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CBP 278: The PT Who Turned a Solo Mobile Practice Into a Thriving Cash PT Business
08/23/2025
CBP 278: The PT Who Turned a Solo Mobile Practice Into a Thriving Cash PT Business
This 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 for 50% off your first month — just use promo code “AUGUST50” at checkout. USEFUL INFORMATION: Check out our course:
/episode/index/show/drjcarter/id/37928885
