In this episode of Paul Meets, I sit down with someone I’ve known since the very early days of her journey, Allison Feldt (https://bodymotionpt.com/). Allison’s story is one of the most important conversations I’ve had on this podcast. She started her business in 2017 just weeks after having her second child. No safety net. No guaranteed income. No clear plan. Just a deep need to make something work for her family and a willingness to learn what most clinic owners avoid. Fast forward to today and Allison runs a multi-million-dollar physical therapy business with a 17-person team, has fully stepped out of treatment, and is now building something much bigger than a clinic. In this conversation, we talk about: What it actually feels like trying to get from $100K to $300K when you’re stressed, overwhelmed, and carrying everythingWhy learning marketing and sales changed not just her income, but patient outcomesThe guilt, resistance, and outside voices that tell you to “just be grateful” and stop wanting moreHow unresolved personal baggage quietly caps your business growthThe identity shifts required to move from clinician to leader to brandWhy stepping out of the clinic was harder emotionally than financiallyHow personal brand, visibility, and being “seen” became the real growth leverWhy the future of PT is not just healthcare, but healthcare plus wellness and media This isn’t a tactics episode. It’s a conversation about identity, leadership, confidence, motherhood, ambition, and what it really takes to build a business that doesn’t trap you. If you’re a clinic owner who’s been told you have to choose between family and success, or that your ambition should quiet down once life gets busy, this episode will challenge that belief head-on. In this episode of Paul on Fire, I’m laying out five predictions I’m extremely confident about for 2026 and why the “middle of the road” clinic is about to get crushed. If your practice is sitting in that uncomfortable $20K–$40K per month zone with decent marketing, rising costs, and shrinking margins, this is your warning. The clinic itself is no longer the asset. Location is no longer the advantage. Visibility is. I break down why attention will matter more than bricks and mortar, why “good enough” marketing won’t be good enough anymore, and why clinics with authority, leverage, and systems will pull away fast. I also explain what’s really happening on Facebook and Instagram right now, why authentic insight will outperform polished content, and why this is a rare 12–18 month window you cannot afford to waste. We also talk AI. Not as a shiny tech toy, but as an operational survival decision. AI won’t replace physios, but it will replace inefficient clinics, front desk chaos, bloated payrolls, and slow follow up. Clinics that ignore it will feel slower, more expensive, and more stressful in 2026. Finally, I get into the real bottleneck most clinic owners won’t want to hear about: identity. The way you see yourself will either be your biggest accelerator or the thing that quietly holds you back. This episode is about leadership, leverage, visibility, and making the shift before the market forces it on you. If you want a real wake up call heading into 2026, this one’s for you. And if this is your first time listening, don’t forget to like and subscribe. 👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free 💬 Got thoughts or takeaways? Share them with us! Tag Paul or drop a comment – we actually read them 😉 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: facebook.com/PaulGoughPhysioRooms 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: www.paulgough.com 👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free 💬 Got thoughts or takeaways? Share them with us! Tag Paul or drop a comment – we actually read them 😉 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: facebook.com/PaulGoughPhysioRooms 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twitter/X: @ThePaulGough 🌐 Website: www.paulgough.com Hosted on Acast. See acast.com/privacy for more information.
