We break down the first five critical things to do immediately when starting a physical therapy clinic with minimal digital presence. We discuss claiming your Google Business Profile to ensure local visibility, creating a simple and clear website, securing your business name across all major social media platforms, focusing on just one or two platforms initially (Instagram and Facebook recommended), and building a review strategy to establish credibility. We emphasize that your digital foundation really comes down to three core elements: Google visibility for discoverability, a trustworthy website, and video content to build recognition in your community.