Pelvic PT Rising

Nicole Cozean, PT, DPT, WCS & Jesse Cozean
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  • ALTERNATIVE HEALTH
  • UPDATED TWICE WEEKLY

Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practices in the country, and living life as business owners and pelvic health advocates. And we'll be keeping it 100% real - and having some fun - along the way!

  1. 2 DAYS AGO

    Finding Your Dream Job in the Golden Age of Pelvic Health

    We are living in a golden age of pelvic health. There are more job opportunities, more practice models, and more flexibility than ever before. But with more options comes a harder question: 👉 What does your dream job actually look like? In this episode, we challenge you to zoom out beyond compensation and think holistically about what makes a job fulfilling. Because once a position pays a fair wage, optimizing purely for money often leads to the wrong decision. We dive into: 💰 Compensation (salary, bonus structure, benefits)⏳ Time spent with patients (30 min? 60 min? Double-booked?)📚 Mentorship (real structure vs vague promises)🏥 Practice setting (hospital? private practice? cash-based?)🧠 Clinical ethos (are you aligned philosophically?)👩‍⚕️ Patient population🕒 Schedule flexibility and lifestyle design🌱 Long-term growth potentialYour career is too important to leave to chance. When you get clear on what matters most, you stop chasing the next offer and start intentionally building your future. Looking for your dream job — or your dream hire? Check out our Pelvic PT Rising Hiring Directory: 👉 www.pelvicptrising.com/map Business owners in our Rising Mentorship Program are hiring - and they share our Ethos about creating an amazing position for anyone who works there. Business owners can also post paid listings to connect with passionate, engaged pelvic rehab providers. About Us Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country. Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

    38 min

  2. 6 DAYS AGO

    5 Financial Advantages Every Business Owner Should Be Using

    Most pelvic rehab business owners work incredibly hard… and then accidentally leave money sitting on the table. In this episode, we walk through five financial advantages that smart business owners use to build stability, reduce taxes, and create long-term wealth — without doing anything risky or complicated. This isn’t about fancy investing strategies or crypto speculation.  It’s about boring, high-leverage fundamentals that add up dramatically over time. 💰 1. High-Yield Savings Accounts (Stop Giving Away 3%) If you’re letting large amounts of money sit in your business or personal checking account, you’re losing out. We break down: Why your checking account should only hold operational cashHow high-yield savings accounts can earn 3–5% instead of ~0%Why we use Ally (and other strong options)How to create “buckets” for taxes, vacations, payroll buffer, and big expensesWhy there is no meaningful difference between business and personal finance at this level🏥 2. Health Savings Accounts (HSA) If you’re eligible for an HSA, you should understand how powerful it is. We discuss: 2026 contribution limitsWhy HSAs allow tax-free healthcare spendingHow to use it as a financial bufferWhy this is not just a retirement accountHow business owners can strategically use high-deductible plans🏦 3. Retirement Accounts (IRAs, SEP, SIMPLE, 401k) We give a clear breakdown of: IRA vs SEP IRA vs SIMPLE IRA vs Solo 401kContribution limitsWho each option is best forHow business structure affects your optionsWhy many owners underutilize these dramaticallyIf you’re not deliberately funding retirement as a business owner, you’re missing one of the biggest long-term advantages of entrepreneurship. 🏠 4. Business Use of Home Deduction In today’s world, nearly every business owner qualifies. We cover: What qualifies as a dedicated spaceHow to calculate itWhy this can be a meaningful annual tax breakCommon misconceptions that prevent people from using it🧾 5. S-Corp Election (When It Makes Sense) If your profit exceeds ~$75,000 per year, you should at least explore this. We explain: How S-Corp status reduces payroll taxWhy this is one of the biggest structural tax advantagesWhen it makes sense (and when it doesn’t)Why you need a good CPA involved🚀 The Bigger Theme Business ownership gives you more than income. It gives you financial tools that W-2 employees don’t have. But simply owning an LLC doesn’t automatically create freedom.  You have to use the advantages available to you. These five strategies: Increase your returnLower your taxesImprove cash flowBuild long-term wealthCreate true financial confidenceIf you’re building a business, you should be building wealth alongside it. Get in Touch! Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

    21 min

  3. 16 FEB

    The '6-8 Visit' Lie

    There’s a unspoken soundtrack running in pelvic rehab: “Patients should be better in 6–8 visits.” Most of us don’t say it out loud. But it shapes how we plan care, how we discharge patients, and how we judge ourselves. In this episode, we break down: Where this belief actually comes from (hint: insurance, not biology)Why it doesn’t hold up under scrutinyHow it quietly contributes to burnoutAnd how it impacts patient outcomesWe ask three important questions: Is it true?Is it helpful?Is it kind?When you look at how other specialties practice.....or how long research studies are conducted for....or tissue healing timelines, motor learning, scar remodeling, behavior change, and nervous system regulation… none of them peak at visit 6.  The soundtrack isn't true. And it's certainly not helpful.  Not for your patients.  Not for yourself with the extra pressure it creates.  And not for our field. Lastly, it certainly isn't kind.  You would never tell another therapist they aren't any good because they couldn't get a complex patient better in 6-8 visits - yet we're telling ourselves that all the time. So we need to retire this broken soundtrack (as Jon Acuff would say). We also give you three ways to check whether you’ve actually internalized this — or whether the soundtrack is still running the show: Review your last 50 plans of careNotice how you feel at visit 4 if someone isn’t dramatically betterPay attention to your response when someone asks, “How long until I get better?”This episode kicks off a deeper exploration of time in pelvic rehab — because patient outcomes aren’t just about skill. They’re about skill × time. And if we artificially limit the time we spend, we cap the results for our patients. About Us Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country. Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

    34 min

  4. 12 FEB

    Stop Looking for the "Magic Bullet" in Business

    If there were a magic bullet in business, we’d all be using it. And we’d all be successful. But there isn’t. As pelvic rehab providers, we get frustrated when patients come in looking for the one magic pill, surgery, technique, or device that will instantly fix everything. We know better. We know outcomes are about consistency, skill, time, and effort. And then we turn around and do the exact same thing in our businesses. In this episode, we talk honestly about the ways practice owners distract themselves chasing shortcuts instead of doing the work that actually grows a business. We break down common “magic bullet” traps: Facebook or Instagram ads will fix everythingSelling a course will create passive incomeTelehealth will magically expand your reachBuying expensive equipment (Shockwave, RTUS, Emsella, red light therapy) will generate leadsRenting space from a physician who will “definitely” refer patientsGetting another certification that patients aren’t asking aboutNone of these are inherently bad. But none of them are magic. At the end of the day, business success is a simple formula: Clear direction × Hard work You have to know where you’re going.  You have to know what actually matters.  And you have to be willing to put in the work. If you do that, you’ll build something meaningful.  If you keep chasing shortcuts, you’ll stay stuck. This episode is tough love — but it’s the kind that moves you forward. About Us Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country. Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

    33 min

  5. 9 FEB

    Are Cash-Based or Insurance-Based Providers "Better"?

    There’s been a recent flare-up in the pelvic rehab world around cash-based versus insurance-based care. And while emotions are running high, we wanted to pause the noise and add something that feels increasingly rare: context. In this episode, we start with what we all agree on: Every pelvic PT and OT is doing their best for their patientsWe all want clinicians to be paid fairly and sustainablyMore practice models = more options for both clinicians and patientsPatients benefit from having real choicesWe should be referring to one another, not competing against the field itselfThe current medical system requires both insurance and cash-based care — in every country we’ve seenFrom there, we address the two biggest areas of disagreement head-on. First, the claim that cash-based practices reduce access to care. We walk through the data around deductibles, waitlists, and real-world barriers to care — and why more options actually increase access, not reduce it. Second, the idea that one model inherently produces better care. We’re very clear here: you can get excellent or poor care in any setting. But when you take the same caliber clinician, the environment matters — and we explain why time, autonomy, documentation burden, and feedback loops change outcomes. This episode isn’t about picking sides.  It’s about understanding incentives.  And it’s about recognizing that the growth of pelvic rehab depends on all of us moving forward together. About Us Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country. Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

    35 min

  6. 26 JAN

    Patient Outcomes = Skill x Time

    In this episode, we break patient outcomes down into a simple but powerful formula: Patient Outcomes = Skill × Time You need: The skill to understand what’s actually driving someone’s symptomsAnd the time for healing, behavior change, tissue adaptation, relationship-building, and clinical reasoning to unfoldMiss either one — and outcomes suffer. We talk about: Why outcomes can’t be separated from both clinician skill and available timeHow testing your hypotheses requires both technical ability and space to observe changeWhy healing, strength, and behavior change don’t happen on insurance-driven timelinesHow different practice models dramatically affect the “time” variableThis conversation was sparked by recent rhetoric criticizing cash-based care — and instead of taking the bait, we zoomed out and asked a better question: What actually creates great outcomes? This episode sets the foundation for future discussions about systems, incentives, and why clinicians often feel frustrated despite doing their best work. 🎧 If you care about results — for patients and clinicians — this one matters. About Us Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country. Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

    16 min

  7. 19 JAN

    How We Get Paid - Why Clinicians & Clinic Owners are Getting Squeezed by Insurance Companies

    In this episode, we break down how money actually moves in the insurance-based PT and OT world, why so many clinicians and clinic owners feel financially stuck, and how the landscape has quietly but dramatically changed over the last 20 years. We cover: How insurance companies make money — and why they’re incentivized to pay out as little as possibleThe reality of declining reimbursement and rising administrative costsWhy clinic owners feel squeezed from both sidesWhy clinicians deserve raises — and why insurance doesn’t support that realityHow this system unintentionally pushes clinics toward lower-quality care modelsMost importantly, we talk about why the rise of cash-based care isn’t a trend — it’s a correction. Cash-based models: Allow small, independent clinics to survive and thrive againCreate real earning upside for skilled cliniciansRestore transparency and accountability in careExist in every healthcare system — including countries with universal healthcareThis episode isn’t about villainizing anyone. It’s about understanding the system we’re operating in — so we can make better, more informed decisions about our careers, our clinics, and our patients. 🎧 Whether you’re an employee, a practice owner, or somewhere in between, this is required context for the modern pelvic health landscape. About Us Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country. Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

    43 min

  8. 12 JAN

    What to Do With a Long Waitlist

    Long waitlists are incredibly common in pelvic rehab — and they’re only becoming more common as awareness of pelvic health grows. But a long waitlist isn’t automatically a good thing… or a bad thing. It’s a decision point. In this episode, we break down what it actually means to have a long waitlist and how to think about it strategically and tactically, whether you own a practice or work for someone else. We discuss: Why waitlists longer than ~3 weeks lead to significant patient drop-offThe three strategic paths when demand exceeds capacity:Providing gold-standard care to fewer peopleSeeing more people with lower intensity careExpanding capacity through hiring or program growthWhy a waitlist alone is not a reason to hireHow solopreneurs and small practices should think about waitlists differentlyTactical best practices to:Improve fill ratesReduce cancellationsUse your waitlist efficiently without burning out your teamIf you’ve ever felt stressed, guilty, or stuck because your waitlist keeps growing — this episode will help you make intentional decisions instead of reactive ones. About Us Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country. Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

    42 min
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About

Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practices in the country, and living life as business owners and pelvic health advocates. And we'll be keeping it 100% real - and having some fun - along the way!

Information

  • Creator
    Nicole Cozean, PT, DPT, WCS & Jesse Cozean
  • Years Active
    2020 - 2026
  • Episodes
    585
  • Rating
    Explicit
  • Copyright
    © 2026 Pelvic PT Rising
  • Show Website
    Pelvic PT Rising

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