Grow Your Practice Podcast

How can physical therapy practices use remote therapeutic monitoring (RTM) to improve patient engagement without overwhelming their clinicians? On the Grow Your Practice Podcast, Chad Madden welcomes Ellen Morello, PT, DPT, president of EverEx, to share lessons from building nationwide virtual physical therapy programs and helping clinics implement RTM. Discover how to improve home exercise adherence, gain clinician buy-in, navigate reimbursement challenges, and use AI to streamline practice operations. Explore RTM resources and the RTM ebook at https://everex.ai, or contact Ellen at [email protected] the playbook https://everex.ai/rtm-playbook00:00 - Ellen Morello's Journey into Virtual Physical Therapy06:09 - From Telehealth to Remote Therapeutic Monitoring16:56 - How to Improve Home Exercise Adherence21:38 - Combining Virtual and In-Person Physical Therapy25:06 - Proposed 2027 CMS Changes to RTM29:42 - Launching RTM and Getting Clinician Buy-In35:04 - Fee-for-Service vs. Value-Based Physical Therapy40:30 - EverEx Technology and the Future of AI in PT

Register for Titans of Private Practice Live at https://titansofprivatepractice.com/Change is inevitable in private practice, but the practices that recognize it early can turn disruption into opportunity. In this episode, Chad breaks down the lessons from Who Moved My Cheese? and shares how those principles shaped 23 years of growing a physical therapy practice. From physician referrals and Google Ads to the rise of ChatGPT, Gemini, GEO, and AI-powered search, discover why adapting how patients find your practice is more important than ever. Use these lessons to identify changes sooner, protect your new-patient pipeline, and position your practice for what comes next.Time Stamps00:00 - Why Who Moved My Cheese? Still Matters01:25 - The Four Characters and How They Respond to Change03:45 - Six Key Lessons for Navigating Change06:20 - Applying the Lessons to Physical Therapy Private Practice08:10 - Building Beyond Physician Referrals11:15 - The Google Search Discovery That Changed the Practice14:45 - How Patient Search Behavior Continued to Evolve17:10 - ChatGPT, Gemini, GEO, AEO, and the Next Search Shift

Register for Titans of Private Practice Live at https://titansofprivatepractice.com/How do you scale a physical therapy practice without sacrificing culture, leadership, or quality of care? Tracy Causey, PT, ATC, shares how P4 Physical Therapy grew from a pandemic-era startup to more than 40 clinics by building around the right people and giving local leaders meaningful ownership. He explains P4’s minority partnership model, why rural markets offer overlooked opportunities, and how relationships—not spreadsheets—drive their expansion strategy. You’ll also hear Tracy’s approach to leadership, work-life rhythm, and building a practice designed for the long term.Learn more: Visit the P4 Physical Therapy website or connect with Tracy using the contact information shared in the episode. https://p4physicaltherapy.com/His email [email protected] Time Stamps00:00 - Meet Tracy Causey and the P4 Physical Therapy Story01:50 - Combining Physical Therapy With the Fitness Business05:05 - Launching P4 During the COVID-19 Pandemic09:03 - Growing From Startup to 40+ Physical Therapy Clinics16:40 - Why P4 Builds Clinics Around People, Not Pro Formas22:11 - Why Rural Physical Therapy Markets Are Underrated26:31 - P4’s Minority Partnership and Ownership Model36:41 - How to Identify the Right Partner for a New Clinic

Follow Aaron on Instagram: https://www.instagram.com/aaronlebauerRegister for Titans of Private Practice Live at https://titansofprivatepractice.com/Aaron LeBauer returns to the Grow Your Practice Podcast to share what he’s learned from building a successful cash-based physical therapy practice and coaching PT owners for more than a decade. He and Chad discuss limiting beliefs around pricing, why niching makes marketing easier, how routines drive high performance, and why clinicians need confidence—not endless certifications—to create more value for patients. Aaron also explains how insurance-based practices can successfully add cash services and why authentic expertise will matter even more as AI-generated content grows. Listen in for practical ideas you can use to build a more profitable, focused, and fulfilling PT practice.Time Stamps00:00 - Aaron LeBauer Returns to the Podcast03:19 - From Massage Therapy to Cash-Based Physical Therapy05:07 - Limiting Beliefs Holding Practice Owners Back09:13 - Why Focus and Niching Beat More Certifications14:05 - The Daily Routines Behind High Performance16:31 - A 3-Step System for Adding $100K+ in Cash Services18:34 - What Clinicians Miss When Treating Pain24:01 - Building Patient Trust, Confidence, and a Stronger Practice31:25 - AI, Authenticity, and the Future of Physical Therapy33:28 - Who Cash PT Blueprint Is Built For34:41 - Why Insurance Practices Are Moving Toward Hybrid Models

Pelvic health physical therapy has spent years on the edges of mainstream healthcare. Yet demand is growing, awareness is increasing, and new care models are making treatment accessible to patients who previously had nowhere to turn.For physical therapy practice owners, that creates an important question: Are you overlooking one of the biggest underserved opportunities in PT?On the Grow Your Practice podcast, Chad Madden spoke with Kimberlee Sullivan, PT, DPT, WCS, BCB-PMD, and Carine Carmy of Origin. Their conversation explored the expanding pelvic health market, virtual care, clinical outcomes, and the role technology can play in making care more sustainable.The Problem: Demand Exists, but Access Still Doesn'tCarine's introduction to pelvic health came through her own experience as a patient. After nearly a decade of pelvic pain, numerous physicians, procedures, and treatments, she was finally introduced to pelvic floor physical therapy.Within roughly two months, she experienced significant improvement.That experience highlighted a much larger problem: patients can spend years looking for answers before ever being referred to a pelvic health specialist.Kimberlee has witnessed the same issue throughout her 24-year career in women's health and pelvic health physical therapy. Symptoms such as incontinence, pelvic pain, painful intercourse, postpartum problems, and difficulty sitting or exercising are often normalized rather than treated.At the same time, access remains limited. There aren't enough trained providers in many communities, and insurance reimbursement can make providing long, one-on-one pelvic health visits financially difficult for independent practices.Key Insight #1: Practice Owners May Be Underestimating DemandKimberlee knows this from experience.Before joining Origin, she owned a practice for 16 years. Despite being told there might not be enough demand for specialized pelvic health services, her practice eventually grew to 13 physical therapists and still carried a two- to three-month waiting list.She also made an important point for orthopedic practices: you may already be treating pelvic health patients without realizing it.Patients don't always disclose pelvic symptoms during an orthopedic evaluation. But recognizing those symptoms gives clinicians an opportunity either to provide appropriate treatment or create a referral pathway.Key Insight #2: Virtual Care Isn't Just a Backup PlanOne of Origin's most interesting findings came from a retrospective analysis involving just under 5,000 patients.The organization wanted to understand whether virtual pelvic health treatment could produce meaningful outcomes compared with traditional in-person care. Their analysis found clinically comparable outcomes across multiple diagnoses.That challenges a deeply ingrained assumption in physical therapy: that effective care must always involve hands-on treatment.Education, breathing strategies, relaxation, self-treatment, exercise, and patient empowerment can all be delivered virtually.For some patients, the virtual environment may actually provide an advantage. Someone dealing with pelvic pain, painful intercourse, previous trauma, or anxiety about pelvic examinations may feel safer learning in their own home.Key Insight #3: Virtual Care Has to Be Built IntentionallyCarine emphasized that telehealth shouldn't simply become the appointment offered when someone can't make it into the clinic.It needs to be treated as its own service.That means specific therapist training, clear patient expectations, strong home-program engagement, appropriate technology, and deliberate operational systems.Origin eventually developed a dedicated virtual team rather than expecting every therapist to constantly switch between in-person and virtual delivery.Using AI to Give Therapists Their Time BackTechnology is also changing the administrative side of practice.Origin developed tools layered onto its existing EMR to reduce the burden of documentation. According to the discussion, evaluations that once required approximately 20 to 25 minutes of documentation could sometimes be completed in five minutes or less. Therapists reported completing certain follow-up notes in under a minute.The goal isn't technology for technology's sake.It's giving clinicians more time and energy to treat patients instead of spending hours finishing charts after work.ConclusionFor practice owners, pelvic health represents more than another specialty service.It sits at the intersection of enormous unmet demand, increasing patient awareness, virtual access, and rapidly improving technology.The practices that recognize those shifts early may be able to serve patients who have historically struggled to find appropriate care while building a valuable new growth channel at the same time.The opportunity isn't necessarily creating demand. It's recognizing how much demand is already there.Learn more about Origin at https://www.theoriginway.com/