Physical therapy payment is shrinking while tuition keeps rising. In this episode, Steve Smith, private practice owner and President of APTA Massachusetts, explains why advocacy isn’t optional anymore — it’s survival.
We talk Medicare cuts, scope of practice reform, prescriptive authority, diagnostic imaging, and why every PT and PTA needs to know their legislators. If you’re a clinic owner, rehab director, or staff clinician wondering why reimbursement feels harder every year — this episode connects the dots.
Advocacy → Payment → Access → The Future of PT.
⏱️ Chapters
00:00 – Live From CSM
02:10 – Why He Bought A Clinic
05:30 – Payment Is The Problem
08:15 – The Soft First Step
11:05 – The Big Advocacy Goal
13:45 – State Wins And Risks
15:20 – Never Assume. Always Ask.
