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Stop Discharging Revenue and Start Building a Cash-Based PT Wellness Profit Center
01/09/2026
Stop Discharging Revenue and Start Building a Cash-Based PT Wellness Profit Center
In this episode, Brian sits down with Steve Rapposelli, PT, OCS—longtime private practice owner, entrepreneur, and CEO of StretchPlex—to challenge one of the most overlooked revenue leaks in physical therapy private practice: what happens after discharge. As the profession looks toward 2026, this conversation reframes discharge as the end of a plan of care—not the end of opportunity. Brian and Steve explore how a cash-based wellness profit center can help PT owners move out of a scarcity mindset, reduce reliance on third-party payers, and create sustainable growth without increasing patient volume. Drawing from Steve’s more than 30 years as a clinic owner and his experience building StretchPlex, this episode offers real-world insight into why the future of physical therapy is hybrid—and why wellness services like assisted stretching and recovery belong inside (or alongside) the modern PT practice. About Today’s Guest Steve Rapposelli, PT, OCS is a physical therapist and entrepreneur with over three decades of experience in private practice. He is the co-owner of Performance Physical Therapy, where he has practiced since 1992, the CEO of StretchPlex, a cash-based wellness company focused on assisted stretching and recovery, and a co-owner of Performance Executive Coaching, where he helps practice owners rethink profitability, leadership, and long-term sustainability.
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