Feb. 20, 2026

Grow Without Selling Your Soul: Inside USPH

Grow Without Selling Your Soul: Inside USPH
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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 exploring partnership
  • PTs who want growth without burnout


Key Topics

  • The USPH partnership model
  • Maintaining local brand autonomy
  • National support for payroll, benefits, recruiting
  • Employer branding in physical therapy
  • Why USPH is investing in visibility at CSM
  • “Grow With USPH” — what it means


About U.S. Physical Therapy

U.S. Physical Therapy is a national network supporting local PT clinics with financial, administrative, and operational infrastructure—so clinicians can focus on patient care and leadership development.


Learn more:

???? https://usph.com

Transcript
WEBVTT

00:00:00.979 --> 00:00:03.419
here all right so now we're live we're

00:00:03.439 --> 00:00:05.280
not live yet but in about six or

00:00:05.320 --> 00:00:12.900
seven seconds we will be and now all

00:00:12.920 --> 00:00:14.981
right and now we're live awesome nicole

00:00:15.002 --> 00:00:17.082
from us physical therapy nicole o'neill

00:00:17.102 --> 00:00:18.763
from us physical therapy fix your

00:00:18.783 --> 00:00:21.062
microphone fix my mic now we sound great

00:00:21.182 --> 00:00:23.704
okay all right come this way good this

00:00:23.724 --> 00:00:25.123
is literally us testing this okay awesome

00:00:26.044 --> 00:00:27.946
I've been doing podcasting and media and

00:00:28.025 --> 00:00:29.887
communications and physical therapy for a

00:00:29.946 --> 00:00:31.408
decade, which makes me feel old.

00:00:31.428 --> 00:00:33.670
I wear ridiculous outfits on day one of

00:00:33.689 --> 00:00:34.631
CSM every year.

00:00:35.411 --> 00:00:36.432
This is the first time we're actually

00:00:36.453 --> 00:00:38.674
going live, so we're testing this.

00:00:39.134 --> 00:00:39.314
U.S.

00:00:39.354 --> 00:00:41.237
Physical Therapy, ballpark it for me.

00:00:41.737 --> 00:00:43.639
How many partners do you have in the

00:00:43.738 --> 00:00:44.539
United States?

00:00:44.640 --> 00:00:46.261
We've got about a hundred and thirty five

00:00:46.301 --> 00:00:48.523
partners across forty four states.

00:00:48.703 --> 00:00:48.902
Wow.

00:00:49.384 --> 00:00:53.826
So we've got a good footprint across the

00:00:53.887 --> 00:00:54.228
U.S.

00:00:54.648 --> 00:00:57.450
And the need here today, who do you,

00:00:57.729 --> 00:00:58.570
if you had a tail,

00:00:59.151 --> 00:01:00.631
who's it wagging when they walk up?

00:01:00.692 --> 00:01:01.453
Is it new grads?

00:01:01.493 --> 00:01:02.814
Is it seasoned professionals?

00:01:03.014 --> 00:01:04.454
Who are people looking to relocate?

00:01:04.474 --> 00:01:05.234
What are you looking for?

00:01:05.656 --> 00:01:07.837
We're looking for new grads mostly.

00:01:08.837 --> 00:01:10.778
But I also think the biggest thing for

00:01:10.879 --> 00:01:11.719
us too as U.S.

00:01:11.760 --> 00:01:13.400
Physical Therapy is not many people know

00:01:13.441 --> 00:01:13.902
about us.

00:01:14.281 --> 00:01:16.442
So employee branding, right?

00:01:16.462 --> 00:01:17.603
Getting our name out there,

00:01:17.664 --> 00:01:18.765
getting the visibility out.

00:01:19.405 --> 00:01:20.465
is really important to me.

00:01:20.506 --> 00:01:22.147
So when we do go to campus and

00:01:22.186 --> 00:01:23.849
we start trying to interact with these new

00:01:23.888 --> 00:01:25.250
grads, they know who we are.

00:01:25.650 --> 00:01:26.510
Okay, so why?

00:01:26.671 --> 00:01:27.590
Why is that?

00:01:27.631 --> 00:01:31.414
Because you guys make it a point to,

00:01:31.914 --> 00:01:34.555
when organizations join your group,

00:01:34.837 --> 00:01:37.397
they retain their identity, I guess.

00:01:37.457 --> 00:01:40.521
So people have seen, interacted with,

00:01:41.581 --> 00:01:42.864
US physical therapy clinics,

00:01:43.144 --> 00:01:43.765
but they don't know it.

00:01:43.784 --> 00:01:44.766
They don't know it, nope.

00:01:45.087 --> 00:01:46.287
And that's on purpose, right?

00:01:46.328 --> 00:01:47.909
So when we acquire a partner,

00:01:48.870 --> 00:01:53.016
we tell them that they're gonna remain

00:01:54.197 --> 00:01:56.900
their own branding in terms of being

00:01:57.281 --> 00:01:58.823
autonomous from USPH.

00:01:59.543 --> 00:02:00.924
And I feel like that is a really

00:02:00.965 --> 00:02:03.546
great thing about USPH and that's what

00:02:03.566 --> 00:02:04.468
makes us so special.

00:02:04.987 --> 00:02:07.189
But there's also a need for people to

00:02:07.230 --> 00:02:10.752
know who USPH is, right?

00:02:10.772 --> 00:02:11.552
Okay, so who is USPH?

00:02:11.592 --> 00:02:13.074
So USPH is really the national support

00:02:13.114 --> 00:02:14.074
behind these clinics.

00:02:14.675 --> 00:02:19.860
So we help them operate and so they

00:02:19.900 --> 00:02:22.140
can focus on treating patients,

00:02:22.342 --> 00:02:24.263
which is the number one most important

00:02:24.282 --> 00:02:24.562
thing.

00:02:24.682 --> 00:02:28.747
USPH is run by physical therapists who

00:02:28.787 --> 00:02:31.348
have turned, you know,

00:02:31.528 --> 00:02:33.090
to the business side and operational side

00:02:33.110 --> 00:02:33.531
of things.

00:02:34.290 --> 00:02:36.492
But, you know,

00:02:36.513 --> 00:02:37.713
so we come in and try to help

00:02:37.774 --> 00:02:39.836
our partners, you know,

00:02:40.475 --> 00:02:42.076
financially, administratively,

00:02:42.197 --> 00:02:42.757
operationally.

00:02:42.776 --> 00:02:44.157
The things that aren't on the syllabus

00:02:44.198 --> 00:02:45.198
when you're in PT school,

00:02:45.217 --> 00:02:46.278
that all of a sudden when you open

00:02:46.318 --> 00:02:48.098
a clinic, good, bad, or otherwise,

00:02:48.520 --> 00:02:49.280
are now on the menu.

00:02:49.439 --> 00:02:49.659
Right.

00:02:49.819 --> 00:02:51.100
They don't want to do payroll.

00:02:51.140 --> 00:02:52.221
They don't want to do benefits.

00:02:52.260 --> 00:02:53.222
And that's where we come in.

00:02:53.361 --> 00:02:55.143
And we also have a huge recruiting

00:02:55.163 --> 00:02:55.562
support.

00:02:56.043 --> 00:02:57.242
And so that's what we are.

00:02:57.984 --> 00:02:59.563
And so it's really important, though,

00:02:59.745 --> 00:03:01.685
that we are part of this game now,

00:03:02.006 --> 00:03:04.766
coming to CSM and coming to CSM as

00:03:04.847 --> 00:03:05.387
USPH.

00:03:05.426 --> 00:03:07.348
This is our second year doing this.

00:03:07.647 --> 00:03:07.848
Yeah.

00:03:07.867 --> 00:03:08.688
Pulling back the curtain.

00:03:08.729 --> 00:03:09.710
Pulling back the curtain.

00:03:09.729 --> 00:03:11.091
This is the person behind the curtain.

00:03:11.110 --> 00:03:11.752
Exactly.

00:03:11.792 --> 00:03:11.991
Yes.

00:03:12.032 --> 00:03:13.233
Not me, but yes.

00:03:13.453 --> 00:03:13.573
Well,

00:03:13.592 --> 00:03:15.055
you're part of a decent sized team here.

00:03:15.074 --> 00:03:15.194
We are.

00:03:15.754 --> 00:03:16.716
If you're on site,

00:03:16.776 --> 00:03:17.917
I feel like I'm doing play by play.

00:03:17.937 --> 00:03:18.737
We got the headsets on.

00:03:18.777 --> 00:03:19.579
If you're on site,

00:03:20.139 --> 00:03:21.719
we're at booth twelve forty four.

00:03:22.760 --> 00:03:24.323
Come because I'm probably going to turn

00:03:24.342 --> 00:03:26.183
you into a video or interview you.

00:03:26.204 --> 00:03:27.284
Absolutely.

00:03:27.324 --> 00:03:29.046
Talk to me about this doesn't seem like

00:03:29.067 --> 00:03:29.706
it makes any sense.

00:03:29.727 --> 00:03:30.687
Talk to me about dogs.

00:03:30.788 --> 00:03:31.269
Why is that?

00:03:31.308 --> 00:03:31.468
Why?

00:03:31.568 --> 00:03:32.090
Why is dogs?

00:03:32.210 --> 00:03:33.971
Why are dogs a thing here this year

00:03:34.211 --> 00:03:34.692
and last year?

00:03:34.972 --> 00:03:38.215
Well, I think it's because obviously, um,

00:03:38.254 --> 00:03:39.436
we know that there's some.

00:03:40.157 --> 00:03:42.498
Uh, therapy, stressful situations,

00:03:42.558 --> 00:03:43.901
stressful situations.

00:03:44.320 --> 00:03:45.222
It's a long day.

00:03:45.602 --> 00:03:46.703
People are on their feet,

00:03:46.923 --> 00:03:48.024
lots of shaking hands.

00:03:48.145 --> 00:03:49.566
And I don't know when you see a

00:03:49.626 --> 00:03:51.348
puppy or you see a dog,

00:03:51.367 --> 00:03:53.028
different part of your brain turns on.

00:03:53.288 --> 00:03:53.629
Yes.

00:03:54.250 --> 00:03:54.411
Um,

00:03:54.591 --> 00:03:56.431
and we saw how many people were there

00:03:56.472 --> 00:03:58.234
at the bar park last year when we

00:03:58.294 --> 00:03:59.074
had it in Houston.

00:03:59.215 --> 00:04:00.695
Solid name, by the way, Bark Park.

00:04:00.735 --> 00:04:01.316
Bark Park, yes.

00:04:01.336 --> 00:04:02.356
Somebody understood the assignment.

00:04:02.516 --> 00:04:03.197
Exactly.

00:04:04.198 --> 00:04:06.538
So it was a choice between Pickleball and

00:04:06.579 --> 00:04:08.800
Bark Park, and we went to Bark Park.

00:04:08.960 --> 00:04:09.860
Smart move.

00:04:09.901 --> 00:04:10.441
Exactly.

00:04:10.741 --> 00:04:11.861
So we're hoping to see a lot of

00:04:11.882 --> 00:04:12.921
people there today as well.

00:04:13.021 --> 00:04:14.423
I tried to take a dog home last

00:04:14.443 --> 00:04:14.582
year.

00:04:14.603 --> 00:04:15.824
I was told that wasn't what the Bark

00:04:15.843 --> 00:04:16.244
Park is.

00:04:16.324 --> 00:04:18.404
It's sort of like a rent for a

00:04:18.425 --> 00:04:19.886
ten, fifteen minute thing.

00:04:20.185 --> 00:04:23.146
it is but if you were seriously interested

00:04:23.206 --> 00:04:25.146
in adopting yeah they will help you do

00:04:25.166 --> 00:04:26.447
that as well i gotta be honest nicole

00:04:26.487 --> 00:04:28.127
i'm dumbfounded i keep myself alive i'm

00:04:28.148 --> 00:04:29.447
not gonna put that on i hear you

00:04:29.468 --> 00:04:32.148
i hear you so much responsibility so but

00:04:32.187 --> 00:04:34.228
you're also looking for organizations to

00:04:34.468 --> 00:04:36.408
who maybe are hearing the pain points that

00:04:36.428 --> 00:04:38.790
you're talking about a minute ago uh

00:04:38.889 --> 00:04:42.269
staffing recruiting uh payroll marketing

00:04:42.790 --> 00:04:44.430
so you look for organizations as well to

00:04:44.471 --> 00:04:46.170
join usph mike do i have the right

00:04:47.088 --> 00:04:48.408
In terms of organization.

00:04:48.427 --> 00:04:49.428
Like partners, like clinics.

00:04:49.449 --> 00:04:50.088
So we're like, hey,

00:04:50.129 --> 00:04:51.269
how do I do that?

00:04:51.329 --> 00:04:52.189
So that's a different door.

00:04:52.209 --> 00:04:53.369
So you're not just looking for people like

00:04:53.389 --> 00:04:53.848
clinicians.

00:04:53.869 --> 00:04:55.490
You're also looking for partner

00:04:55.509 --> 00:04:56.009
organizations.

00:04:56.029 --> 00:04:56.829
Exactly.

00:04:57.050 --> 00:04:57.410
Yes.

00:04:58.230 --> 00:05:01.750
I mean, I think the intent with CSM,

00:05:02.151 --> 00:05:03.992
maybe not so much.

00:05:04.031 --> 00:05:07.892
But I think our main focus here today

00:05:07.913 --> 00:05:08.533
is recruiting.

00:05:09.333 --> 00:05:09.872
And then we do...

00:05:10.432 --> 00:05:11.533
go to the other conferences,

00:05:11.613 --> 00:05:14.915
PPS and have people out there who are

00:05:14.975 --> 00:05:17.257
constantly looking for partners to join

00:05:17.458 --> 00:05:17.997
our network.

00:05:18.077 --> 00:05:18.298
Nice.

00:05:18.439 --> 00:05:18.658
All right.

00:05:18.718 --> 00:05:20.860
So we have a we have a tradition

00:05:20.899 --> 00:05:21.800
on the podcast.

00:05:22.180 --> 00:05:24.141
And I'm just let me see if actually

00:05:24.161 --> 00:05:26.124
someone says, yeah, my jacket rocks.

00:05:26.963 --> 00:05:27.745
Thanks, Dr. Walkie.

00:05:27.824 --> 00:05:28.245
You're right.

00:05:28.264 --> 00:05:28.946
Showing me up.

00:05:29.245 --> 00:05:30.266
Pulling back the curtain.

00:05:30.906 --> 00:05:32.088
So we know the audio is working.

00:05:32.588 --> 00:05:33.889
So we have a tradition on the show.

00:05:33.908 --> 00:05:35.009
It's called the parting shot.

00:05:36.757 --> 00:05:37.877
This is the Parting Shot.

00:05:38.437 --> 00:05:39.838
One last mic drop moment.

00:05:40.499 --> 00:05:41.300
No pressure.

00:05:41.759 --> 00:05:43.880
Just your legacy on the line.

00:05:43.901 --> 00:05:46.122
All right, Parting Shot,

00:05:46.442 --> 00:05:47.903
just your chance for a mic drop moment.

00:05:47.963 --> 00:05:50.163
Is there something as we start CSM all

00:05:50.264 --> 00:05:50.343
of...

00:05:51.254 --> 00:05:52.916
seven and a half minutes ago okay is

00:05:52.937 --> 00:05:54.137
there a theme that you and the team

00:05:54.158 --> 00:05:56.079
are going with i see grow grow like

00:05:56.120 --> 00:05:57.461
so what's your part your parting shot is

00:05:57.480 --> 00:05:58.783
your just last chance for a mic drop

00:05:58.802 --> 00:06:00.624
moment what do you want your parting shot

00:06:00.644 --> 00:06:03.307
to be grow with usph okay yes so

00:06:03.367 --> 00:06:05.108
we you know there's a lot of opportunity

00:06:05.149 --> 00:06:08.031
here um a lot of different opportunities i

00:06:08.052 --> 00:06:10.494
think that's what makes us so unique um

00:06:10.654 --> 00:06:13.937
and so we've got opportunities endless

00:06:14.598 --> 00:06:14.798
Awesome.

00:06:14.858 --> 00:06:15.639
Twelve forty four.

00:06:15.680 --> 00:06:16.300
If you're here,

00:06:17.300 --> 00:06:18.423
I'm probably going to shove a camera and

00:06:18.442 --> 00:06:19.504
a microphone in your face.

00:06:19.744 --> 00:06:20.764
You're not really going to get that

00:06:21.084 --> 00:06:21.406
anywhere.

00:06:21.706 --> 00:06:22.627
Plus, you got lip balm.

00:06:22.666 --> 00:06:23.387
And I got to be honest,

00:06:23.468 --> 00:06:24.428
sounds low value,

00:06:24.449 --> 00:06:27.031
but high reward and hand sanitizer.

00:06:27.172 --> 00:06:27.713
Keep your hands clean.

00:06:27.733 --> 00:06:29.334
You need hand sanitizer.

00:06:29.595 --> 00:06:30.475
Stay healthy.

00:06:31.661 --> 00:06:32.901
All right, live from CSM.

00:06:32.920 --> 00:06:34.562
I can't believe it took us a decade

00:06:34.581 --> 00:06:36.341
to actually stream live from this thing.

00:06:36.762 --> 00:06:38.262
And as far as I know,

00:06:38.362 --> 00:06:40.523
no one's done a live stream booth,

00:06:40.603 --> 00:06:41.723
and you are the first.

00:06:41.963 --> 00:06:42.564
I am the first.

00:06:42.603 --> 00:06:43.884
You are the very first interviewer the

00:06:43.923 --> 00:06:44.184
first time.

00:06:44.204 --> 00:06:44.504
I love it.

00:06:45.004 --> 00:06:46.805
And I haven't been mocked for having a

00:06:46.845 --> 00:06:47.704
bow tie just yet,

00:06:47.785 --> 00:06:49.285
but first day of CSM for me is

00:06:49.324 --> 00:06:50.764
always a ridiculous outfit day.

00:06:50.824 --> 00:06:51.906
So more,

00:06:52.045 --> 00:06:53.526
a lot more for the next three days

00:06:53.565 --> 00:06:54.685
here from the Super Bowl of Physical

00:06:54.706 --> 00:06:55.425
Therapy in Anaheim,

00:06:55.466 --> 00:06:57.286
California at APTA CSM.

00:06:58.651 --> 00:06:59.752
That's it for this one,

00:06:59.992 --> 00:07:01.653
but we're just getting warmed up.

00:07:02.132 --> 00:07:04.052
Smash follow, send it to a friend,

00:07:04.273 --> 00:07:05.913
or crank up the next episode.

00:07:06.434 --> 00:07:07.374
Want to go deeper?

00:07:07.814 --> 00:07:09.934
Hit us at pgpinecast.com.

00:07:11.173 --> 00:07:13.194
Or find us on YouTube and socials at

00:07:13.235 --> 00:07:14.435
pgpinecast.

00:07:14.855 --> 00:07:17.156
And legally, none of this was advice.

00:07:17.216 --> 00:07:18.956
It's for entertainment purposes only.

00:07:18.995 --> 00:07:19.555
Bullshit!

00:07:20.615 --> 00:07:21.216
See, Keith?

00:07:21.416 --> 00:07:22.476
We read the script.

00:07:22.757 --> 00:07:23.416
Happy now?