Breaking the High-Volume Model: Dr. Carlos Reyes on Building a Performance-First Physical Therapy Practice

Dr. Carlos Reyes, PT, DPT, SCS, is a Board-Certified Sports Clinical Specialist and the founder of Reyes Performance Institute in Austin, Texas. A former collegiate runner at the University of Texas, he built RPI to give every athlete — from weekend warriors to pros — the kind of one-on-one, performance-focused care usually reserved for elite competitors. In this episode of the Medical Entrepreneur Podcast, host Adam Sewell, MD sits down with Carlos to talk about walking away from the traditional high-volume clinic model and building a practice that blends relationship-driven care with pro-level technology — from force-plate testing (ForceDecks) and Blood Flow Restriction therapy to RacquetFit and BlazePod. Topics we explore include: Why he left the high-volume, insurance-driven PT model to start his own practice Building trust in an industry where referral loyalties are already tied to bigger systems Learning to be an entrepreneur, marketer, and business owner — not just a clinician Using force plates and objective data to deliver measurable, pro-level results Treating ACL recovery, runners, and the fast-growing world of pickleball performance Why mental resilience matters as much as physical recovery About the guest: Dr. Carlos Reyes, PT, DPT, SCS, MS, CSCS, TPI is a Board-Certified Sports Clinical Specialist in Physical Therapy — a designation held by only about 3% of PTs nationwide — and the founder of Reyes Performance Institute in Austin, TX. Learn more at https://reyesperformanceinstitute.com/ or on Instagram @reyes_performance_institute. The Medical Entrepreneur Podcast is hosted by Adam Sewell, MD. Healthcare professionals are overworked and underpaid — this show is here to tell you it doesn't have to be that way. Learn more at https://medicalentrepreneur.org/.