CBP 278: The PT Who Turned a Solo Mobile Practice Into a Thriving Cash PT Business
The Cash-Based Practice Podcast
Release Date: 08/23/2025
CBP 293: How to Create a Strategic Business Plan for the New Year and Level Up Your Cash Practice
The Cash-Based Practice Podcast
As the year winds down, most practice owners feel the pull to “look back” and “plan ahead.” But too often, that process turns into either a surface-level glance at revenue—or an overwhelming spiral of things you should have done better. That’s not helpful. And it’s not how you build a practice that actually supports the life you want. In this week’s episode, I walk through a more grounded, intentional way to review the past year and plan the next one—starting with a question most business owners skip entirely: What does success actually mean to you? Because if you don’t...
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CBP 292: How to Turn Any Entry Service Into a Full Plan of Care
The Cash-Based Practice Podcast
A lot of Cash-Pay practices are doing something very smart right now. They’re using entry-point services to get new customers in the door… things like specialty services and modalities (like shockwave therapy, red light sauna, etc), performance-based training, etc. And it works… Ads convert. Promotions fill schedules. New Patients and Revenue comes in. But here’s the problem I keep seeing in most practices doing this … They struggle to get these new customers to say ‘yes’ to everything else that could benefit them. For example: pretty much everyone who would benefit from...
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CBP 291: How One Practice Owner Built a Multi-Location, 7-Figure Practice by Mastering an Underserved Niche
The Cash-Based Practice Podcast
When most clinicians think about scaling, they picture working more hours, taking on more risk, or grinding harder than ever. Jonathan Parr took the opposite path. He built a multi-location, seven-figure, cash-based practice by focusing on a niche most practice owners avoid… and by building systems that made growth predictable instead of overwhelming. If you’ve ever wondered whether mastering a niche, developing your team, and creating actual freedom is possible in today’s environment… …Jonathan’s story is proof that it is. What You’ll Learn Today How Jonathan built full...
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CBP 290: The Hidden Trend Costing You Patients — and How to Get Them Back
The Cash-Based Practice Podcast
As insurance companies steadily cut Out-of-Network benefits and reimbursement, many Cash-Based practices are really feeling the impact. Patients who once received 40–50% back from self-claims suddenly get zero, and some respond with: “I just can’t afford this anymore. I need to use my insurance.” It’s frustrating. It feels out of your control. And yes—this trend is growing nationwide. But here’s the part most practices NEVER realize: You can win back a lot of these patients—if your follow-up strategy is airtight. That’s what this episode breaks down. Before you do though, a...
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CBP 289: How to Rise Above Cash-Based Competition
The Cash-Based Practice Podcast
Competition in the Cash-Based PT world is rising—fast. If it feels like new Private-Pay practices are popping up every month in your area, you’re not imagining it. Clinicians are leaving insurance jobs, jumping Out-of-Network, and launching Cash-Based practices at the fastest rate we’ve ever seen. So here’s an inconvenient truth: Longer, One-on-one sessions are no longer a differentiator. Every cash practice offers that now. So in this episode, I walk a Mastermind member through how to stay confident, stay full, and stay ahead—without burning out or obsessing over competitors and the...
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CBP 288: Recurring Cash-Pay Revenue in Private Practice – How to Get Yeses to your Maintenance Memberships
The Cash-Based Practice Podcast
Every practice owner wants consistent, predictable revenue—and the best way to earn this are patients who keep coming back because you continue to transform their life, and they truly value what you provide. That’s exactly what continuity and maintenance memberships can create. In this episode, I walk through the most effective strategies for getting more patients to say “yes” to your ongoing care memberships—without feeling salesy or pushy, or offering them anything that wouldn’t be of significant value to them.. And since this episode releases right around Halloween, I’ll start...
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CBP 287: The Riches in Cash-Based Niches
The Cash-Based Practice Podcast
If you’ve ever wondered whether niching down could really accelerate your practice growth, this episode is your answer. I sat down with longtime Mastermind member Danielle Vernon, founder of , to talk about how she built a thriving Cash-Based practice around a single, underserved niche—and turned it into a referral-generating machine. From starting out in her home clinic to building a 2,200-square-foot specialty practice, Danielle shares the exact steps, lessons, and mindset shifts that helped her go from burnout in traditional orthopedics to fulfillment and freedom in a Cash-Based niche....
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CBP 286: Lesser-Known Rules on Medicare and Cash Pay PT
The Cash-Based Practice Podcast
If you treat (or plan to treat) Medicare beneficiaries in a Cash-Based model, this week’s short but crucial podcast episode is for you. There’s a lot of confusion about about the topic as a whole, and even more confusion when it comes to allowing or not allowing self-claims in the scenarios of: “Medicare as a secondary” Medicare as primary, but having a private insurance as a secondary” and “Medicare Advantage plans” In this episode, I walk through real-world scenarios and answer the questions I get most often inside the Mastermind about how...
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CBP 285: The Only Patient-Producing Approach That Never Stops Working
The Cash-Based Practice Podcast
Most social-media tactics come and go. The algorithm changes, trends fade, and what worked three months ago might be dead today. That’s why I rarely create public content about social-media marketing—because most of it isn’t evergreen. But in this episode, I share the one approach that always works to generate real patients, no matter the year, the platform, or the algorithm. What You’re Getting Today The evergreen framework for turning social followers into real patients How to structure every short-form video so it actually produces leads A free downloadable checklist for...
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CBP 284: How to Stop Patients from Dropping Off After the Eval
The Cash-Based Practice Podcast
…Patients who show up for the eval, and never come back. They book once, and at the end of the first appointment: “I’ll just see how I do with these exercises.” Or “I need to watch my expenses, so I’m gonna try an in-network clinic.” Sound familiar? In this episode, I coach a Mastermind member through this exact issue—and share the exact scripts I use to keep patients committed, from eval all the way to discharge. What You’re Getting Today The common mistake that drives patients away after the eval Simple scripts to keep patients from “testing the waters” at home A...
info_outlineThis week, I had the chance to interview my longtime client (and now good friend) Jim Palmer, a PT in New York City who built a completely mobile, cash-based practice that he has grown to multiple clinicians and multiple services outside of PT.
Jim had worked the gamut—staff PT, clinic manager, clinic director—and like so many therapists, he felt handcuffed. Insurance restrictions, shrinking treatment times, more patients packed into every day. He described it as his “life force being squeezed out.”
But Jim didn’t quit. Instead, he built something different.
In one of the toughest markets in the country—New York City—Jim launched a fully mobile cash-based practice. He started just months before the pandemic, pivoted to virtual PT when the city shut down, and somehow grew through it all.
Today, his practice isn’t just surviving—it’s thriving with a full team of clinicians, concierge services, medical fitness programs, a golf performance arm, and referral relationships with high-level concierge physician groups across Manhattan… In today’s episode, you’ll learn exactly how he did it.
And here’s the part you don’t want to miss: Jim will be hosting a members-only deep-dive training and Q&A in our Cash Practice Mastermind a few days after this blog post is published, where members can ask him anything about scaling, referrals, or running a mobile team.
If you want access to that (and to the kind of support that accelerates your success), you can join us and the rest of the successful cash-pay practice owners HERE for 50% off your first month — just use promo code “AUGUST50” at checkout.
USEFUL INFORMATION:
Check out our course: Cash-Based Practice Freedom 2.0