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...
info_outlineThe 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...
info_outlineThe 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...
info_outlineThe 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...
info_outlineThe 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...
info_outlineThe 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...
info_outlineThe 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...
info_outlineThe 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...
info_outlineThe 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_outlineThe 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...
info_outlineMoney, 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 recommends Morgan Housel’s books to clinic owners
- “May I Have Your Attention Please?” – how attention drives happiness
- The danger of comparing your clinic to someone else’s revenue
- Context you never see behind other people’s success
- “The Happiest People I Know” – business as vehicle vs. business as life
- Trading time for money vs. protecting what matters most
- Lifestyle creep and constantly moving the goalposts
- Defining the race you’re running and saying no on purpose
- Why “no thank you” money is real wealth
Book Recommendation: The Art of Spending Money
Danny highlights The Art of Spending Money by Morgan Housel as his favorite book of the year and a perfect follow-up to Housel’s earlier book, The Psychology of Money. While the title sounds like a pure finance book, Danny and his wife both felt it’s really about:
- How you make decisions around money
- How those decisions impact your happiness and contentment
- How self-awareness around money affects your quality of life
For clinic owners, it’s especially relevant because you’re:
- Charging for your own services
- Paying staff and managing payroll
- Using money as a tool for growth, security, and freedom
Attention, Comparison, and Feeling Miserable
Danny breaks down a section from the book called “May I Have Your Attention Please?”, which focuses on how your attention influences your happiness.
Example:
- Your clinic is doing ~$500k a year.
- You’re profitable, love your niche, and like your team and culture.
- Then you meet another owner doing $2M a year.
If you put all your attention on that comparison, you go from proud to deflated in seconds:
- “I’m behind.”
- “I must be doing something wrong.”
But you have no idea:
- What advantages they had going in (investors, family help, safety nets)
- What trade-offs they made (health, marriage, time with kids)
- Whether they’d actually trade lives with you
If they’re at $2M but wrecked their health and relationships, while you’re at $500k with strong health and a solid home life, who’s really winning? It depends on your values. The point: if you want to stay miserable, keep comparing yourself to everyone else.
Business as Vehicle vs. Business as Your Whole Life
Danny then shifts to another section: “The Happiest People I Know.” The big idea:
- Your business should be the vehicle that supports the life you want.
- Most owners accidentally let the business become their life.
He gives a simple comparison:
- Owner A: Works 60 hours/week, makes $300k.
- Owner B: Works 30 hours/week, makes $200k.
Neither is right or wrong. It depends on your season of life and what you value more: extra money or extra time.
Questions to ask:
- Do I want the extra $100k badly enough to trade 30 more hours a week?
- What am I saying “no” to when I say “yes” to more growth?
- Is this growth actually changing my life in a meaningful way?
Lifestyle Creep and Moving the Goalposts
Danny explains how success usually comes with two hidden traps:
- Lifestyle creep: As you earn more, your spending grows to match.
- Constantly moving the goalposts: Every time you hit one target, you immediately raise the bar.
Result: you feel like you always have to keep saying yes to more growth, more risk, and more time in the business just to sustain a lifestyle you drifted into.
Instead, he challenges clinic owners to:
- Define a clear income and lifestyle goal on purpose.
- Live below that level even as income grows.
- Build “no thank you” money – enough margin to say no to opportunities that don’t fit.
Run Your Own Race
Danny uses a running analogy he often shares with PT Biz clients:
- If you’re running a 10K and someone else is running a marathon, your paces and training look different.
- You can’t compare your numbers and expect them to match.
In business:
- Some owners just want one great clinic that they keep for decades.
- Others want a multi-location platform they eventually sell.
Neither is better. But if you don’t know which race you’re running, you’ll:
- Say yes to things that pull you away from what matters most.
- End up living a life you never intentionally chose.
Big Takeaways
- Money is a tool, not a scoreboard.
- Your attention determines how happy or miserable you feel about your progress.
- Success without alignment can feel like a trap.
- Define your race, your goals, and your trade-offs on purpose.
- Real wealth is the ability to say “no” and still be fine.
Free Resources from PT Biz
- PT Biz Part-Time to Full-Time 5-Day Challenge: Get crystal clear on how much you need to replace, how many patients you need to see, and what to charge so you can go full time in your practice.
physicaltherapybiz.com/challenge - Book a Free Discovery Call: Talk with a PT Biz advisor about your clinic, your goals, and the race you actually want to run.
Book your discovery call - Try Clair, the AI Scribe for PTs: Offload documentation so you can focus on patients and protect your time.
meetclair.ai
Connect with PT Biz
- Official Website
- Podcast: PT Entrepreneur Podcast