Scaling Smart: Lessons from Building a Multi-Location Hybrid PT Clinic

In this episode, Danny interviews Chris Roble, a longtime friend, PT Biz coach, and founder of Physio Room, a hybrid model clinic with 4 locations in Colorado. They dive deep into the evolution of his business, how he’s structured team incentives, front desk systems, and the mindset shifts that allowed him to scale without sacrificing culture or profitability.

🎯 Topics Covered

• The pros and cons of early business partnerships
• How Chris structured his hybrid model (cash + limited insurance)
• Why the front desk is your most important (and underutilized) sales asset
• How he builds team culture and accountability from the inside out
• What most PT owners get wrong about compensation and growth
• Opportunities for cash-based clinics in the next 5 years

💡 Key Quotes

“Culture eats strategy for breakfast. Mindset drives everything.”

“The front desk is the most important position in the clinic. They’re client experience and sales in one.”

“You can’t think small and expect to scale. You have to set scary goals.”

“If you want to pay your team more, you either raise your rates or raise your volume. Those are the levers.”

🧠 Pro Tips

• Invest in your front desk like they’re a high-level salesperson—they are
• Set up clear benchmarks and career ladders for your clinicians
• Use a 75/25 cash-to-insurance ratio to maintain margins while growing
• Let your team lead—give them lanes, then let them run in them
• Don’t underestimate the power of local reputation and word of mouth

🔗 Resources & Links

• PT Biz Website – Business coaching and training for cash-based clinicians
• Join the 5-Day Challenge – Learn how to go full-time with your practice
• Download the PT Biz Manual – Lessons from 1,000+ clinicians who went from burnt out to in control
• PT Biz YouTube Channel – Weekly videos on sales, leadership, marketing, and more

📍 About Physio Room

Founded by Chris Roble, Physio Room operates multiple hybrid clinics across Colorado with a focus on culture, autonomy, and scalable systems. Learn more at www.physioroomco.com

🧭 Final Thought

If you're serious about scaling your clinic, you need more than visits—you need systems, mindset, and culture. Chris shows how it's done in this must-listen conversation for growth-minded PTs.