Ep878 | From Start Up To Scaling Up A Cash-Based PT Clinic With Kim Manlangit
Release Date: 12/23/2025
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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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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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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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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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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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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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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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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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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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_outlineRainmaker 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 building a growing cash practice.
What You’ll Hear in This Episode
- How Kim first got started in the Rainmaker program
- The mindset challenges of the early stages of a cash practice
- Imposter syndrome and self doubt when you are not full time yet
- Why the Rainmaker stage is often the hardest mentally
- Specific struggles Kim faced while starting her clinic
- What helped her push through and go all in on her practice
- How her business looks now inside the PT Biz Mastermind
- Why hearing real stories from people just a few steps ahead matters
Why This Conversation Matters
The Rainmaker program is built for physical therapists who are in the earliest phases of their business. Many are still working full time elsewhere while trying to grow their practice on nights and weekends. It is the most mentally stressful stage because:
- You do not know if the business will work yet
- Your confidence goes up and down every week
- You are balancing work, family, and a new clinic at the same time
Hearing Kim’s story shows that the fear, doubt, and imposter syndrome you feel are normal. More importantly, it shows what is possible on the other side when you get clear guidance, do the work, and stay in the game long enough to make the leap.
Inside the Rainmaker and Mastermind Journey
- Rainmaker Stage: Getting started, getting your first consistent patients, learning the basics of sales and local marketing, building enough momentum to leave your job.
- Mastermind Stage: Scaling systems, hiring, tightening operations, growing revenue, and building a business that can run without you doing everything.
This episode lets you listen in on that transition. You will hear what Kim actually went through while starting and what she is focusing on now as she scales.
Who This Episode Is For
- PTs who are thinking about starting a cash practice but feel uncertain
- Rainmaker level owners who are still in the early growth stage
- Clinicians who feel stuck in self doubt and imposter syndrome
- Owners who want to know what the next level after “launch” looks like
Ready to Talk About Your Own Practice?
- Book a Free Discovery Call with PT Biz:
Talk with a senior advisor about where you are now, where you want to go, and whether Rainmaker or the Mastermind is the right fit.
Book your discovery call - Learn More About PT Biz Programs:
physicaltherapybiz.com
About PT Entrepreneur Podcast
Hosted by Dr. Danny Matta, the PT Entrepreneur Podcast shares real conversations, strategies, and stories from clinicians who are building cash based practices that give them more time and financial freedom.