Episodit
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Running a PT practice comes with unique challenges—but you’re not alone. In this episode, Brian Gallagher shares real conversations with practice owners who are facing the same struggles as you. From staff turnover and financial pressures to operational bottlenecks, discover the biggest challenges PT owners are dealing with right now and the exact strategies to overcome them.
Key Takeaways:
The top challenges PT owners face in 2025—and how to fix them The 5 essential divisions every successful practice must have How to regain control of your staff, systems, and profitability Why shifting to a Progressive PT Private Practice Model is critical The financial benchmarks you should be tracking to stay aheadReady to take back control of your practice? Visit www.megbusiness.com to book a free call with Brian today.
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In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher shares the five vital life-changing principles that every practice owner needs to know to thrive in today’s challenging healthcare environment. Whether you’re just starting or managing a multi-clinic practice, these insights will help you improve efficiency, optimize revenue, and build a stronger practice culture. Tune in to learn why luck isn’t a strategy, how transparency breeds trust, and the secret to running a highly efficient practice.
💡 Key Topics Covered:
The importance of calculated planning over luck How to optimize financial efficiency and patient volume Why transparency with your team builds a thriving culture The role of growth mindset in scaling your practice How outsourcing admin tasks can help you save time and money📞 Need expert coaching? Visit megbusiness.com to book a free practice assessment call.
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Puuttuva jakso?
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Not all private practice owners lead the same way. Some struggle, some survive, and some thrive—but what makes the difference?
In this episode, Brian Gallagher breaks down the 4 types of PT owners and challenges you to identify where you stand:
✅ The Know-It-All Owner – Resistant to change, convinced they have it all figured out
✅ The Innocent Owner – New and uncertain, lacking structure and direction
✅ The Caregiver Owner – Passionate about patient care but neglects business fundamentals
✅ The Go-Getter Owner – Proactive, strategic, and always seeking growth
If you want to achieve true financial freedom and time flexibility, you need to evolve into a Go-Getter Owner—someone who observes, decides, and takes action.
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Starting a private practice can feel overwhelming, but it doesn’t have to be. In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, we dive into the essential steps for starting your practice the smart way. Whether you’re transitioning from employee to employer or considering mobile PT, this episode will give you the clarity and confidence to make informed decisions, avoid common pitfalls, and set yourself up for success. Learn how to achieve financial stability, time flexibility, and true freedom in your career.
Highlights from the Episode:
Understand the Path to Freedom: Discover why owning a private practice can offer financial stability paired with optimal time flexibility. Mobile PT vs. Brick-and-Mortar: Weigh the pros and cons of each model to align with your long-term goals. The 27-Step Startup Process: Learn the key steps to get your practice off the ground and running within six months. Smart Financial Strategies: Find out how to leverage other people’s money to build your business without draining your savings. Avoiding Common Mistakes: Hear real-world examples and advice on how to sidestep risks, scale effectively, and stay true to your vision.Ready to take the next step?
Click Here to visit our Linktree for access to all our resources, including our website, podcast episodes, YouTube channel, and contact information. Stay connected and take advantage of everything we offer to help you succeed in private practice!
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In this episode, Brian dives into a critical topic for physical therapy private practice owners in 2025: profitability. While patient volume is often strong, ensuring a sustainable and profitable practice is the real challenge. Drawing on over 30 years of experience and countless practice assessments, Brian shares actionable strategies for financial success, including diversifying services, leveraging automation, and outsourcing administrative tasks. This episode features an in-depth case study on the financial dynamics of running a 2,100-square-foot clinic, offering practical insights for practice owners at any stage of their journey.
Actionable Takeaways for Practice Owners:
Focus on profits by optimizing operations and expanding services. Leverage technology and automation to improve efficiency and patient care. Transition to a hybrid or cash-based model if it aligns with your market and goals. Reduce payroll costs by outsourcing non-clinical roles. Stay data-driven and proactive in decision-making.----
Resources Mentioned:
WebPT State of Rehab Therapy Report
The “Newbie eSTIM” system for cash-based services. Contact Brian for a free practice assessment via Zoom.----
Quote of the Episode:
“The way you’ve been doing physical therapy for the last five years won’t cut it in 2025. It’s time to innovate, automate, and outsource so you can thrive—not just survive.”----
Next Steps:
• Book a Free Practice Assessment to evaluate your profitability and growth opportunities for 2025!
• Start each day expecting to do well—your success is in your hands.
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What does the practice of the future look like? What is our full potential as physical therapists? Join us for a deep dive of the robust State of Rehab Report with the one and only Heidi Jannenga, DPT and Co-Founder of WebPT.
Episode at a glance:
Adding value versus cutting costs
The technology catch-up
Top reasons and solutions for burnout
Advocating for ourselves
Choose your own adventure
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When looking ahead, it’s important that we study past trends as well. But it all starts with your purpose and goals! If you can’t see where you want to go, how do you expect to get there? What do you have control over? Invest in your quality, and watch your quantity soar!
Episode at a glance:
Decisions for 2025
The 95% rule
Create your business strategic plan
Quality, Efficiency, Production
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📞 Book a Call
► Brian Gallagher, PT discusses the 4 gifts every physical therapy practice owner would dream of and how to achieve them!
👉 Designing your ideal scene
👉 Increasing average monthly visits
👉 Boosting EBITDA (Net Revenue)
👉 Ensuring you’re always fully staffed
👉 Gaining the ultimate gift: Freedom
📌 Brian Gallagher, PT
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📧 Join thousands of practice owners unlocking their potential with our free resource guide > Grab it here
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🔥 Work with Brian to grow your practice
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🎧 Physical Therapy Private Practice: Secrets of the Top 10% Podcast
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What matters most? The mechanics or the magnetism of your private practice? A lot of people can do good therapy, but that’s not necessarily the only reason that patients come to you! Learn how to be the provider that people know, like and trust.
Episode at a glance:
It’s about BEING versus DOING
Transparency breeds trust
There’s no time management without discipline
“Collaborative Capitalism”
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If we’re going to be able to “turn the faucet” on and off for new patients, we must think critically about our challenges and tackle them using innovation! Come along for successful actions to solve patient compliance, patient engagement, company culture and schedule. Learn how to strike the perfect balance of policies and fun!
Episode at a glance:
Operate with integrity
Be consistent (have policies!)
Train your front desk
Make it a game
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We are on a crusade to help you wrap up this year in the best way possible! Whatever your function is in the physical therapy world, we thank you for joining us in our journey to help you navigate the paradigm shift into a brighter future. What are five things that you’re grateful for? List them out, and enjoy the holiday with your friends & family!
Episode at a glance:
Grateful for all of our clients
Grateful for the physical therapy community
Invest quality to gain quantity in business
Technology
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Just like you in private practice, we are also constantly trying to improve and help you in the best way possible! Remember how much time and money you invested to become a physical therapist? Have you done the same thing to become the best CEO? Let’s take a look at actionable strategies for ultimate success in leadership.
Episode at a glance:
It’s time to LOOK
Focus on time management
Live by the numbers
Give a little grace
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What’s your secret weapon? Staff retention! We are lucky to have staff who have been with us 10, 15, even 20 years! You want to establish staff loyalty so that you have less turnover and thus, less need for recruitment efforts. Learn how to attract people who want to stay with you long-term. Create a career, not just a job!
Episode at a glance:
Marketing and branding
Recruitment never stops
Incentives for non-clinical and clinical staff
Top tier compensation models
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Let’s look at some hard facts. Life here in the 4th quarter of 2024 is not cheap, whether you’re a physical therapist or otherwise. We understand the financial pains you’re experiencing in this income squeeze, so what is the solution? Let’s take a look at your current practice model and see how you can optimize it for success.
Episode at a glance:
Physical therapy wages and admin costs
The real problem
Practice model and schedule options
What you can do about it
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In this episode of Physical Therapy Private Practice Secrets of the Top 10 Percent, host Brian Gallagher, PT, dives straight into one of the most common challenges facing private practice owners: identifying and addressing the root causes of poor performance in their clinics. Drawing on his 30 years of experience, Brian provides practical insights and proven strategies to help practice owners turn around underperforming operations.
This episode is a masterclass in diagnosing issues, implementing structure, and fostering accountability—all aimed at transforming a struggling practice into a successful, high-performing business.
Key Takeaways
Identify Root Causes - Common issues include staff misalignment, lack of accountability, structural gaps, inadequate training, and quality control. Implement the Five Divisions - HR/Admin, Marketing, Finance, Production, and Quality Assurance. Use Metrics for Accountability - Track Net Promoter Scores, visit adherence, and staff performance. Foster a Learning Culture - Invest in a learning management system to support continuous team development. Outsource for Efficiency - Delegate non-clinical functions to trusted professionals to focus on clinical growth. -
In this episode of Physical Therapy Private Practice Secrets of the Top 10%, host Brian Gallagher dives deep into often-overlooked areas that could transform your private practice. He discusses the power of managing by data and metrics rather than intuition, how to maximize productivity by setting aside admin time, and why knowing the math behind your practice is essential for sustained growth. Brian also shares valuable insights on outsourcing, controlling payroll costs, and effectively scaling up for a profitable 2025.
Set Dedicated Admin Time Rely on Data, Not Just Instinct Keep Payroll in Check Outsource Wisely
Key Topis Discussed:These essential actions will help you build a practice poised for success in 2025!
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You’ve heard it before, “If you keep doing what you’re doing, you’re going to keep getting what you’ve got.” The message of PPS 2024 could be summed up in one word: help! People are seeking financial, personnel and practice management help. We are so grateful to be able to continue helping you!
Episode at a glance:
Consulting versus coaching
Perfectionism gets nothing done
Do it for others!
Only pay for what you need
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Do you relate to the hot topics that are circulating as “problems” in the physical therapy world? Unfortunately, burying our heads in the sand will not make them go away. Learn how to master the basics, set the tone and foster a shared reality for your private practice. Remember: only after the group wins do the individual members win.
Episode at a glance:
Post-onboarding training
The Two-Way Street
Environment, Structure, Personnel, Systems of Operation
Staff certification training
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Calling new and veteran therapists alike! Is the APTA’s Private Practice Section conference worth your time? Short answer: yes! We know it’s an investment of time and money, but truly, you can’t afford not to learn the latest in physical therapy and be able to predict its future. Mingle with and learn from the best in our industry!
Episode at a glance:
Make the investment
Physical therapy is a “retail business”
PPS is the place to learn
Get resources and connections
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It’s important that we take a good look at how we can help unburden others, but it really starts with yourself! Don’t burden your staff with things that they didn’t go to school for, and make sure they really know the difference that they make at your clinic. Enhance their skills both personally and professionally, and you will have the best practice in town!
Episode at a glance:
Strive for betterment
Minimize admin burdens
AI and RTM
Virtual Front Desk
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