

Today I have Jay Myerson on, Director of Clinical Development at Performance Physical Therapy and adjunct faculty at Quinnipiac. We met at CSM doing a crazy early CrossFit workout. Jay's got a cool story about carving out a killer role for himself, blending clinical work, teaching, and mentorship, all without having to start his own thing from scratch. We dive deep into committing to clinical excellence and why your soft skills are just as crucial as your manual skills. Jay went the traditional route initially, then pursued advanced certs, residency, and fellowship. He realized the in network model was leading to burnout and was about to launch his own cash practice when an opportunity arose with Performance PT. They needed someone to develop their clinicians, and Jay wanted to treat, mentor, and teach. It was a perfect match, allowing him to create his dream job within a growing company.

Today, I want to dive into something a bit "woo woo" but incredibly powerful: the law of attraction, or more specifically, how your thoughts drive your actions. I am a big believer that what you consistently visualize and positively affirm, you are more likely to achieve. It is about putting yourself in the mental state to do the work. I remember in undergrad, I told my entire psychology class I was going to the Army Baylor PT program before I even got accepted. I was so sure, so obsessed with that one path, that it felt like a done deal in my mind. That conviction, that visualization, it matters.

Thinking about starting a cash practice but feeling stuck? You are not alone. I have talked to hundreds of PTs, and there are some common excuses, or barriers, that keep people from taking the leap. I just did some mindset training for our Blueprint program, and it reminded me how scary those first steps can be. Let us break down the top three. If you want a deeper dive, check out my free masterclass at physicaltherapybiz.com/masterclass.

Ever feel like you're just grinding, hitting goals, but not really enjoying it? I've been there. Grew up a saver, always had that scarcity mindset, which is good, but it can stop you from appreciating the wins. Today, I'm talking about ditching that 'always save, never spend' mentality and actually celebrating your business victories. Took me five years and a new truck to really get this. It’s not just about the shiny new thing; it’s about acknowledging the hard work and sacrifice. So, what's the point of all the effort if you don't enjoy the journey? We’ll cover when and how to celebrate those milestones, and why it’s crucial for the long haul. (P.S. If you just started, maybe hold off on popping champagne for that first patient, alright?)

My awesome wife, Ashley, actually agreed to jump on the mic with me for the second time in four years, can you believe it? We’re cracking open some wine to celebrate five wild years in business. We’re gonna walk you through the five biggest lessons we've picked up along the way. From treating folks right, to not getting caught in the comparison trap, and why your team is everything. Ashley even drops some wisdom, so you don’t want to miss this.

Ever find yourself hesitating, maybe putting off that big leap into your own practice? Today, I'm diving into something I saw with my own son, Jack where this idea that it's better not to try than to risk losing. Sound familiar? It got me thinking about how many new business owners, especially in our field, feel the same way. They're on the sidelines, not playing the game, because they're scared to fail. We'll unpack why stepping into the arena, even with that fear, is way better than never starting. Waiting for that "perfect moment"? Spoiler: it's not coming.

Man, you gotta hear this one. I'm talking with Nicole and Jesse Cozean from Pelvic Sanity, and they've absolutely crushed it building their cash-based pelvic health practice. Five PTs in just three years! We dive into how they did it, from ditching the old insurance mindset, to creating an unreal patient experience, and why focusing on being great beats just getting bigger. Plus, they spill on making a business work as a couple.

Ever feel like you're trying to connect with people, especially for your business, and it's just not clicking? Maybe you're going about it the wrong way. Today, I'm talking about a simple, but super powerful, idea: start by being genuinely interested in other people. It’s not about you, at least not at first. I learned this (again) talking to a wine distributor. I don't even drink much wine! But by just asking him questions and listening, he thought I was interesting. The same goes for building those crucial local business relationships. Forget the pitch about how awesome you are; find out what makes them tick.

Today I'm chopping it up with my man Duane Scotti. This dude’s a PT, a full-time professor, and the owner of Spark Physical Therapy. We get into how he juggles academia with running a cash practice focused on dancers, gymnasts, and runners. Duane shares his origin story, the power of niching down, and the mindset hurdles he had to clear to make it happen. If you’re thinking about carving out your own path, you’ll want to hear this.

You know that Dr. Seuss book, "Oh, the Places You'll Go!"? There's a bit in there about "The Waiting Place" that really nails what so many of us do, especially when we're thinking about starting a business or making a big leap. We get stuck waiting for the perfect moment, the right skill set, or for all the stars to align. Today, I'm diving into why that waiting game is so detrimental and why the discomfort of not trying often outweighs the fear of failing. Are you waiting, or are you just scared? Let's talk about getting out of that "Waiting Place" and into action.

Today Yves Gege's kinda taking the mic, though I'm still here, don't worry. We're coming at you from a financial conference, and man, it got us thinking. We saw a lot of successful folks who just weren't lit up by what they do. So, we're diving deep into living your passion and purpose. It's wild how many successful folks aren't truly connected to their 'why.' We break down how knowing your purpose fuels everything, from daily energy to big business decisions. Eve's on a mission to 'build better humans,' and I'm focused on impacting our profession and family time. We tackle burnout, the 'dip,' why now is a great time for PT entrepreneurs, and what retirement really means when you love what you do.

You know, I was just deep in revisions for our Gym PT Blueprint, specifically the sales section, and man, it hit me how much things evolve. Looking back at what I put together just a couple of years ago, I was like, "Wow, I've learned a ton since then!" And that's a good thing, right? Today, I'm talking about the power of focusing on those small, consistent improvements. That 1% better each day really adds up. It’s not about massive leaps; it’s about the daily grind of getting just a little bit better. We'll get into why that constant drive to improve is crucial, even if it means your old stuff makes you realize how far you've come.