Private Practice Owners Club

Nathan Shields

Hosted by Nathan Shields who sold his PT clinics for 3x the national average! Do you own a physical therapy practice? If so, you know that running a successful business is no easy feat. There are so many challenges to overcome, from marketing and billing to recruiting, hiring and managing staff. Sometimes it feels like you're a one-man (or woman) army. That's where the Physical Therapy Owners Club podcast with host, Nathan Shields, comes in. We're here to help you know you're not alone. This podcast is meant to help you navigate the challenges of owning a PT practice and achieve greater profits, freedom, and the goals you set forth when you opened your clinc. In each episode, we'll talk to successful physical therapy owners about their experiences and share their insights on how to best run a PT clinic. Here are some examples of the Physical Therapy Owners Club Podcast's Topics & Highlights: 1. Unveiling the Secrets of Successful Clinic Owners We delve into the minds of highly successful physical therapy clinic owners. Discover the essential traits, habits, and strategies that set them apart from the competition. Get ready to unlock the secrets to building a thriving practice that stands the test of time. 2. Mastering the Art of Marketing for PT Clinics We bring you marketing gurus who have successfully harnessed the power of digital and traditional marketing to grow their physical therapy businesses exponentially. From social media strategies to community outreach, you'll gain valuable insights that will revolutionize your clinic's marketing game. 3. Building a Dream Team: Recruiting, Hiring, and On-Boarding/Training Physical Therapists and Top Talent Your team is the backbone of your practice's success. Learn from HR experts and seasoned clinic owners as they spill the beans on effective recruiting and hiring practices, fostering a positive culture, and retaining top-notch talent for the long haul. 4. Mindset and Leadership for Clinic Owners The journey of a physical therapy practice owner is not without challenges. Explore the power of a growth mindset, leadership development, and overcoming common entrepreneurial obstacles to lead your clinic confidently toward success. 5. Scaling Up: Expanding Your Clinic's Footprint Dreaming of expanding your physical therapy business? We’ll explore growth opportunities, opening multiple locations, and franchising models for ambitious clinic owners aiming to take their practices to new markets. 6. Financial Strategies for Sustainable Growth Financial health is critical for the long-term success of any business. Tune in as financial experts share practical tips to manage your clinic's finances efficiently, navigate insurance complexities, and maximize profitability without compromising patient care. 7. Embracing Technology for Enhanced Patient Care With technology advancing at lightning speed, learn how to harness cutting-edge tools, telehealth solutions, and software to optimize patient outcomes and streamline your clinic's operations. We'll explore the latest tech trends reshaping the physical therapy landscape. 8. Navigating the World of Healthcare Legislation Healthcare legislation can be a maze of complexities that significantly impact your practice's operations and profitability. Join industry experts as they break down the latest regulations, provide compliance tips, and share best practices to stay ahead of the curve and optimize your clinic's performance. 9. Nurturing Patient Relationships and Boosting Customer Loyalty Word-of-mouth marketing remains one of the most potent tools for growing your clinic. Discover the art of patient engagement, improving patient experiences, and cultivating lasting relationships to build a fiercely loyal customer base. 10. Success Stories: Inspiring Case Studies from PT Practice Owners If you're looking for a podcast that can take your physical therapy practice to the next level, the PT Owners Club wil do it! Join us on Facebook Group, too

  1. Private Practice Scorecard Episode 1: Why Your Private Practice Isn’t Profitable (And the Metrics You’re Missing) With Adam Robin

    Jun 2

    Private Practice Scorecard Episode 1: Why Your Private Practice Isn’t Profitable (And the Metrics You’re Missing) With Adam Robin

    Most private practice owners think they understand their numbers. But when you actually ask them? They don’t. In this episode of the Private Practice Owners Club podcast, Adam Robin introduces a powerful new series that will completely change how you run your clinic. This is not theory. This is not motivation. This is a step-by-step breakdown of the exact metrics that drive profitability, efficiency, and long-term survival in private practice. Because here’s the truth: 👉 You can’t scale what you don’t measure. 👉 You can’t fix what you don’t understand. 👉 And in today’s environment, “winging it” is no longer an option. With declining reimbursements and tighter margins, clinic owners must evolve from clinicians into operators. This episode sets the foundation for a 12-part series designed to help you: Understand your numbers without feeling overwhelmedIdentify where money is leaking in your businessBuild systems that drive predictable financial outcomesRemove emotion and lead with clarity and controlIncrease visits, revenue per visit, and overall profit margin 💡 In this episode, you’ll learn: Why most clinic owners avoid financial metrics—and why that’s dangerousThe two major shifts required to survive in today’s healthcare landscapeHow emotional leadership can actually hurt business performanceWhat a “practice scorecard” is and why it’s your new superpowerThe 4 key areas that control your entire business (marketing, front desk, providers, billing)How to transition from reactive decision-making to intentional design 🚀 What’s coming next: This is just the beginning. Over the next 12 episodes, Adam will walk you through: ✔ Marketing metrics ✔ Conversion systems ✔ Provider performance ✔ Billing efficiency ✔ Financial tracking ✔ And the exact tools to run your clinic like a machine 🎯 Key Takeaway: If you don’t take control of your numbers… your numbers will control you. 🔗 Resources & Show Notes: 👉 Workshop: https://ppoclubevents.com/04-17-26-workshop 👉 PPO Club: https://ppoclub.com/ 👉 Free resources: https://linktr.ee/ppoclub 💬 Love the show? Subscribe, rate, and share with a clinic owner who needs this. Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ PulseBoard is a new dashboard for PT clinic owners who want clearer clinic visibility without manually pulling reports. Only 20 founding spots available. https://mypulseboard.com

    34 min
  2. Reversing The Reimbursement Decline - Scott Gardner, PT, DPT Of The United Physical Therapy Association

    May 26

    Reversing The Reimbursement Decline - Scott Gardner, PT, DPT Of The United Physical Therapy Association

    Most physical therapists know something’s broken. Reimbursements are declining. Administrative burden is rising. And despite delivering massive value, the profession is still treated like an afterthought. In this episode of the Private Practice Owners Podcast, Nathan Shields sits down with Scott Gardner—clinic owner and leader of the United Physical Therapy Association—to unpack the real reason behind the industry’s struggles. From the “ancillary provider” label to Medicare policy, Scott breaks down why physical therapists are stuck at the bottom of the healthcare hierarchy—and what it will actually take to change that. This isn't theory. This is a behind-the-scenes look at the legislative, financial, and systemic forces shaping your clinic’s future. In this episode, you’ll learn: Why physical therapists are still classified as “ancillary” providers—and why it mattersThe real reason reimbursements keep decliningHow Medicare policy directly impacts your clinic revenueWhat MPPPR is (and why it’s quietly costing you thousands)The truth about “opting out” of MedicareWhy most therapists complain—but don’t take actionHow advocacy and legislation shape the future of private practiceWhat needs to happen for PTs to gain autonomy and higher payWhy unity across clinics may be the only way forward This episode is not about quick wins. It’s about understanding the system—and how to actually change it. 🎯 If you’re tired of shrinking margins, policy confusion, and feeling stuck, this conversation will give you clarity on what’s really going on. 👉 Join the upcoming workshop: https://ppoclubevents.com/04-17-26-workshop 👉 Learn more about Private Practice Owners Club: https://ptoclub.com/ Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

    39 min
  3. Ditching The 1985 Private Practice Model For A Bigger Vision In A State-Of-The-Art Facility - Angie McGilvery's Practice Transformation

    May 19

    Ditching The 1985 Private Practice Model For A Bigger Vision In A State-Of-The-Art Facility - Angie McGilvery's Practice Transformation

    What if the biggest growth moves in your business… was saying no? In this episode, Nathan Shields sits down with Angie McGelry to unpack how one clinic completely transformed its trajectory—not by doing more, but by getting radically clear on who they serve. After years of grinding in a traditional model, Angie and her team made a bold shift: they stopped trying to serve everyone and built their entire practice around a specific niche. What happened next? A stronger brand. Better patients. A team that actually wants to work there. And a business they genuinely love. In this episode, you’ll learn: Why defining “winning” changes everything in businessThe moment Angie realized her current model wasn’t sustainableHow niching down can feel risky—but unlock massive growthWhat happens when you stop chasing every patientHow brand and experience replace insurance dependencyWhy the right vision attracts the right teamThe mindset shift from survival → intentional growthHow to build a business that aligns with your purpose You’ll also hear how creating a unique patient experience—through environment, technology, and positioning—can completely separate you from the competition and make your clinic the obvious choice. This is more than a marketing strategy. It’s a complete identity shift as a business owner. 🎙️ If you’re tired of doing more but feeling stuck… this episode will challenge how you think about growth. 👉 Join the upcoming workshop: https://ppoclubevents.com/04-17-26-workshop 👉 Want help building a niche-driven, high-profit clinic? Book a call: https://calendly.com/ptoclub/discoverycall 💡 Love the show? Subscribe, rate, review, and share: https://ptoclub.com/ Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

    37 min
  4. The Profit Paradox: Why Your Clinic Is Busier Than Ever But Making Less Money - Nathan Shields’ Appearance On The SPRY PT Webinar With Alex Bendersky, PT

    May 12

    The Profit Paradox: Why Your Clinic Is Busier Than Ever But Making Less Money - Nathan Shields’ Appearance On The SPRY PT Webinar With Alex Bendersky, PT

    Most clinics aren’t failing because they lack patients…   They’re failing because they don’t understand their numbers.   In this episode, Nathan Shields breaks down the real reason clinics feel stuck in the “busy but broke” cycle—and what actually needs to change to fix it.   Despite full schedules and strong demand, many practice owners are seeing shrinking margins, rising costs, and increasing pressure. This conversation unpacks why that’s happening—and more importantly, how to take back control.   From KPIs and patient behavior to revenue leaks and operational inefficiencies, this episode gives a practical, no-BS look at what’s really driving profitability in today’s environment.   In this episode, you’ll learn:   • Why being “busy” is not the same as being profitable • The key metrics every clinic owner must track (and most don’t) • How low visit frequency is silently killing your revenue • The hidden cost of incomplete plans of care • Why most clinics are leaking thousands in missed collections • How front desk systems directly impact cash flow • The role of AI and virtual assistants in reducing admin burden • Why clinicians must learn to “sell” the plan of care • How to increase revenue without adding more patients • The mindset shift from clinician to CEO   You’ll also hear how small operational changes—like improving visit frequency or fixing front desk collections—can unlock tens of thousands in additional revenue without increasing workload.   If you’re tired of working more but keeping less… this episode will show you where the real problem is—and how to fix it.   🎙️ Learn how to turn your clinic into a system that actually produces profit—not just busyness.   👉 Join the upcoming workshop: https://ppoclubevents.com/04-17-26-workshop   👉 Want help identifying where your clinic is leaking revenue? Book a call: https://calendly.com/ptoclub/discoverycall   💡 Love the show? Subscribe, rate, review, and share: https://ptoclub.com/ Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/

    54 min
  5. The 20% Rule: Why Your Technical Skills Are NOT The ONLY Reason Patients Stay or Get Better With John Woolf, PT, PhD

    May 5

    The 20% Rule: Why Your Technical Skills Are NOT The ONLY Reason Patients Stay or Get Better With John Woolf, PT, PhD

    Most physical therapists believe better outcomes come from better hands-on skills. But what if that’s only a small part of the equation? In this episode of the Private Practice Owners Club podcast, Nathan Shields sits down with John Woolf, founder of Patient Success Systems, to break down a powerful (and uncomfortable) truth: 👉 Clinical outcomes are driven less by technique… and more by connection. Backed by research and real-world experience, John explains why only a fraction of patient results come from the actual treatment—and why the patient experience, communication, and relationship are what truly drive retention, engagement, and outcomes. This conversation dives deep into what most clinics overlook: not just how you treat patients—but how patients feel when they’re with you. 💡 In this episode, you’ll learn: Why technical skill may only account for a small percentage of patient outcomesThe real reason patients stay, refer, and complete their plan of careHow “connectability” and relatability impact retention and satisfactionThe difference between delivering care vs. creating a patient experienceHow to measure and improve patient relationships inside your clinicWhy some therapists outperform others—even with weaker technical skillsPractical ways to train communication and connection across your teamHow small experience upgrades (front desk, environment, tone) drive big results 🚀 If you’re a clinic owner or provider who: Struggles with cancellations or drop-offsWants patients to stay longer and refer moreFeels like outcomes don’t match clinical skillOr wants to build a stronger, more scalable clinic culture.. This episode will completely shift how you think about care. 🎯 Key Takeaway: Patients don’t just come for treatment. They stay for how you make them feel. 🔗 Show Notes & Resources: 👉 Learn more about PPO Club: https://ptoclub.com/ 👉 Explore resources: https://linktr.ee/ppoclub 💬 Love the show? Subscribe, rate, and share with another clinic owner who needs to hear this. Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ If you haven't done so by now, join the Private Practice Owners Club Facebook Group. Find it under "Private Practice Owners Club" and connect with like-minded therapy owners from across the country.

    42 min
  6. Radical Accountability With Your Team: Why Lowering Your Standards Costs More Than Money With Adam Robin and Nathan Shields

    Apr 28

    Radical Accountability With Your Team: Why Lowering Your Standards Costs More Than Money With Adam Robin and Nathan Shields

    Most clinic owners don’t struggle because they don’t know what to do…   They struggle because they wait too long to do it.   In this episode of the Private Practice Owners Club podcast, hosts Nathan Shields and Adam Robin break down one of the hardest leadership decisions in business:   When is it time to let someone go?   This isn’t just about performance. It’s about culture, values, leadership, and the hidden cost of tolerating the wrong people.   Through real stories and firsthand experience, they unpack what happens when a single team member starts draining leadership energy, creating tension, and slowly eroding the foundation of your business — even if they’re producing.   And more importantly… what happens when you finally act.   In this episode, you’ll learn:   Why high performers can still be the biggest liability in your businessThe real reason most owners wait too long to fire someoneHow toxic behavior spreads and impacts your entire teamThe difference between performance issues vs. cultural misalignmentWhy “exhausting every option” is often a trapHow leadership avoidance creates bigger problems downstreamThe role of standards, accountability, and clear communicationWhy raising your standards always leads to better outcomesHow strong culture attracts the right people and repels the wrong onesWhat happens to your team, energy, and performance after you make the hard call  You’ll also hear how one decision shifted an entire organization — improving morale, alignment, and long-term growth.   If you’ve been holding onto someone you know isn’t the right fit… this episode will give you the clarity (and push) you need.   🎙️ Learn how to protect your culture, lead with conviction, and build a team that actually moves your business forward.   👉 Join our upcoming workshop and learn how to build a stronger, more aligned practice: https://ppoclubevents.com/04-17-26-workshop   👉 Want help identifying gaps in your team, systems, and profitability? Book a discovery call: https://calendly.com/ptoclub/discoverycall   💡 Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ If you haven't done so by now, join the Private Practice Owners Club Facebook Group. Find it under "Private Practice Owners Club" and connect with like-minded therapy owners from across the country.

    35 min
  7. Beyond The Treatment Room: Learning The CEO Skill Sets For Profit And Freedom - Nathan Shields' Guest Appearance On Will Humphreys' Willpower Podcast

    Apr 21

    Beyond The Treatment Room: Learning The CEO Skill Sets For Profit And Freedom - Nathan Shields' Guest Appearance On Will Humphreys' Willpower Podcast

    Most private practice owners think growth comes from doing more…more marketing, more hiring, more effort.   But what if the real leverage comes from seeing what’s already broken — and fixing it fast?   In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Nathan for a behind-the-scenes conversation on growth, leadership, and what actually moves the needle inside a practice.   From scaling a clinic to selling it… to building a coaching company and launching new offers like a fractional CFO model — Nathan breaks down the evolution of a business owner and the lessons that come with it.   This episode goes deeper than surface-level strategy. It’s about how your role changes as you grow — and why most owners stay stuck doing the wrong things for too long.   In this episode, you’ll learn:   Why growth isn’t about doing more — it’s about fixing what’s leaking in your businessThe biggest mindset shift from operator → owner → leaderHow small operational fixes can unlock $100K–$200K+ in profitWhat most clinic owners miss when looking at their numbersHow audits can quickly identify where time, money, and capacity are being lostWhy “one or two focused changes” often outperform massive overhaulsThe real role of a CEO as your business scalesHow to think about systems, reporting, and decision-making at a higher levelWhat a fractional CFO approach looks like inside a private practice  You’ll also hear how Private Practice Owners Club has evolved — from a podcast into a full ecosystem with coaching, workshops, and live events — and what they’re building next.   If you’re feeling stuck, overwhelmed, or unsure where to focus next — this episode will help you zoom out, get clarity, and identify the moves that actually drive profit and scale.   🎙️ Tune in to learn how to stop guessing in your business — and start fixing the right problems.   👉 Want help identifying where your practice is leaking money and capacity? Book your free audit call: https://calendly.com/ptoclub/discoverycall   👉 Join upcoming workshops and events: https://ppoclubevents.com/04-17-26-workshop   💡 Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ PulseBoard is a new dashboard for PT clinic owners who want clearer clinic visibility without manually pulling reports. Only 20 founding spots available. https://mypulseboard.com

    53 min
  8. Learn The New Way To Get Patients From Google With Jeremy Dupont

    Apr 14

    Learn The New Way To Get Patients From Google With Jeremy Dupont

    Most private practice owners know they need marketing… but very few understand what’s actually working right now — especially when it comes to getting found online.   In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Jeremy DuPont, former cash-based clinic owner turned founder of Patch Digital Marketing, to break down what’s driving patient growth in today’s digital-first landscape.   Jeremy shares how he built and scaled a multi-location cash-based clinic in Boston without relying on physician referrals — and why mastering digital marketing became the key to predictable growth. After successfully growing and selling his clinic, he now helps other practice owners do the same through Google Ads, local SEO, and conversion-focused systems.   This conversation dives deep into one of the biggest shifts happening right now: why Google Maps — not your website — is becoming the most important place for your clinic to show up.   Jeremy also walks through a live audit of a real clinic, showing exactly how rankings work, where opportunities are hiding, and what most clinics are doing wrong when it comes to local visibility.   Together, they explore:   Why 70%+ of patients searching for services are using Google Maps — not traditional searchHow Google’s AI and search changes are reshaping how patients find clinicsThe 3 key drivers of local SEO: Google Business Profile, directories, and website authorityWhy most clinics ignore their Google Business profile — and how that hurts rankingsHow review volume and consistency directly impact your visibilityThe role of local directories and why they build trust with Google and AI toolsHow to identify missed opportunities in nearby areas and services (like dry needling or pelvic health)Why ranking for the wrong keywords brings traffic… but not patientsThe difference between “marketing that looks good” vs. marketing that actually convertsWhen paid ads make sense — and why most clinics start too early or too small  If you’re a practice owner trying to get more patients without relying on referrals — or you’re frustrated that your marketing isn’t translating into real growth — this episode gives you a clear, practical roadmap to start winning locally.   🎙️ Tune in to learn how to turn Google into your clinic’s most consistent and scalable patient acquisition channel.   👉 Want to learn more about Jeremy and his work? Follow him on Instagram: @_jeremydupont Visit: https://thepatchsystem.com   👉 Want help strengthening your operations and growing your practice? Book a call with Nathan: https://calendly.com/ptoclub/discoverycall   💡 Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ PulseBoard is a new dashboard for PT clinic owners who want clearer clinic visibility without manually pulling reports. Only 20 founding spots available. https://mypulseboard.com

    26 min
4.8
out of 5
60 Ratings

About

Hosted by Nathan Shields who sold his PT clinics for 3x the national average! Do you own a physical therapy practice? If so, you know that running a successful business is no easy feat. There are so many challenges to overcome, from marketing and billing to recruiting, hiring and managing staff. Sometimes it feels like you're a one-man (or woman) army. That's where the Physical Therapy Owners Club podcast with host, Nathan Shields, comes in. We're here to help you know you're not alone. This podcast is meant to help you navigate the challenges of owning a PT practice and achieve greater profits, freedom, and the goals you set forth when you opened your clinc. In each episode, we'll talk to successful physical therapy owners about their experiences and share their insights on how to best run a PT clinic. Here are some examples of the Physical Therapy Owners Club Podcast's Topics & Highlights: 1. Unveiling the Secrets of Successful Clinic Owners We delve into the minds of highly successful physical therapy clinic owners. Discover the essential traits, habits, and strategies that set them apart from the competition. Get ready to unlock the secrets to building a thriving practice that stands the test of time. 2. Mastering the Art of Marketing for PT Clinics We bring you marketing gurus who have successfully harnessed the power of digital and traditional marketing to grow their physical therapy businesses exponentially. From social media strategies to community outreach, you'll gain valuable insights that will revolutionize your clinic's marketing game. 3. Building a Dream Team: Recruiting, Hiring, and On-Boarding/Training Physical Therapists and Top Talent Your team is the backbone of your practice's success. Learn from HR experts and seasoned clinic owners as they spill the beans on effective recruiting and hiring practices, fostering a positive culture, and retaining top-notch talent for the long haul. 4. Mindset and Leadership for Clinic Owners The journey of a physical therapy practice owner is not without challenges. Explore the power of a growth mindset, leadership development, and overcoming common entrepreneurial obstacles to lead your clinic confidently toward success. 5. Scaling Up: Expanding Your Clinic's Footprint Dreaming of expanding your physical therapy business? We’ll explore growth opportunities, opening multiple locations, and franchising models for ambitious clinic owners aiming to take their practices to new markets. 6. Financial Strategies for Sustainable Growth Financial health is critical for the long-term success of any business. Tune in as financial experts share practical tips to manage your clinic's finances efficiently, navigate insurance complexities, and maximize profitability without compromising patient care. 7. Embracing Technology for Enhanced Patient Care With technology advancing at lightning speed, learn how to harness cutting-edge tools, telehealth solutions, and software to optimize patient outcomes and streamline your clinic's operations. We'll explore the latest tech trends reshaping the physical therapy landscape. 8. Navigating the World of Healthcare Legislation Healthcare legislation can be a maze of complexities that significantly impact your practice's operations and profitability. Join industry experts as they break down the latest regulations, provide compliance tips, and share best practices to stay ahead of the curve and optimize your clinic's performance. 9. Nurturing Patient Relationships and Boosting Customer Loyalty Word-of-mouth marketing remains one of the most potent tools for growing your clinic. Discover the art of patient engagement, improving patient experiences, and cultivating lasting relationships to build a fiercely loyal customer base. 10. Success Stories: Inspiring Case Studies from PT Practice Owners If you're looking for a podcast that can take your physical therapy practice to the next level, the PT Owners Club wil do it! Join us on Facebook Group, too

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