Ep856 | What We Learned From 200 Cash-Based PTs With Yves Gege
Release Date: 10/07/2025
Ep881 | I Was Right... 14 Years Later
The P.T. Entrepreneur Podcast
Big Ship or Small Boat: Are You in the Right Organization? In this episode of the PT Entrepreneur Podcast, Doc Danny tells a story from his time as an Army PT in Hawaii and how a denied human performance proposal, that finally got implemented 13 years later, forced him to ask a hard question. Am I on the right ship or do I need to build my own boat? If you feel boxed in by red tape, slow decisions, and limited influence, this one will hit home. In This Episode, You’ll Learn: The human performance proposal Danny and a strength coach pitched to their division in 2011–2012 Why a project that...
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Ep880 | 4 Hard Lessons From 2025 (That Will Make You a Better Clinic Owner in 2026)
The P.T. Entrepreneur Podcast
Four Big Lessons from 2025 for Cash-Based PT Owners In this year-end episode of the PT Entrepreneur Podcast, Dr. Danny Matta shares the four biggest lessons he learned in 2025. From a small revenue dip at PT Biz to the rise of corporate cash clinics, the longevity wave, and why happiness cannot be tied to “winning,” Danny breaks down what actually matters for clinic owners who want a sustainable, meaningful business and life. In This Episode, You’ll Learn: Why PT Biz saw its first year-over-year revenue decline and what actually caused it The danger of chasing brand polish while...
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Ep879 | Two Must Read Books For Clinical Entrepreneurs
The P.T. Entrepreneur Podcast
Visionary vs. Integrator: The Two Types of Cash-Practice Entrepreneurs Clique away long enough and you lose your patient’s attention. That’s why Claire, our AI scribe built specifically for physical therapists, handles the documentation so you can focus on the person in front of you. Try it free at . In this episode of the PT Entrepreneur Podcast, Dr. Danny breaks down two personality types that show up again and again inside cash-based practices: the Visionary and the Integrator. He explains why knowing your type gives you an immediate advantage, how it shapes your strengths, and which...
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Ep878 | From Start Up To Scaling Up A Cash-Based PT Clinic With Kim Manlangit
The P.T. Entrepreneur Podcast
Rainmaker to Mastermind: Kim’s Cash Practice Journey Guest Coach: Michael (PT Biz Rainmaker Coach) Guest: Kim (Rainmaker Alum, PT Biz Mastermind Member) Episode Overview In this episode, Danny introduces a live conversation from inside the PT Biz Rainmaker program between coach Michael and Rainmaker alum Kim. Kim started in Rainmaker while she was just getting her practice off the ground. Now she is in the PT Biz Mastermind, actively scaling her clinic. This episode walks through her journey, early fears, mindset hurdles, and what it looks like to go from “Can I really do this?” to...
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Ep877 | The Best Book I've Read This Year
The P.T. Entrepreneur Podcast
Money, Happiness, and the Race You’re Actually Running as a Clinic Owner Episode Overview In this episode, Danny shares his favorite book of the year — The Art of Spending Money by Morgan Housel — and why it hit so hard as a cash-based business owner. He breaks down how money, attention, and expectations shape your happiness, why comparison quietly wrecks clinic owners, and how to use your business as a vehicle for the life you actually want instead of letting it become your whole identity. Key Topics Covered Why money mindset is such a big problem in the PT profession Why Danny...
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Ep876 | How To Use Gratitude As Fuel
The P.T. Entrepreneur Podcast
How to Use Gratitude as Fuel in Your Cash-Based PT Journey Episode Overview In this episode, Danny breaks down how gratitude isn’t just a feel-good idea – it’s a practical performance tool for stressed-out cash-based practice owners, especially those in the early “nights-and-weekends” grind. He explains why the early stage of business is mentally brutal, how gratitude helps you zoom out, and how to use it as fuel instead of living in frustration over goals you haven’t hit yet. Key Topics Covered The hardest stage of business: early Rainmaker-phase grind Why your confidence wobbles...
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Ep875 | Why Your Cash-Based PT Clinic Isn't Growing
The P.T. Entrepreneur Podcast
The Momentum Equation: Why Effort Alone Won’t Grow Your Cash PT Clinic In this episode, Doc Danny Matta uses a simple physics concept—momentum—to explain why some cash practices take off and others stall out. He breaks down his “business momentum equation” (effort × accuracy), shows why hard work on the wrong things keeps you stuck, and explains how to aim your effort at the right tasks so your clinic actually moves forward. Quick Ask If this episode helps you see your business more clearly, share it with another clinician who’s grinding but not gaining traction—and tag...
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Ep874 | The 3 Paths You Can Take When Starting Your Cash-Based PT Clinic
The P.T. Entrepreneur Podcast
3 Choices When You’re Thinking About Starting a Cash PT Clinic In this episode, Doc Danny Matta breaks down the real decision points for clinicians who are thinking about starting their own cash-based practice. He explains why staying stuck in “research mode” is dangerous, what it actually takes to make the leap, and the three clear paths you can choose—staying employed, going solo, or getting guided support. Quick Ask If this episode helps you get clarity on your next move, share it with another clinician who’s on the fence about starting a practice—and tag @dannymattaPT so he can...
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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...
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.