What PT School Never Taught You About Running a Practice

What PT School Never Taught You About Running a Practice

July 4, 2026 · 9 min · Season 2 · Episode 228

About this episode

This episode discusses the business knowledge gaps in PT education and offers strategies for running a successful practice.

You spent three years in PT school learning how to treat the body. Nobody taught you how to run a business. That's not an accident. It's a design flaw — and it's the same flaw that funnels brilliant clinicians into insurance-based jobs they didn't train for, billing codes they resent, and a model that quietly caps their income no matter how good they get at the actual work. In this episode, Kelly breaks down the specific business gaps that PT programs leave behind — not to shame the schools, but to name what you're working around so you can actually fix it. We're talking cash-based pricing strategy, discovery call conversion, how to position a specialty practice, and why "get more referrals" is the worst business advice ever given to a private practice owner. If you've ever felt like you're figuring out the business side alone — in the margins of your clinical day, between patient notes — this episode is the map you didn't get at graduation. PT school teaches clinical excellence and almost nothing about revenue, pricing, or business development — that's the gap you're working with Cash-based practice requires a completely different skill set than insurance billing, and nobody's…

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