Physical Therapy Private Practice: Secrets Of The Top 10%

Want higher profit and lower stress in your physical therapy practice? This week, Brian Gallagher shares the real top challenges PT owners are facing in 2025—and gives you 6 actionable solutions that are already helping clinics restructure and thrive. After surveying dozens of practice owners, it’s clear: the biggest struggles aren’t hiring or marketing. They’re hidden in the systems you rely on every day. You’ll learn… • Why credentialing is crushing productivity—and how to fix it • What to do about front desk churn and burnout • How to overhaul your IVO process for smoother intake and faster flow • The billing standards you should demand (and what to do if you’re not hitting them) • How to hit 25% of revenue in cash-based services • When to expand hours and where to cut payroll without losing talent  

Want more patients and profit without burning out? This week, Brian Gallagher interviews Neil Trickett, PT and CEO of Practice Promotions, to talk all things physical therapy marketing—what’s working in 2025 and how to avoid the common traps practice owners fall into. Neil shares how over 1,200 clinics are using smarter marketing systems to scale their practice, grow revenue, and stand out online—without relying on doctor drop-offs. You’ll learn… • The 3 must-haves for marketing success • Why your website is your #1 conversion tool • How to stand out in your local market • When to hire a marketing director • And why consistency is king! Free Resources: ✅ Download the Market2Grow Book by Neil Trickett, PT Learn the proven strategies top PT clinics use to grow, hire, and profit.

The reality of running a private practice in 2025 is tough—Medicare cuts, rising payroll costs, and staff turnover are making it harder than ever to stay profitable. In this episode, Brian Gallagher breaks down exactly what PT owners must do to survive and thrive in today’s economy. From renegotiating insurance contracts to restructuring your team for maximum efficiency, this is a coaching session you don’t want to miss. Key Takeaways: ✅ Why fighting insurance reimbursement cuts requires a strategic approach (not just form letters). ✅ The #1 reason PT payroll is skyrocketing—and how to fix it. ✅ The staffing strategy that reduces burnout, improves efficiency, and cuts costs. ✅ The simple marketing shift that can generate a steady stream of new patients. ✅ Why running a monthly P&L is critical to keeping your practice financially healthy.   Book a Disacover Call Today!: Click Here

In this episode of Secrets of the Top 10%, Brian Gallagher unpacks the complexities of contracting and credentialing in physical therapy private practice. Often considered one of the most time-consuming and regulated aspects of running a PT business, getting this right can mean the difference between smooth scaling and costly delays. Brian shares insights on: ✅ The real time commitment for contracting & credentialing (hint: it’s 90-120 days!) ✅ Why outsourcing this process is a smart business move ✅ How to increase your chances of getting into closed insurance panels ✅ The pitfalls that could cost you valuable contracts ✅ A little-known acquisition strategy to fast-track your network inclusion If you’re planning to expand your practice in 2025 or want to streamline your admin processes, this episode is packed with essential strategies to save you time, money, and headaches. Contact Us: Website: Discover Solutions Discovery Call: Book a Free Discover Meeting with our Experts!

In this high-energy episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher dives into the power of Executive Vision—the essential mindset shift that can elevate your private practice. If you find yourself constantly putting out fires and reacting to problems, it’s time to stop just doing and start leading. Brian shares hard-earned lessons from his own journey—from clinician to national business leader—and breaks down the four pillars of private practice success. If you’re ready to think bigger, plan smarter, and scale faster, this episode will challenge you to elevate your vision beyond the daily grind and step into your role as a true executive leader. Need help implementing these strategies? Click Here to connect with our Discovery Team today to explore customized solutions for your practice.

Brian Gallagher reflects on his experience at APTA’s CSM conference in Houston, sharing insights on the new generation of physical therapists and the evolving landscape of private practice. In this episode, he breaks down the key business models available to PTs, the importance of practice management strategies, and how MEG Business is lowering the barrier to entry for private practice owners. If you’re thinking about scaling, transitioning, or launching your PT business, this episode is for you! Click Here to Book a Free Discovery Call!  

In this episode, Brian Gallagher highlights the rapid pace of change in business and technology—using AI, automation, and blockchain as analogies for how physical therapy practices must evolve or risk falling behind. While AI may not directly run a PT clinic, the way owners manage their business is changing just as rapidly as AI is reshaping industries. The old-school model of handling everything in-house—billing, front desk, HR—is no longer sustainable. To stay ahead, practice owners must confront reality and adapt their business strategy to remain competitive. Visit megbusiness.com for more information or to schedule your free practice assessment.

Running a PT practice comes with unique challenges—but you’re not alone. In this episode, Brian Gallagher shares real conversations with practice owners who are facing the same struggles as you. From staff turnover and financial pressures to operational bottlenecks, discover the biggest challenges PT owners are dealing with right now and the exact strategies to overcome them. Key Takeaways: The top challenges PT owners face in 2025—and how to fix them The 5 essential divisions every successful practice must have How to regain control of your staff, systems, and profitability Why shifting to a Progressive PT Private Practice Model is critical The financial benchmarks you should be tracking to stay ahead Ready to take back control of your practice? Visit www.megbusiness.com to book a free call with Brian today.

In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher shares the five vital life-changing principles that every practice owner needs to know to thrive in today’s challenging healthcare environment. Whether you’re just starting or managing a multi-clinic practice, these insights will help you improve efficiency, optimize revenue, and build a stronger practice culture. Tune in to learn why luck isn’t a strategy, how transparency breeds trust, and the secret to running a highly efficient practice.

Not all private practice owners lead the same way. Some struggle, some survive, and some thrive—but what makes the difference? In this episode, Brian Gallagher breaks down the 4 types of PT owners and challenges you to identify where you stand: ✅ The Know-It-All Owner – Resistant to change, convinced they have it all figured out ✅ The Innocent Owner – New and uncertain, lacking structure and direction ✅ The Caregiver Owner – Passionate about patient care but neglects business fundamentals ✅ The Go-Getter Owner – Proactive, strategic, and always seeking growth   If you want to achieve true financial freedom and time flexibility, you need to evolve into a Go-Getter Owner—someone who observes, decides, and takes action.

Starting a private practice can feel overwhelming, but it doesn’t have to be. In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, we dive into the essential steps for starting your practice the smart way. Whether you’re transitioning from employee to employer or considering mobile PT, this episode will give you the clarity and confidence to make informed decisions, avoid common pitfalls, and set yourself up for success. Learn how to achieve financial stability, time flexibility, and true freedom in your career. Highlights from the Episode: Understand the Path to Freedom: Discover why owning a private practice can offer financial stability paired with optimal time flexibility. Mobile PT vs. Brick-and-Mortar: Weigh the pros and cons of each model to align with your long-term goals. The 27-Step Startup Process: Learn the key steps to get your practice off the ground and running within six months. Smart Financial Strategies: Find out how to leverage other people’s money to build your bu

In this episode, Brian dives into a critical topic for physical therapy private practice owners in 2025: profitability. While patient volume is often strong, ensuring a sustainable and profitable practice is the real challenge. Drawing on over 30 years of experience and countless practice assessments, Brian shares actionable strategies for financial success, including diversifying services, leveraging automation, and outsourcing administrative tasks. This episode features an in-depth case study on the financial dynamics of running a 2,100-square-foot clinic, offering practical insights for practice owners at any stage of their journey. Actionable Takeaways for Practice Owners: Focus on profits by optimizing operations and expanding services. Leverage technology and automation to improve efficiency and patient care. Transition to a hybrid or cash-based model if it aligns with your market and goals. Reduce payroll costs by outsourcing non-clinical roles. Stay data-driven and proactive in decision-making. ----

What does the practice of the future look like? What is our full potential as physical therapists? Join us for a deep dive of the robust State of Rehab Report with the one and only Heidi Jannenga, DPT and Co-Founder of WebPT.  Episode at a glance: Adding value versus cutting costs The technology catch-up Top reasons and solutions for burnout Advocating for ourselves Choose your own adventure

When looking ahead, it’s important that we study past trends as well. But it all starts with your purpose and goals! If you can’t see where you want to go, how do you expect to get there? What do you have control over? Invest in your quality, and watch your quantity soar! Episode at a glance: Decisions for 2025 The 95% rule Create your business strategic plan Quality, Efficiency, Production  

What matters most? The mechanics or the magnetism of your private practice? A lot of people can do good therapy, but that’s not necessarily the only reason that patients come to you! Learn how to be the provider that people know, like and trust.  Episode at a glance: It’s about BEING versus DOING Transparency breeds trust There’s no time management without discipline “Collaborative Capitalism”  

If we’re going to be able to “turn the faucet” on and off for new patients, we must think critically about our challenges and tackle them using innovation! Come along for successful actions to solve patient compliance, patient engagement, company culture and schedule. Learn how to strike the perfect balance of policies and fun! Episode at a glance: Operate with integrity Be consistent (have policies!) Train your front desk Make it a game  

We are on a crusade to help you wrap up this year in the best way possible! Whatever your function is in the physical therapy world, we thank you for joining us in our journey to help you navigate the paradigm shift into a brighter future. What are five things that you’re grateful for? List them out, and enjoy the holiday with your friends & family! Episode at a glance: Grateful for all of our clients Grateful for the physical therapy community  Invest quality to gain quantity in business Technology  

Just like you in private practice, we are also constantly trying to improve and help you in the best way possible! Remember how much time and money you invested to become a physical therapist? Have you done the same thing to become the best CEO? Let’s take a look at actionable strategies for ultimate success in leadership.  Episode at a glance: It’s time to LOOK Focus on time management Live by the numbers Give a little grace  

What’s your secret weapon? Staff retention! We are lucky to have staff who have been with us 10, 15, even 20 years! You want to establish staff loyalty so that you have less turnover and thus, less need for recruitment efforts. Learn how to attract people who want to stay with you long-term. Create a career, not just a job! Episode at a glance: Marketing and branding Recruitment never stops Incentives for non-clinical and clinical staff Top tier compensation models