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Most physical therapy clinics market the wrong thing. They promote visits, treatments, and techniques — but patients don’t actually want those things. What they want is the outcome: getting back to running, lifting, sports, or living pain-free. In this episode, Jimmy McKay and Dave Kittle explore how PT clinic owners can shift from transactional care to transformation-based care. Drawing insights from thinkers like Seth Godin, Gary Vee, Rory Sutherland, Chris Voss, and Chris Do, they explain ...

A comment calling hospital PTs “discharge monkeys” kicks off a real conversation about burnout, autonomy, and what the system incentivizes. Rebekah Griffith and Jimmy McKay unpack why acute care PTs feel boxed into discharge throughput, how that attitude spreads through teams (presenteeism), and what leaders can do to get great clinicians back to practicing with purpose. What You’ll Learn Why “we’re all just PTs” can still ignore real specialization and skill differences How payer-centered con...

Episode theme: If your marketing “isn’t working,” your real bottleneck is usually operations + friction—and tech/ads will only amplify what’s already broken. What we covered The blizzard story: how a “post-visit survey” fired after a visit that never happened—and what that signals about your systems Why everything is marketing in direct-to-consumer healthcare: phones, response time, scheduling, cancellation flow, vibes The leadership disconnect: expecting marketing to “perform” while giving ...

A real-world clinic-owner problem: a therapist who wants the upside (patients “dropped in their lap”) but won’t do the minimum (timely notes, accountability). Dave and Jimmy walk through the practical HR/documentation approach, how one low-effort teammate drags culture and outcomes, and the retention strategies that keep high-value patients loyal to the practice even when staff changes. What you’ll learn How to build a paper trail that makes HR decisions clean and defensible Why resignation is...

Physical therapy can’t survive on “me, me, me” messaging. Dr. Lisa VanHoose breaks down why rehabilitation deserts are growing, why gatekeeping admissions is fueling the PT workforce shortage, and what it looks like to rebuild the profession around community, access, and relational capacity—not just credentials and productivity. We talk rural retention, community-based rehab, why “bootstraps” is a myth in healthcare design, and how the Ujima Institute is building real-world mobility support thr...

If your clinic feels busy but profit isn’t increasing, this episode will hit home. Doug Adams joins Jimmy to break down one of the most uncomfortable truths in private practice physical therapy: growth does not come from treating more people. It comes from treating the right people. Key Takeaways: • Why every PT clinic needs a defined sales process • The difference between commoditized visits and transformational outcomes • How defining your ideal patient increases revenue per client • Why...

Jeremy VanDevender shares a practical clinic-growth and leadership framework built on a few core ideas: lead with optimism, listen like it’s your job (because it is), and create real pathways for clinicians to grow—clinically or into leadership—without burning out. In this episode, we cover: How Jeremy earned internal buy-in and built “followership” through autonomy + support Why negativity gets attention—but positivity builds real teams What hasn’t changed in PT (patients want to feel better...

AI is no longer theoretical for clinic owners. A PT in Ohio just received a 12-visit self-pay package from a patient who found her through AI search. That changes the conversation. In this episode, we explore: How AI platforms decide which clinics to recommend Why your digital footprint matters more than ever The role of frequency in modern marketing Whether AI-sourced patients are more decisive and cash-friendly Why positioning matters (and whether PTs need a “shared enemy”) What Cross...

Stop Running a 1998 Clinic in 2026 Reimbursement is shrinking. Expenses are rising. And too many PT clinics are still operating like it’s 1998. Albert Katz, CEO of Flagler Health, joins Jimmy to talk about: Why most healthcare tech fails The real hidden costs of not modernizing How missed calls and slow intake quietly drain revenue Vendor fatigue and point-solution overload Why AI in billing still requires human oversight The operational standards PTs must hit to be first response for MS...

Heidi Jannenga has been part of this show since the early days — and she returns with data every clinic owner and staff PT needs to see. The 2025 State of Rehab Therapy Report reveals a widening gap between clinicians and leadership. While leaders assume pay is the biggest issue, clinicians say they’re motivated by purpose, autonomy, and meaningful work. This episode explores: Why misalignment is accelerating turnover Why “just pay them more” won’t fix it What true leadership listening look...

Are PTs Leaving Money on the Table? In this episode, Jimmy, Tony Maritato, and Dave Kittle dig into something most physical therapists aren’t even considering: Live selling. Affiliate income. Attention as the business model. It starts with Jimmy testing live selling premium recovery devices through Amazon Live. But it quickly turns into a bigger conversation: Are PTs avoiding affiliate revenue because it feels “salesy”? Are we spending $100K on conference booths while ignoring attention 11....

Physical therapy doesn’t have a value problem. It has a positioning problem. In this episode, Jimmy talks with Matthew Pratte about why private outpatient practices are getting squeezed — and what to do about it. Key Topics Covered: Why fee-for-service puts control in someone else’s hands How inflation + stagnant reimbursement compress margins Why scale favors hospital systems and large chains The rise of direct-to-employer contracting What self-insured employers are — and why they matte...

Most PTs Think There’s Only One Career Path. They’re Wrong. Live from APTA CSM in Anaheim, Jimmy sits down with Tim Reynolds — professor, clinician, author, and anatomy educator with over one million followers online. This episode dives into: Why PTs default to the “40-hour clinic model” The branding problem inside physical therapy How social media can be used responsibly in healthcare Why novelty prevents burnout The concept of “micro joys” vs. waiting for big life events How saying yes...

In this episode, Jimmy sits down with Chanha Hwang, PT, founder of Moviq Health, a clinical biomechanics lab in Las Vegas designed to function like “Quest Diagnostics for human movement.” The discussion focuses on one core idea: Physical therapy cannot claim authority in movement without standardized diagnostic infrastructure. Inside This Episode: Why observational data weakens PT credibility The link between standardized testing and patient buy-in How objective reporting increased plan-of...

Physical therapy reimbursement has declined for years — while tuition, expectations, and scope continue to expand. Steve Smith joins PT Pintcast live from CSM to discuss: Why he became a private practice owner after a VC acquisition Lessons learned about leadership during COVID Medicare payment cuts and recent advocacy wins Why every PT must understand advocacy How state-level scope of practice changes create national ripple effects The importance of simple, clear messaging in professiona...

What does physical therapy look like beyond the U.S. healthcare system? In this episode, Jimmy talks with Sidy Dieye, CEO of World Physiotherapy, about how the global PT profession is evolving — and why U.S. clinicians should care. World Physiotherapy represents 129 member organizations and over 600,000 physiotherapists worldwide. Sidy shares: Why global collaboration is the profession’s greatest strength The workforce crisis in countries with only one trained physio per 10 million people ...

Physical Therapy Is at a Turning Point Rupal Patel joins PT Pintcast live from CSM to discuss why physical therapy is entering its second century — and why that means expanding our role beyond musculoskeletal care. Key Themes: Why PT is at a professional inflection point Social and structural determinants of health How zip code predicts mortality Why apathy is more dangerous than resistance How to advocate without traveling to DC Empowering patients to advocate for themselves The discom...

Insurance runs out. Patients still need care. Now what? Melanie Brennan built a nonprofit neuro recovery gym to solve exactly that problem. After seeing patients decline post-discharge from traditional rehab settings, Melanie launched EA Therapeutic Health — a hybrid model blending: Insurance-based PT Cash-based extended recovery sessions Personal trainers + rec therapists alongside PTs Fundraising + grants to subsidize cost Community-based nonprofit structure Now with 24 employees and a...

PTs Belong in Disaster Response — Here’s How to Step In Disasters don’t discriminate. They impact hospitals, nursing homes, outpatient clinics, schools, and communities. Yet physical therapists are rarely included in disaster planning or emergency response operations. In this episode, Megan Mitchell breaks down: • Why disasters are increasing in frequency • Where PTs are currently underutilized • The musculoskeletal reality of disaster injuries • Why you can’t “just show up” during an eme...

Most physical therapy clinic owners have been told the same story: Spend 5–10% of revenue on marketing. Run Facebook ads. Buy Google traffic. Outspend competitors. But what if that advice is wrong? Live from CSM, Jimmy and Sturdy McKee break down a back-to-basics approach to clinic growth that doesn’t rely on ad spend — it relies on relationships. What You’ll Learn: Why patients don’t buy healthcare on Facebook How primary care physicians see 20–40% MSK cases weekly Why referrals are s...

Emergency Department PT, Top-of-Scope Mindset & Reigniting Your CareerRecorded live at CSM, Jimmy sits down with Rebekah Griffith (https://theeddpt.com/), PT, DPT, to talk about the growth of physical therapy in the emergency department — and what it takes to bring it into your hospital.In This Episode:* What “Top of Scope” really means (mindset + skillset)* Why ED PT jobs aren’t widespread yet* How to pitch ED PT to hospital leadership (do a PT eval on the hospital)* Specialist vs generalist debate in acute care* Why conferences can reignite your professional energy* How networking creates lifelong career relationshipsRebecca shares a practical framework for introducing ED PT services:* Evaluate your hospital like a patient* Identify impairments and participation restrictions* Align PT value with what matters to leadership* Set measurable goalsThis episode is about expanding what’s possible in your career — and protecting the future of the profession.SponsorsThis episode is brought t…

PT Is Political — And That’s Not Optional Recorded live at APTA CSM, this conversation tackles one uncomfortable truth: physical therapy operates inside a political healthcare system. If you ignore policy, reimbursement, or structural access issues, you're still affected by them. In This Episode: Why research feels intimidating (and why it shouldn’t) How curiosity fuels better patient care The policy gaps affecting farmworker communities Why students must engage in health systems early W...

Episode Overview Live from APTA CSM in Anaheim, Jimmy talks with Nicole O’Neill from U.S. Physical Therapy about what USPH actually is—and why most PTs don’t realize they’ve probably seen one of their clinics. USPH partners with 135+ locally branded physical therapy practices across 44 states, providing national operational support while allowing clinics to maintain their identity. This episode breaks down what that model looks like for: New grads Experienced clinicians Clinic owners explo...

Visibility Is Not Optional Anymore If you’re a physical therapist or clinic owner relying on reputation alone, you’re already behind. This episode covers: Why simple LinkedIn polls outperform complex content The lesson behind viral cultural moments Repurposing one idea across multiple formats How AI session analytics can improve therapist performance Why frequency beats perfection The “fifth executive role” PT organizations are missing (communications) How to build earned attention inst...