Titans of PT: 26 Clinics, Smart Hiring & AI—With Ryan Christoff
Description
Private practice builder Ryan Christoff joins Chad Madden to unpack how he grew from one clinic to 26 in Western PA. He shares the two books that shaped his mindset, the sub-$500 tool that moved the needle, and the painful expansion mistake that became a turning point. You’ll hear practical hiring and retention tactics, why “foot on the gas” matters, and how AI will reshape scheduling, authorizations, and collections. Watch if you want battle-tested strategies to grow your PT practice and protect your time.
Timestamps
00:00 - Intro & why Ryan’s a special guest
01:18 - From one clinic to 26: Ryan’s background
02:52 - Game-changing books: The Strangest Secret & Rich Dad Poor Dad
04:24 - Best sub-$500 tool: two-way texting for D2C & reactivations
05:48 - Biggest mistake opening a clinic—and the turnaround
08:30 - Mantra: “Keep your foot on the gas”
09:32 - Best investment: time to think, partner smart, win-win deals
10:46 - Unconventional review process: staff self-assess wins & teamwork
12:18 - New mindset: you can’t please everyone (comp & balance realities)
13:55 - Starting a practice: legal/finance first, don’t rely on MD referrals
15:20 - Protecting time: say no, one needle-moving task per day
16:35 - Overlooked trend: staffing squeeze & creative scheduling
17:30 - What’s next: AI for auths & collections; faster changes than ever
18:16 - Closing advice to owners
United States
