Why the Middle Is Killing Physical Therapy Clinics episode artwork

EPISODE · Sep 2, 2026 · 33 MIN

Why the Middle Is Killing Physical Therapy Clinics

from The Dave Kittle Show

Should a physical therapy clinic compete on volume or go premium?Dave Kittle and Jimmy McKay break down what PT owners can learn from Equinox, Planet Fitness, membership businesses, the “third place” trend, and why getting stuck in the middle may be the hardest business model of all.Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[00:00] – Price Squeeze Middle[02:19] – Gyms Outpace Nightlife[03:35] – Why Nike Gyms Failed[05:55] – Equinox Spend Breakdown[07:52] – Bell Curve Pricing Strategy[11:21] – Upsells Access and Membership Future[14:24] – Ironman Exec Model Lessons[16:48] – PT As Third Place[18:03] – Membership vs Packages[18:55] – Megan Brown Model[20:23] – Hybrid Clinic Economics[22:28] – APTA Payment Summit[26:34] – Content Formats That Work[27:57] – Parting ShotsPT owners:If you had to choose ONE model today, which would you rather build?A) High-volume / insuranceB) Premium / cash-payC) Membership / wellness modelD) HybridAnd if you're currently charging somewhere around $100–$150 cash per visit, do you feel squeezed between insurance clinics and higher-end practices?-Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: [email protected]: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

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Why the Middle Is Killing Physical Therapy Clinics

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