PT Pintcast - Physical Therapy

Physical therapists often feel pressure to collect certifications and letters after their name.But does that actually make better clinicians?In this episode, Jimmy talks with Clint Serafino and Nate Henry about why the PT profession needs more mentorship, deeper clinical reasoning, and better collaboration across healthcare disciplines.They also share the story behind Global Physio Training, a nonprofit working to deliver hands-on clinical education to physical therapists in underserved communities like Cameroon.Instead of focusing on expensive equipment or healthcare infrastructure, their mission focuses on something simpler — training clinicians.Because better clinicians create better healthcare systems.Chapters00:00 — Why Credentials Aren't Expertise04:30 — Mentorship In Physical Therapy10:00 — Building Global Physio Training15:30 — Lessons From Cameroon PTs21:30 — Interdisciplinary Healthcare Teams27:00 — Diagnosing Movement Problems33:30 — Future Of Physical TherapyIn This Episode• The difference between technicians and clinicians in PT• Why mentorship matters more than credentials• What American PTs can learn from global clinicians• How interdisciplinary healthcare teams improve outcomes• Why PT clinics should collaborate with physicians and other providers• The vision behind Global Physio TrainingResources MentionedGlobal Physio Traininghttps://www.globalphysiotraining.com

Most physical therapists feel stuck between productivity expectations, documentation requirements, and changing reimbursement models.But what if the problem isn't clinicians — it's the systems around them?In this episode, Jimmy talks with Katie Holterman about how healthcare systems, documentation processes, and compliance frameworks can either burn clinicians out or support them.Katie explains why efficiency and quality are not enemies, why most documentation is unnecessarily complex, and how clinics can design systems that protect clinicians while improving outcomes.The conversation also dives into the future of value-based care, the role of outcomes in physical therapy reimbursement, and why most continuing education fails to deliver practical clinical value.If you're a physical therapist, clinic owner, or healthcare leader, this episode offers practical insight into building systems that actually work for clinicians.Key TakeawaysWhy documentation is often more complicated than necessaryThe three questions that simplify compliant documentationWhy productivity isn't the enemy of good patient careHow clinic systems should protect clinicians instead of burning them outWhy most continuing education fails cliniciansHow outcomes will shape the future of physical therapy reimbursementWhy understanding the “why” behind metrics changes everythingGuestKatie Holterman

Physical therapy clinics don't struggle because they lack skill. They struggle because they lack attention.In this episode of PT Breakfast Club, Jimmy McKay and Tony Maritato explore how PT clinic owners can rethink marketing using lessons from unexpected places — viral videos, restaurant chains, and real-world business strategy.Instead of chasing trends or expensive advertising, the conversation focuses on creating authentic attention through simple ideas, repeatable content, and engaging storytelling.They also dig into leadership inside PT clinics — including how to hire the right people, how culture impacts performance, and why insecure leadership can quietly destroy organizations.The result is a practical conversation about how clinics can grow without complicated marketing systems.Key Topics DiscussedWhy one-star reviews can actually help credibilityThe marketing strategy behind Wendy's viral campaignsWhy authenticity beats polished marketingHow small clinics can win attention faster than large companiesTurning patients and staff into authentic content creatorsThe “content hackathon” strategy for clinicsWhy most physical therapists misunderstand marketingHiring people who take initiativeThe hidden cost of insecure leadershipGuest Links & ResourcesTony Maritato YouTube: Total Therapy SolutionsDave Kittle Website: ConciergePainRelief.com YouTube: The Dave Kittle ShowSponsorsSupport for PT Pintcast comes from:SaRA Health – AI-powered patient engagement for rehab practices EMPOWER EMR – Built for modern rehab clinics U.S. Physical Therapy

If you've worked inside a healthcare organization you've probably heard the question:“What's the EBITDA impact?”But what happens when a financial reporting metric slowly becomes the mission of the entire organization?In this conversation, Jimmy McKay and Larry Benz unpack: • What EBITDA actually measures • How "Adjusted EBITDA" becomes a fiction contest • Why chasing the metric can distort clinical care • The Soviet nail factory problem in healthcare • What a healthier dashboard for PT organizations should look likeLarry also explains the four pillars every physical therapy organization should measure instead of obsessing over EBITDA.If you lead a healthcare organization, this conversation will challenge how you think about metrics, culture, and what actually drives sustainable performance.Chapters 00:00 The phrase every healthcare leader hears 00:40 EBITDA explained simply 02:40 When the tool becomes the mission 03:20 The “Adjusted EBITDA fiction contest” 05:40 How metrics change behavior 07:40 Why clinicians are the real business 10:20 The Soviet nail factory story 13:30 What healthcare should measure instead 14:00 Larry's four pillar dashboard 18:00 Culture is the engine of EBITDA

Private practice physical therapy owners: learn the KPIs that drive clinic growth, PT marketing ROI, and revenue forecasting. This MBA for the DPT lesson shows PT clinic owners how to track leads, visits per case, and key business metrics that predict success.Most physical therapists open a clinic without ever learning how to read the business numbers behind it.In this **MBA for the DPT** episode, Jimmy talks with **Sturdy McKee** about the key performance indicators (KPIs) that successful physical therapy clinic owners use to run smarter businesses.You'll learn which numbers actually matter, how to build a simple KPI dashboard, and why one overlooked metric — **leads** — can predict your clinic's revenue 30–60 days ahead.Sturdy also explains how to translate data into action so your staff understands what drives results, improves patient outcomes, and creates a healthier practice.If you run a **private practice physical therapy clinic**, this episode will help you stop guessing and start managing with clarity.00:00 KPI Basics For PT Owners03:12 Why KPIs Matter In Clinics09:45 Building A KPI Dashboard16:30 Personnel Vs Overhead Costs23:40 Predicting Revenue With Leads31:10 KPI Mistakes Clinic Owners Make38:20 Translating Data To Staff45:10 How Often To Review Metrics51:00 The KPI That Surprised Me58:40 Connecting Numbers To OutcomesGuest: Sturdy McKeehttps://sturdycoaching.comQuestion for clinic owners:Which KPI has helped you make the biggest business decision in your practice?

Most physical therapy clinics approach marketing backwards.Instead of teaching and building trust, they try to promote services — and patients can see through it instantly.In this episode, Jimmy McKay, Dave Kittle, and Tony Maritato discuss what actually works when it comes to content and clinic growth.They break down how attention drives patient acquisition, why authenticity beats corporate messaging, and how clinics can build authority by consistently publishing valuable content.If you're trying to grow your practice without feeling like you're constantly selling, this conversation provides a practical framework.What You'll Learn• Why educational content builds trust faster than promotional content• How authenticity helps clinics stand out online• Why over-filtered marketing fails• The value of transparency with patient feedback and reviews• How attention compounds for long-term clinic growthGuest LinksDave Kittlehttps://conciergepainrelief.comDave Kittle YouTubehttps://youtube.com/@thedavekittleshowTony Maritatohttps://totaltherapysolutions.comTony Maritato YouTubehttps://youtube.com/@totaltherapysolutionsSponsorsSaRA Healthhttps://sarahealth.comEMPOWER EMRhttps://empoweremr.comU.S. Physical Therapyhttps://usph.com

Most physical therapists were taught that clinical excellence leads to career success.But according to Greg Todd, that model no longer works.In this episode, Greg explains why many PTs feel stuck despite doing everything “right” — earning a doctorate, taking continuing education courses, and working long clinical hours.The problem isn't skill.It's leverage.Greg breaks down how clinicians can start productizing their knowledge, building scalable income streams, and creating content that attracts attention in today's digital economy.If you're a PT, clinic owner, or rehab professional trying to navigate reimbursement pressure, burnout, or limited income growth, this conversation will challenge how you think about your career.Key Topics• Why Greg Todd says PTs have an “obedience problem”• The difference between clinical excellence and financial scalability• How productizing knowledge creates leverage• Why attention is the most valuable currency today• The identity shift from clinician to CEO• Why content creation is becoming a competitive advantage for healthcare professionals• The simple framework: one person, one problem, one solutionActionable TakeawayStart small.Greg recommends beginning with:One person → One problem → One solutionThen create content explaining how you solve that problem.That's the first step toward turning your expertise into a scalable product.Resources MentionedGreg Todd Instagram:https://www.instagram.com/gregtoddpt/

Most healthcare marketing does not fail because marketing is useless. It fails because clinics make it hard to trust them, hard to book, and hard to talk about them.In this episode, Jimmy McKay and Andrea Cheney unpack what PT clinic owners and healthcare marketers keep getting wrong. They break down why patients now behave more like consumers, what they actually look at before booking, and why reviews, websites, and front desk processes matter more than another generic ad campaign.The big takeaway for busy PTs and clinic owners: marketing works better when operations work better. If your clinic creates a five-star experience, makes reviews easy, reduces friction, and shows up online with purpose, your marketing starts pulling its weight.What You'll LearnWhy healthcare still confuses marketing with advertisingWhat patients are actually checking before they choose a clinicWhy reviews are part marketing and part operationsHow to make review requests easier and more consistentWhat a PT clinic website must do to convert trust into actionWhy social media should help patients understand themselves, not just hear about your clinicHow public insurance disputes damage trust for everyone involvedWhat PT owners can steal from Wendy's when they need attentionKey Takeaways for Clinic OwnersBetter marketing starts with better patient experienceYour front desk is part of your marketing systemA simple booking path matters more than fancy wordingGeneric “we're evidence-based” messaging is not persuasiveAttention is earned when content is about the patient, not the clinicOperational friction creates bad stories that no ad can fixGuestAndrea Cheney — fractional marketing leader and consultant in healthcare marketingResources & Tools MentionedGoogle ReviewsGoogle Business ProfileQR code review promptsText and email follow-up for review collectionWebsite usability checksFacebook groupsTikTokLinkedInShort-form videoSponsors PT Pintcast's official 2026 sponsors include SaRA Health, EMPOWER EMR, and U.S.

Most physical therapists assume healthcare policy is decided somewhere far away.But Utah PTs just proved something different.In this episode, Howard Quackenbush explains how competing physical therapy clinics united to pass legislation that recognizes PTs as primary care providers for co-pay purposes—reducing financial barriers and improving patient access.Instead of waiting for national policy changes, this group of clinicians and clinic owners worked state-level relationships, coordinated fundraising, and built grassroots support that ultimately passed the bill.For private practice owners and PT leaders, the lesson is clear: if you want change in reimbursement, access, or regulation, you may have to organize and lead it.Topics discussed: • Why high PT co-pays discourage patients from completing care • How competing clinics collaborated instead of competing • The legislative strategy that helped Utah PTs win • Why grassroots advocacy matters for clinic owners • The role of relationships in healthcare policy • A practical blueprint other states can followHoward also shares the leadership philosophy that guided the effort—and why relationships ultimately determine whether policy moves forward.SponsorsSaRA HealthEMPOWER EMRU.S. Physical TherapyLearn more: https://ptpintcast.com

PTs are expected to be the movement experts—yet most movement assessment is still subjective: “knee valgus noted,” “pelvic drop,” “looks better.” Dan Seidler (Business Development Lead, DorsaVi USA) and Maka Lange unpack what changes when clinics can quantify biomechanics with video AI and wearable sensors.They cover how objective data improves patient education and buy-in, strengthens documentation, and makes return-to-play/return-to-work decisions more defensible—especially as AI, wearables, and non-PT competitors raise the bar for “measured” care.What you'll learnWhy “eyeballing” biomechanics breaks down across cliniciansHow objective data can improve patient buy-in and clarityThe difference between quick video AI assessments vs IMU sensor “gold standard” testingHow standardized movement reports can help documentation and communicationUse cases: mass athlete screenings, surgeon referrals, workplace safety, workers' comp/FCEs, and early pelvic health biofeedback workGuest + LinksDorsaVi: http://www.dorsavi.com/

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 how better positioning, marketing, and communication can turn a one-time patient into a long-term relationship.They also discuss why selling programs beats selling packages, why vanity metrics like social media views don't build clinics, and how the first phone call with a patient may determine whether they ever become a client.If you're a clinic owner trying to grow revenue, improve patient engagement, and create a stronger brand, this episode will change how you think about your business.What You'll Learn• Why patients buy outcomes — not treatments• How to position your clinic as a transformation machine• Why social media views don't equal patients• How to turn a $10K client into a $70K lifetime relationship• The difference between selling programs vs packages• Why the first phone call determines patient conversions• The importance of asking better intake questionsGuests & ResourcesDave KittleWebsite: https://conciergepainrelief.comYouTube: https://www.youtube.com/@thedavekittleshow/featuredTony MaritatoYouTube: https://www.youtube.com/c/MedicareBillingSponsorsSaRA Health — https://sarahealth.comEMPOWER EMR — https://empoweremr.comU.S. Physical Therapy — https://usph.com

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 LearnWhy “we're all just PTs” can still ignore real specialization and skill differencesHow payer-centered constraints quietly strip autonomy in discharge planningWhy arguing online rarely fixes burnout (emotion first, logic second)Presenteeism: when someone shows up but becomes a net negativeA leader's playbook: how to actually listen, reset, and decide what's salvageableThe one controllable lever: what energy you bring into the patient room

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 learnHow to build a paper trail that makes HR decisions clean and defensibleWhy resignation is often simpler than termination (and how to handle it)How “moonlighting” becomes a performance and loyalty issueThe “Eeyore employee” effect: one person can kill momentumBrand-first retention ideas: meaningful check-ins + “surprise & delight” that actually fits careHow RTM/digital support can create loyalty between visitsPeople & brands mentionedDave Kittle, Jimmy McKay, Ben (caller)Tonal, Hyperice, MirrorRTM / digital care touchpoints

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 coveredThe blizzard story: how a “post-visit survey” fired after a visit that never happened—and what that signals about your systemsWhy everything is marketing in direct-to-consumer healthcare: phones, response time, scheduling, cancellation flow, vibesThe leadership disconnect: expecting marketing to “perform” while giving unclear goals, unrealistic job scopes, and zero resourcesWhy patients compare your clinic experience to DoorDash/Amazon convenienceA tactical 5-point operations audit you can run this weekKey takeaways for clinic ownersDon't spend more on ads until your booking + follow-up flow is tightIf a patient has to call to schedule, you're losing demand you never even seeYour systems should adapt to humans—not force humans to adapt to your systems“Response time in days” is a silent growth killerThe 5-Point Ops Audit (do this this week)Mystery shop your own clinic (website + calls + booking flow)Call after hours and test the “snow day / chaos” playbookCancel an appointment and see what happens (speed, clarity, reschedule path)Measure response time in minutes (not days)Ask your front desk: “Why should someone choose us?” (then listen hard)Best quote to steal“Technology doesn't fix broken processes. It scales them.”

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 through food access, youth training, health literacy, and neighbor-to-neighbor infrastructure.Chapters00:00 Neighbors Shape Health07:55 Admissions Beyond GPA13:40 Rehab Desert Reality22:35 Systems Over Bootstraps30:20 Keep PTs In Practice43:20 Ujima In ActionGuest + ResourcesDr. Lisa VanHoose (she/her)Ujima Institute (community-rooted health + education)Mentions: Ikigai, Blue Zones research, PCORI (patient-centered research model), community-based rehab, telehealth/remote monitoring, “Nothing About Us Without Us”Ujima Institute: https://www.ujimainstitute.com/

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 word-of-mouth only works when the experience is aligned • The danger of the “just get more patients” mindset • How AI and “good enough” rehab advice threaten generic clinics • The uncomfortable decision clinic owners must make to growIf you're a clinic owner chasing volume, this episode challenges you to rethink your model. Revenue per visit, lifetime value, and brand alignment matter more than raw visit counts.

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 + supportWhy negativity gets attention—but positivity builds real teamsWhat hasn't changed in PT (patients want to feel better) vs. what's changed a lot (documentation, reimbursement pressure, market expectations)Great Resignation lessons: surveying your team, getting humbled, and responding fastCareer ladders that celebrate clinical excellence (not just management tracks)Burnout prevention: orient careers around passion + allow evolution over time“Aikigai” and how to keep redefining success across seasons of your careerEquus Growth Advisors: revenue-first strategy, M&A support, and growth planning across healthcareParting shot: build your career around what you love—and believe in the future of physical therapyEquus Growth Advisors: https://equusgrowth.com/

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 recommendWhy your digital footprint matters more than everThe role of frequency in modern marketingWhether AI-sourced patients are more decisive and cash-friendlyWhy positioning matters (and whether PTs need a “shared enemy”)What CrossFit, cult brands, and political movements can teach clinic ownersWhy attention—not ads—is the new marketing currencyThis episode reinforces a core truth:Attention → Trust → ActionYou can't shortcut trust.You can't buy authority.You earn it through presence and frequency.???? Connect with the CrewFollow Tony Maritato on YouTube:https://www.youtube.com/c/MedicareBillingFollow Dave Kittle on YouTube:https://www.youtube.com/@thedavekittleshow/featuredFollow Jimmy McKay on YouTube:https://www.youtube.com/@ptpodcasts

Stop Running a 1998 Clinic in 2026Reimbursement 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 failsThe real hidden costs of not modernizingHow missed calls and slow intake quietly drain revenueVendor fatigue and point-solution overloadWhy AI in billing still requires human oversightThe operational standards PTs must hit to be first response for MSKIf you care about protecting margin, improving efficiency, and building a clinic that survives the next decade — this episode matters.GuestAlbert Katz ???? https://flaglerhealth.io

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 turnoverWhy “just pay them more” won't fix itWhat true leadership listening looks likeThe future of AI in rehab therapyWhether PT becomes more human-centered — or more commoditizedIf the profession is at an inflection point, this is the conversation shaping what happens next.

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 11.99 months of the year?Could live shopping become a legitimate revenue stream for physical therapists?Does personality matter more than originality?Is attention the real asset in modern healthcare?This isn't about selling out.It's about understanding the shift happening in business:Attention → Trust → RevenueIf you don't build attention, someone else will.What We Covered???? Live Selling & Amazon LiveWhy Amazon is begging creators to go liveWhy doing it “badly” costs nothingWhy reps matter more than polishHow PT authority changes the equation???? Affiliate Income for PTsAre you recommending products anyway?Why not monetize ethically?The Dr. Samantha Smith model: courses + affiliates + virtual visitsWhere affiliate income fits into clinic strategy???? Personality > Original IdeasYou don't need to reinvent the wheel.You need to build your version of it.Tony breaks down:Why copying structure isn't copying valueWhy pushing through “The Dip” mattersWhy most people quit too early???? The $100K Booth ProblemSpending six figures at conferences…For 48 hours of exposure.Meanwhile:Brands like Rehab 2 Perform and the Prehab Guys build attention year-round.They show up consistently.They don't rely on one event.???? The Bigger QuestionWhat if the future of PT looks more like:MrBeastRyan SerhantOr a media-first brandInstead of:Waiting for referralsFighting reimbursementHoping the booth traffic convertsKey TakeawaysThe value isn't in your hands. It's in taking action.Nobody sees your early bad reps.Attention compounds.Personality is the differentiator.If you already recommend products, affiliate revenue isn't unethical — it's efficient.Selling before trust breaks the spell.But avoiding monetization entirely leaves opportunity on the table.

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 handsHow inflation + stagnant reimbursement compress marginsWhy scale favors hospital systems and large chainsThe rise of direct-to-employer contractingWhat self-insured employers are — and why they matterWhy PT clinics can often command higher per-visit rates through employer contractsMisconceptions about size and sellingA simple first step clinic owners can take this quarterBig TakeawayWaiting for reimbursement to improve isn't a strategy.Independent clinics must rethink who they sell to — and how they position PT as first-line musculoskeletal care.

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 credibilityThe link between standardized testing and patient buy-inHow objective reporting increased plan-of-care completion ratesThe difference between inferred AI video analysis and direct measurementWhy variability across clinics creates payer distrustRaising the “floor” vs raising the “ceiling” in physical therapy

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 therapyHow social media can be used responsibly in healthcareWhy novelty prevents burnoutThe concept of “micro joys” vs. waiting for big life eventsHow saying yes to one small opportunity can change your careerTim shares how teaching one night lab turned into a full-time academic role — and how sharing educational content online expanded his reach beyond the classroom.If you're feeling boxed in, burned out, or unsure what's next — this conversation will challenge how you think about your degree.

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 acquisitionLessons learned about leadership during COVIDMedicare payment cuts and recent advocacy winsWhy every PT must understand advocacyHow state-level scope of practice changes create national ripple effectsThe importance of simple, clear messaging in professional advocacyHis big goal: getting one-third of PTs in Massachusetts actively signing advocacy lettersThe message is simple:If you don't engage before decisions are made, you'll be reacting after something is lost.His parting advice:Never assume. Always ask.Topics CoveredMedicare reimbursement trendsScope of practice reformPrescriptive authority & imaging accessAssociation engagementLeadership in PTHow to take your “soft first step” into advocacy

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 strengthThe workforce crisis in countries with only one trained physio per 10 million peopleHow AI should be regulated and used as a tool — not feared as a replacementWhat “direct access” means in different healthcare systemsWhy the 2027 Congress in Guadalajara is more than a conferenceThe 75th anniversary celebration honoring 75 transformative physiosThis episode reinforces a powerful idea:World Physiotherapy doesn't belong to leadership — it belongs to the profession.

Physical Therapy Is at a Turning PointRupal 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 pointSocial and structural determinants of healthHow zip code predicts mortalityWhy apathy is more dangerous than resistanceHow to advocate without traveling to DCEmpowering patients to advocate for themselvesThe discomfort clinicians must embrace to growRupal makes a compelling case: If PTs want better reimbursement, better access, and a sustainable future — we must advocate before frustration turns into apathy.Her parting message draws from Mahatma Gandhi: Be the change you want to see in the world.Sponsors MentionedSaRA Health – https://sarahealth.comU.S. Physical Therapy – https://usph.com

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 PTCash-based extended recovery sessionsPersonal trainers + rec therapists alongside PTsFundraising + grants to subsidize costCommunity-based nonprofit structureNow with 24 employees and a 10,000-square-foot facility, she's proving private practice isn't just for orthopedics.Key TopicsWhy payment is PT's root issueNonprofit conversion strategyBlending insurance and cash ethicallyState-level advocacy vs national reformCollective action with OT and speechServing underserved communities sustainablyGuest InfoEA Therapeutic Health https://chooseea.org

PTs Belong in Disaster Response — Here's How to Step InDisasters 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 emergency • How to engage your hospital or clinic's emergency manager • The difference between “lessons learned” and “lessons applied” • One immediate action step every PT should takeKey Takeaway:Preparedness is part of professional responsibility. If you're licensed and trained, you already have relevant skills. The profession must proactively claim its seat at the table.Resources Mentioned• PT & PTA Emergency and Disaster Response Action Plan (APTA) • University of Colorado AnschutzSponsors• EMPOWER EMR • SaRA Health • U.S. Physical Therapy (USPH)

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 FacebookHow primary care physicians see 20–40% MSK cases weeklyWhy referrals are still the most powerful growth channelHow small, consistent gestures outperform “wow baskets”The psychology behind handwritten notesWhy tracking relationships matters more than tracking ad clicksWhat clinic owners lose when growth becomes the only goalThis episode is for PTs and clinic owners who want sustainable growth without sacrificing margin or humanity.

Emergency Department PT, Top-of-Scope Mindset & Reigniting Your CareerRecorded live at CSM, Jimmy sits down with Rebekah Griffith, 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 yetHow to pitch ED PT to hospital leadership (do a PT eval on the hospital)Specialist vs generalist debate in acute careWhy conferences can reignite your professional energyHow networking creates lifelong career relationshipsRebecca shares a practical framework for introducing ED PT services:Evaluate your hospital like a patientIdentify impairments and participation restrictionsAlign PT value with what matters to leadershipSet measurable goalsThis episode is about expanding what's possible in your career — and protecting the future of the profession.SponsorsThis episode is brought to you by:SaRA HealthEMPOWER EMRU.S. Physical Therapy (USPH)

PT Is Political — And That's Not OptionalRecorded 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 careThe policy gaps affecting farmworker communitiesWhy students must engage in health systems earlyWhat success looks like in five years for the next generation of PTsWhy This Matters for Clinic OwnersPolicy decisions shape reimbursementAccess gaps affect your patient populationAdvocacy protects long-term sustainabilityStudents entering the profession expect leadership in this spaceSponsorsSaRA HealthEMPOWER EMRU.S. Physical Therapy (USPH)

Episode OverviewLive 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 gradsExperienced cliniciansClinic owners exploring partnershipPTs who want growth without burnoutKey TopicsThe USPH partnership modelMaintaining local brand autonomyNational support for payroll, benefits, recruitingEmployer branding in physical therapyWhy USPH is investing in visibility at CSM“Grow With USPH” — what it meansAbout U.S. Physical TherapyU.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

Visibility Is Not Optional AnymoreIf 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 contentThe lesson behind viral cultural momentsRepurposing one idea across multiple formatsHow AI session analytics can improve therapist performanceWhy frequency beats perfectionThe “fifth executive role” PT organizations are missing (communications)How to build earned attention instead of buying exposureKey Takeaway:Trust is built downstream of earned attention. If people don't see you, they don't trust you.Guest LinksDave KittleYouTube → https://www.youtube.com/@thedavekittleshow/featuredWebsite → https://conciergepainrelief.comTony MaritatoYouTube → https://www.youtube.com/c/MedicareBilling

Can social media realistically generate revenue for physical therapists?In this episode, Jimmy talks with Tony Maritato about:Growing from 2,000 to 60,000+ followers in one yearTurning patient education into monetized contentWhy reposting “old” videos worksHow one Facebook post generated $107 repeatedlyWhy engagement (not followers) is the real metricThe shift back toward in-person, analog attentionTony explains how he captures patient interactions during treatment (with consent), posts directly from his phone, and uses AI tools to analyze performance — without hiring staff or building a production studio.If you're a clinic owner, this matters because:$2,000/month offsets overheadOrganic reach builds trust before a patient callsYou're already creating content — you're just not recording itKey TakeawaysYour daily clinical work is valuable contentReposting strong content is not penalizedEngagement beats follower countSimplicity scalesAttention must be earned

AI Is Not a Silver BulletRecorded live at APTA CSM, Todd Norwood joins the show to talk about AI, digital health, and why physical therapy clinics need to fix their data before chasing the next shiny tech solution.What We Cover:The difference between good data and bad data in PTWhy “ish” measurements don't scale in an AI worldHow to evaluate AI scribes and clinic toolsImposter syndrome in leadership and tech transitionsHow PT skills translate into digital health rolesUsing AI to assess your resume against job descriptionsWhy investing in yourself beats any market investmentKey TakeawayGood data is foundational to making the most of AI and digital innovation in physical therapy.GuestTodd NorwoodPT in Digital Health

Live from CSM Anaheim, Jimmy sits down with Matt Huey, PT, to talk about what really moves the physical therapy profession forward.The conversation centers on engagement.Not national outrage. Not social media complaints. Real, local involvement.Key themes:Why member engagement starts at the state levelProtecting scope of practiceWhy trust can't be boughtThe real ROI of conferencesHow mentorship creates professional legacyPassing a “little piece of you” to every student you trainThe takeaway:If you want the profession to improve, you have to show up.

Proactive Care Is a Pathway — Not a SloganPT is built for prevention.But most of healthcare still waits until pain shows up.In this episode recorded live at CSM in Anaheim, Dr. Tatiana Olevsky discusses:Why patients still go to MDs first for MSK painThe public awareness gap around direct accessHow PTs can shift from reactive rehab to proactive performanceWhy outcomes — not visit counts — should define our valueLessons from Pilates and community-buildingMovement analysis as a preventative toolWhy PT is at an inflection pointKey TakeawaysPrioritize quality over quantityScreen upstream before pain becomes diagnosisBuild rapport before educationShow patients the future, don't just prescribe sets and repsIf PT wants to be first-line, we must earn itGuest InfoDr. Tatiana Olevsky Spine PT Fellow | Private Practice Owner | Educator

Better Systems, Not Tougher PeopleBurnout in healthcare isn't a motivation problem. It's a design problem.Dr. Lisa Flexner joins PT Pintcast live from APTA CSM to break down why:Burnout is an individual response to system dysfunctionProductivity is often the wrong performance metricTurnover costs far more than 1.5x salaryBelonging is a foundational performance driverPizza parties don't fix structural problemsHealthcare still operates inside outdated hierarchy modelsIf you're leading a clinic and wondering why retention is harder, morale feels fragile, or productivity pressure keeps increasing — this episode reframes the issue from something personal to something structural.Key TakeawaysBurnout shows up in individuals, but starts in systemsIndirect turnover costs often double or triple salary impactBelonging and shared mission drive productivity more than pressureMeasuring employee net promoter score (eNPS) may be more predictive than productivityHealthcare needs a “Flexner Report 2.0” to move toward collaborative practice

Live from APTA CSM in Anaheim, Jimmy talks with Dr. Jenn Bell about redefining professionalism in physical therapy.They discuss:Where traditional professional norms came fromWho those norms disproportionately impactWhy authenticity affects burnoutWhy recruitment without belonging failsThe shift from diversity → equity → inclusion → belongingWhat PTs must let go of to evolveIf your clinic wants to recruit and retain strong clinicians, this conversation matters.Key TakeawaysProfessionalism has historically centered a narrow identity standard.Underrepresented clinicians carry extra cognitive load when asked to “code switch.”Burnout is worsened when clinicians can't show up authentically.Recruiting diversity without creating belonging is performative.PT leaders must examine their own biases and expectations.

Advocacy Isn't Optional—It's Your ResponsibilityIn this episode, Jimmy talks with Jim Leahy, longtime lobbyist and association executive serving nine APTA chapters across the country.Jim has spent over 30 years inside the machinery of healthcare policy. His message is clear:If you're not involved in advocacy, you're gambling with your profession—and your patients.What You'll Learn:Why state legislators control your scope of practiceWhy most PT Hill Days send the wrong messageHow just 10 emails can influence a lawmakerWhy payment reform requires more than legislationHow prior authorization laws are shiftingWhy relationships matter more than argumentsThe difference between activity and achievementKey Takeaways:Advocacy isn't hard—but it takes commitmentLegislators notice small numbers of engaged constituentsPayment reform must include legislative, administrative, and insurer-level strategiesIf you don't advocate, others will define your profession

Recorded live from CSM, this episode features Jake Irwin, PT, DPT — professor, athletics PT, private practice owner, and APTA delegate.The conversation covers:Why seasoned PTs still attend CSMHow to approach conferences strategicallyThe real value of networkingUsing AI to navigate conference programmingThe uncomfortable truth about home exercise complianceJake delivers a strong parting shot:When patients don't get better because they didn't follow their home program — that's not their fault. That's yours.This episode challenges clinicians to choose growth over blame.

Mastery Before MarketingIn this episode of PT Pintcast, Jimmy talks with Lewis Lupowitz, sports physical therapist and founder of Longevity Physical Therapy & Performance.Lewis brings a strong perspective:There's a mentorship problem in physical therapy — and it's being disguised as an entrepreneurship movement.Key Topics Covered:Why new grads shouldn't rush to open a clinicThe difference between clinical confidence and branding confidenceHow to become a good menteeWhy “better is better” in rehabYouth sports over-specializationNeurocognitive training in return-to-sport rehabCreating an environment patients want to return toMajor TakeawaysOwning a business is hard. Being a great clinician inside that business is harder.Mentorship isn't automatic — you must position yourself to earn it.Strength and ROM alone are not enough for return to sport.Fancy tools don't replace clinical reasoning.The fastest way to build a successful clinic is becoming excellent first.Guest LinksLewis Lupowitz???? https://longevityptperformance.com/

Milica McDowell, DPT — clinic owner, professor, and now AVP of Education at USPH — joins Jimmy live from APTA CSM to make a bold claim:Most PTs are recommending the wrong shoes.In this episode:Why 10,000 steps is marketing, not medicineThe real step counts tied to longevity and mental healthWhy tapered toe boxes weaken feetThe concept of the “24-hour shoe clock”Why cushioned shoes in clinic may be a clinical liabilityIf you're a PT who cares about mobility, longevity, and biomechanics, this conversation matters.Milica's Core MessageFunctional footwear is not a fashion preference.It's a biomechanical responsibility.Resources???? Walk (Releases May 5, 2026) ???? milicamcdowell.com Follow: @gaithappens | @altrarunning | @vivobarefoot

Physical therapy research may feel invisible — but it protects reimbursement, strengthens professional credibility, and ensures long-term growth.In this episode, Jimmy talks with Becky Craik about:The mission of the Foundation for Physical Therapy ResearchHow a $10,000 seed grant can turn into millions in federal fundingWhy funding interruptions damage entire research teamsThe importance of cost-effectiveness researchThe Marquette Challenge and engaging the next generationWhy “Don't make enemies” might be the best professional advice you'll hearIf you believe in evidence-based practice, this episode explains why ongoing research funding matters to every PT — whether you work in a clinic or academia.

Do It Differently or Die: A Wake-Up Call for PT OwnersLive from CSM, Jimmy talks with Eric Fernandez from Hyperice about the uncomfortable realities facing outpatient physical therapy.What We Cover:The three-year journey behind the Nike x Hyperice recovery shoeWhy AI and efficiency won't save a broken business modelWhy PTs must start thinking like consumer brandsThe importance of lifecycle care and long-term valueWhy wellness companies are winning cash-based dollarsThe danger of waiting for insurance companies to “fix it”The mindset shift clinic owners must makeKey TakeawayThe system is perfectly designed to produce the results you're currently getting. If you don't like the results, rebuild the system.GuestEric Fernandez – Hyperice https://hyperice.com

A Decade Under the InfluenceFaith Stokes takes over the mic at CSM and interviews Jimmy McKay about 10 years of PT Pintcast.This episode covers:Why reimbursement is the profession's defining issueHow students may drive the next innovation waveThe Costa Rica wheelchair fundraiser storyWhat APTA could do differentlyWhy PT must embrace visibility and communicationThe difference between communicating and being understoodThe Line That Sticks:Science isn't finished until it's understood.If you're a PT, clinic owner, or healthcare leader trying to protect trust and earn attention in your market — this episode matters.Sponsors MentionedSaRA HealthEMPOWER EMRU.S. Physical Therapy

Stop Being the “Nice PT”Live from CSM in Anaheim, Eric Bellm joins PT Pintcast to challenge one of the most uncomfortable truths in physical therapy:Are we too focused on being liked?This episode tackles:The difference between support and accountabilityWhen to have the “coming to Jesus” conversation with a patientWhy labeling someone “noncompliant” is often lazyHow to introduce accountability from the first evalWhy educators must model humilityHow PTs should approach AI and healthcare changeThe importance of professional prideKey Takeaways“Help me understand” changes conversations.Accountability starts at evaluation.Treat the human, not just the diagnosis.Have an accountability buddy at work.Don't fight change. Evolve with it.GuestEric Bellm, PT, DPT, OCSAssistant Professor – Saint Louis University

Circus Is Sport — So Why Aren't We Treating It That Way?Performing artists train like elite athletes — but they're rarely treated like them in healthcare.In this episode, Emily Scherb (The Circus Doc) shares:How she transitioned from professional circus performer to PTWhy circus participation is exploding across the U.S.What “adult-onset circus” meansWhy pole dancers avoid seeking careThe stigma problem in healthcareHow load management applies to performing artistsWhy saying “I don't know” builds trustThe massive business opportunity PTs are missingKey TakeawaysCircus artists are athletes.Performing arts lack a strong culture of training load management.PTs don't need to be experts — just curious and respectful.Niching down builds authority and trust.This population is actively looking for clinicians who understand them.Guest LinksWebsite: https://www.thecircusdoc.comInstagram: @thecircusdocLinkedIn: Emily Scherb

At CSM 2026, Jimmy sits down with Devon Morris to discuss generational differences in physical therapy — and why clinic culture may matter more than compensation for retaining Gen Z clinicians.Key themes include:The impact of growing up in a “phone-based world”The Zoom communication shiftWhy stereotypes about “kids today” miss the pointBurnout and student debt realitiesWhy some therapists leave higher pay for better cultureHow intentional leadership improves retentionIf you're a clinic owner struggling with retention — or a PT navigating your early career — this episode delivers practical insight. 00:00 – CSM 2026 Live 02:15 – Gen Z Explained 04:20 – The Zoom Effect 06:05 – Culture Over Salary 07:30 – Retention Crisis 08:40 – Parting Shot

From CSM 2026 in Anaheim, Jimmy sits down with Ben Lindaman to discuss one of the biggest identity tensions in physical therapy:Generalist vs. Specialist.Healthcare rewards depth.Marketing rewards niche positioning.But patient care often demands integration.Ben argues that:Early over-specialization can stunt developmentGeneralist thinking is critical in rural and primary care settingsMost patients don't need hyper-specializationConfidence and competence matter more than credentialsPT's versatility is both a strength and communication challengeIf you've ever felt pressure to define your niche immediately — this episode is for you.???? Key TakeawaysSpecialization has value — but so does breadthYoung clinicians should explore before committingValue-based care demands better triage and integrationRural PTs must be adaptable generalistsClinical identity should be internally driven, not externally pressured???? GuestBen Lindaman, PT, DPTAssistant Professor, Tufts UniversityPRN Clinician, Philadelphia???? Benton.Lindaman@tufts.eduSocial: @ben10dptRecommended Book: Range by David Epstein???? SponsorsSupported by:SaRA HealthEMPOWER EMRU.S. Physical Therapy