Ep856 | What We Learned From 200 Cash-Based PTs With Yves Gege
Release Date: 10/07/2025
Ep873 | 8 Trillion Reasons Why You Should Lean Into Longevity
The P.T. Entrepreneur Podcast
Longevity, Cash PT, and the $8 Trillion Opportunity You Can’t Ignore In this episode, Doc Danny Matta breaks down why the global shift toward longevity is one of the biggest opportunities cash-based physical therapists will see in their careers. He shares real-world examples from high-end longevity models, explains why proactive, long-term health programming is exploding, and shows how cash PTs are uniquely positioned to lead this space. Quick Ask If this episode gets your wheels turning about longevity and long-term care, share it with another clinician who needs to hear it—and tag...
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Ep872 | Christmas Tree Lots, Steaks and Why The Work Should Be Hard
The P.T. Entrepreneur Podcast
The Christmas Tree Lot, the Steak, and Why the Hard Part Is What Makes It Worth It In this episode, Doc Danny Matta shares a story about a Christmas tree lot in Columbus, Georgia, the best steak he’s ever eaten, and how hard work—and the struggle that comes with it—makes success and reward deeply meaningful. He connects that experience to clinic ownership, growth, and why building a successful cash practice is supposed to be hard. Quick Ask If this episode helps you reframe the hard parts of business, share it with another clinician who’s grinding through a tough season—and tag...
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Ep871 | The Key To A Successful First Hire In Your Cash-Based PT
The P.T. Entrepreneur Podcast
The Hardest Hire: How to Nail Your First Staff Clinician in a Cash PT Clinic In this episode, Doc Danny Matta explains why your first staff clinician is the hardest hire you’ll ever make—and how to do it the right way. He breaks down why your business looks risky from a candidate’s perspective, why most PTs are wired for security (not startups), and how to sell the future vision of your clinic instead of apologizing for your current “shitty little room.” Quick Ask If this episode helps you think differently about hiring and leadership, share it with another clinic owner who’s...
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Ep870 | Big Things Start In Little Rooms
The P.T. Entrepreneur Podcast
Little Rooms: Why Scrappy Starts Create Standout Cash PT Clinics In this episode, Doc Danny Matta unpacks a simple but powerful idea inspired by Andre 3000’s Rock & Roll Hall of Fame speech: “Little rooms. Great things start. Little rooms.” He connects Outkast’s legendary basement studio—The Dungeon—to the tiny subleased spaces where most cash PT clinics begin, and shows why those gritty starts are not a disadvantage, but an asset that sharpens your skills, your story, and your impact. Quick Ask If this episode encourages you to see your “little room” differently, share it...
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Ep869 | Why Community Is The Foundation Of All Successful Clinics
The P.T. Entrepreneur Podcast
Community: The Hidden Engine Behind Every Successful Cash PT Clinic In this episode, Doc Danny Matta shares the single theme that stood out after spending a full week embedded inside four different cash-based and boutique rehab businesses in Washington, D.C.: community. He breaks down why community involvement is the ultimate competitive advantage, how it fuels long-term growth, and why you can’t fake it—or skip it—if you want a thriving practice. Quick Ask If this episode challenges the way you think about growing your practice, share it with another clinician who needs to hear it—and...
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Ep868 | Will a "Starbucks of Cash PT" Emerge? (And How to Protect Your Practice)
The P.T. Entrepreneur Podcast
The Coming Wave: Why Cash PT Is Headed Toward National Consolidation In this episode, Doc Danny Matta breaks down a bold prediction for the next decade of cash-based physical therapy: the rise of the first nationwide cash PT brand. He explains why the market is primed for massive consolidation, how well-funded companies will change the competitive landscape, and what independent PTs must do now to protect their clinics and stay ahead. Quick Ask If this episode helps you think strategically about your business, share it with another clinician who needs to hear it—and tag @dannymattaPT so he...
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Ep867 | Why Cash-Based PTs Are Billionaires And They Don't Even Realize It
The P.T. Entrepreneur Podcast
The Gratitude Reset: Why PTs Have the Best Job in the World In this episode, Doc Danny Matta reminds physical therapists why they have one of the most fulfilling professions on earth. From building lifelong relationships with patients to seeing the ripple effect of their work beyond the clinic, he shares how to reframe burnout and rediscover gratitude for what makes this career so meaningful. Quick Ask If this episode helps you reconnect with the “why” behind what you do, share it with another PT who might need the reminder—and tag @dannymattaPT so he can reshare! Let’s help more...
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Ep866 | How The Longevity Trend Fits Perfectly With Cash-Based PTs
The P.T. Entrepreneur Podcast
Longevity, Lifestyle Medicine & the Next Evolution of Physical Therapy In this episode, Doc Danny Matta explores the growing trend of longevity and lifestyle medicine in physical therapy. From proactive health to performance-based rehab, he explains why the best clinics of the future will focus less on pain treatment and more on helping people live long, high-performing, pain-free lives. Quick Ask If this episode fires you up about the future of physical therapy, share it with another clinician who’s ready to break free from the traditional model—and tag @dannymattaPT so he can...
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Ep865 | The Growth Paradox (Managing Profit When You're Scaling Your Cash-Based Clinic)
The P.T. Entrepreneur Podcast
Profit Growth Cycles: Navigating the Financial Growing Pains of a Cash Practice In this episode, Doc Danny Matta breaks down the financial growing pains every clinic owner faces when scaling from a small subleased space to a full standalone practice. He explains how to manage cash flow, survive low-profit growth cycles, and make smart reinvestments that turn short-term sacrifice into long-term stability. Quick Ask If this episode helps you think differently about your business finances, share it with a fellow PT who’s growing their practice—and tag @dannymattaPT so he can reshare! Let’s...
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Ep864 | 60 and Unstoppable! What Two PT Patients Taught Me About Longevity
The P.T. Entrepreneur Podcast
Stay Curious, Stay Strong: Longevity Lessons from a DC Clinic Tour In this episode, Doc Danny Matta shares powerful lessons on longevity, curiosity, and self-care after visiting four PT-owned clinics in Washington, D.C. From a 60-year-old Pilates enthusiast who crushed him in class to a marathoner aiming to beat his 27-year-old PR, Danny reflects on what these experiences revealed about health, purpose, and the long game of entrepreneurship. Quick Ask If this episode hits home, share it with a friend who’s burning the candle at both ends—or post it to your Instagram stories and tag...
info_outlineCash PT Trends 2025: What We Learned in Dallas + The New Industry Report
In this episode, Doc Danny Matta and Yves Gege unpack takeaways from their Dallas live event and preview PT Biz’s new Cash PT Industry Report. They cover what’s working now across pure cash, hybrid, and out-of-network models; why continuity and small-group training are surging; and how the talent market is shifting as more solo owners choose to join established cash clinics.
Quick Ask
Help us move toward the mission of adding $1B in cash-based services to our profession: share this episode with a clinician friend or post it to your IG stories and tag Danny—he’ll reshare it.
Episode Summary
- From beginners to builders: PT Biz events now draw ~200 owners focused on scaling, not just getting started.
- No single “right” model: Cash-only, hybrid, out-of-network, Medicare-focused, and gym-like setups can all work—business principles drive success.
- Continuity is up: Many clinics now get 20–40%+ of monthly visits from recurring performance/wellness work—stabilizing revenue.
- Small-group training wins: Huge LTV and stick rate; still underused (only ~¼ of clinics are doing it).
- Talent trend: More solo owners are approaching larger cash clinics for roles with culture, mentorship, and intrapreneurship tracks.
- Reality check on pay: Compensation must tie to the revenue a provider can generate; entitlement ≠ value creation.
- Macro shift: Rising deductibles & wellness demand push all clinics to add self-pay services—cash PT is no longer fringe.
Live Event Takeaways
- Owner mindset: Conversations have matured—hiring, leadership, profitability, systems, and scaling to $100k–$200k/month per site.
- Market fit varies: Geography, payer mix, and demographics dictate whether to stay pure cash, add OON, or blend Medicare.
- Community compounding: Member-to-member playbooks (what worked, what didn’t) are often the most valuable part of events.
The Industry Report: What to Watch
- Continuity growth: Bigger clinics show higher % of recurring visits, needing fewer new evals to fill schedules.
- Underutilized small groups: High demand among “post-injury but not gym-ready” clients; strong margins and retention.
- Diversified offers: Performance, strength, and longevity programs de-risk revenue and increase lifetime value.
Small-Group Training: Why It Works
- Checks the boxes: Strength, mobility, accountability, and community—with clinicians nearby if issues arise.
- Cost-effective for clients: Often similar to PT weekly or personal training—but with better adherence and social glue.
- Team friendly: Therapists enjoy variety and fewer notes; can be delivered by PTs or trained coaches under clinical oversight.
Career Pathways & The “Unemployable” Test
- Two good options: Go all-in on ownership or join a high-performing cash clinic as an intrapreneur (clinic director, partner track).
- Value first, then ask: Promotions/partnerships follow demonstrated impact, not tenure. Reputation compounds.
Pro Tips You Can Use This Month
- Launch continuity now: Create 1–2 simple monthly options (e.g., strength + mobility; return-to-sport).
- Pilot a small group: 4–8 clients, 2x/week, 8 weeks. Price for value, track retention, collect testimonials.
- Map your model: List your market realities (Medicare, Tricare, local payer rates, boomer density) before choosing cash/hybrid.
- Hire from the doers: Prioritize applicants who’ve tried solo—“batteries included,” better respect for business realities.
- Benchmark & iterate: Compare your prices, packages, and continuity % to the industry report; fix one lever each month.
Notable Quotes
“There isn’t one right model—principles win. Leads in, lifetime value up, recruit well, lead well.”
“Continuity compacts the snowball. When 30–40% of your visits are recurring, everything gets easier.”
“If you want stability without owning every problem, be an intrapreneur—create value, then opportunities chase you.”
Action Items
- Download the Cash PT Industry Report and benchmark your prices, packages, and continuity %.
- Sketch a small-group pilot (who it’s for, schedule, price, progression) and pre-sell 6–8 spots.
- Define two continuity offers with clear outcomes and a simple monthly cadence.
- Write a one-page model map for your area (payers, demographics, demand) and choose cash-only vs hybrid accordingly.
Programs Mentioned
- Clinical Rainmaker: Systems to get you full-time in your clinic.
- Mastermind: Scale space, team, and operations.
- PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Expenses, visit targets, pricing, 3 paths to go full-time, and a one-page plan.
Resources & Links
- PT Biz Website
- Free 5-Day PT Biz Challenge
- Cash PT Industry Report: Download on the PT Biz site.
About the Hosts: Doc Danny Matta—staff PT, active-duty military PT, cash-practice founder & exit; now helping 1,000+ clinicians start, grow, and scale with PT Biz. Yves Gege—cash-practice owner and PT Biz co-founder focused on systems, leadership, and scaling.