PODCAST · business
Grow Your Practice Podcast
by Grow Your Practice Podcast
Each week, the Grow Your Practice Podcast with Chad Madden of Breakthrough brings you no-nonsense marketing & business growth strategies that deliver new patients and higher profits.Co-Founder of Breakthrough, Owner of Madden Physical Therapy and Author of "Killer Marketing Secrets for Private Practice PTs", Chad grew his practice 600% in the last five years using direct response marketing strategies. He sees more than 200 new patients each month in his single location Private Practice. Now he's teaching over 800 Practice Owners to do the same.
Episodes
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Who Moved My Cheese? How PT Practices Can Win Through Change
Register for Titans of Private Practice Live at https://titansofprivatepractice.com/ Change is inevitable in private practice, but the practices that recognize it early can turn disruption into opportunity. In this episode, Chad breaks down the lessons from Who Moved My Cheese? and shares how…
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How P4 Physical Therapy Scaled to 40+ Clinics Through Partnership FT. Tracy Causey
Register for Titans of Private Practice Live at https://titansofprivatepractice.com/ How do you scale a physical therapy practice without sacrificing culture, leadership, or quality of care? Tracy Causey, PT, ATC, shares how P4 Physical Therapy grew from a pandemic-era startup to more than 40...
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How PT Owners Can Build a Profitable Cash-Based Practice FT. Aaron LeBauer
Follow Aaron on Instagram: https://www.instagram.com/aaronlebauer Register for Titans of Private Practice Live at https://titansofprivatepractice.com/ Aaron LeBauer returns to the Grow Your Practice Podcast to share what he’s learned from building a successful cash-based physical therapy practice...
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The Pelvic Health PT Opportunity Feat. Kimberlee Sullivan & Carine Carmy of Origin
Pelvic health physical therapy has spent years on the edges of mainstream healthcare. Yet demand is growing, awareness is increasing, and new care models are making treatment accessible to patients who previously had nowhere to turn. For physical therapy practice owners, that creates an important...
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How Josh Funk Scaled Rehab 2 Perform to 19 Clinics
Register for Titans of Private Practice Live at https://titansofprivatepractice.com/. Use discount code live20 at checkout to save on your ticket. Josh Funk, founder of Rehab 2 Perform, joins the Grow Your Practice Podcast to share how he built and scaled one of the most recognizable private...
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PT Marketing Lessons from JAG Physical Therapy’s CMO Ft. Kayla George
Register For Titans of Private Practice Live at https://titansofprivatepractice.com/ Private practice physical therapy owners are constantly told they need more leads, better ads, stronger SEO, and a bigger digital presence. But according to Kayla George, Chief Marketing Officer of JAG Physical...
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Growing a PT Practice That Lasts Feat. John Gallucci of Jag PT
Register For Titans of Private Practice Live at https://titansofprivatepractice.com/ Learn more about Jag PT: www.jagpt.com/ The Big Opportunity for Private Practice PT Private practice physical therapy is changing fast. Between staffing challenges, reimbursement pressure, direct access...
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Break Limiting Beliefs to Grow Your PT Practice
Register for Titans of Private Practice Live at https://titansofprivatepractice.com/ In this episode of the Grow Your Practice Podcast, Chad explores how self-limiting beliefs can quietly become the biggest constraint holding private practice owners back. He shares real examples from his own PT...
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Cash Pay PT: How to Beat Burnout & Grow a Practice Feat. Andrew Shofner
https://www.pteverywhere.com/ Register for Titans of Private Practice Live at https://titansofprivatepractice.com/ In this episode of the Grow Your Practice Podcast, Chad sits down with Andrew Shofner, CEO of PT Everywhere, to discuss the rise of cash pay and hybrid physical therapy practices.…
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PT Student Debt, AI, and the Future of Private Practice
In this episode of the Grow Your Practice podcast, Chad Madden sits down with Jimmy McKay of PT Pintcast to talk about the future of physical therapy, student loan pressure, value-based communication, and the role of AI in healthcare. Jimmy shares how his unique path from radio DJ to DPT shaped…
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How Rizing Tide Helps PTs Recruit the Next Generation
In this episode of the Grow Your Practice Podcast, Chad Madden talks with Heidi Jannenga and Shelley Menk about Rizing Tide, a nonprofit scholarship and mentorship initiative supporting underrepresented physical therapy students and residents. They discuss the PT staffing shortage, the importance...
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How to Add Cash Pay Services to Your PT Practice the Right Way
In this episode, Chad Madden breaks down the real playbook for rolling out cash pay services inside a private practice. He shares how his team 6x’d cash pay revenue, the three-step promotion strategy that works, and why clinician confidence matters more than most owners realize. You’ll also hear...
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2026 Breakthrough Virtual Summit: New Rules to Grow Your Private Practice
In this episode, Chad Madden gives a preview of the upcoming Breakthrough Virtual Summit: State of PT: The New Rules of Private Practice Growth in 2026. He shares what practice owners can expect, from reimbursement challenges and AI to cash-based services, compliance, team building, and practice...
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How Breakthrough Started: From Cold Email to PT Marketing System
In this episode, Chad Madden shares the behind-the-scenes origin story of Breakthrough—starting with a cold email in 2012 and a call with Carl Mattiola (then at Tesla). You’ll hear how private practice marketing evolved as physician referrals declined, and why direct-to-consumer strategy became...
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From Overworked to Owner: How to Escape the PT “Owner’s Trap” With Jamey Schrier
Private practice owners: feeling stuck in the clinic and stretched thin? In this episode of the Grow Your Practice podcast, host Chad Madden interviews Jamey Schrier on moving from burned-out clinician to true business owner. You’ll hear the pivotal moments (including a literal clinic fire), the...
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State of PT 2026: Hiring, Reimbursement & Cash-Pay Growth
Chad breaks down the 2026 state of private practice across four pillars: people, finance, operations, and marketing. You’ll hear hard numbers on the DPT shortage and debt, why reimbursement + inflation equals a ~29% hit since 2019, and how cash-pay services are stabilizing margins and improving...
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5 Levels of PT Practice Marketing: Predictable Patient Demand
Most PT owners outgrow word-of-mouth long before they build a true demand engine. In this episode, Chad Madden breaks down the five levels of marketing awareness—from “I don’t need marketing” to running a predictable patient pipeline—and shows how to pick the right next step for your stage.…
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Adding Tech to PT: Cash Services, ROI & Mentorship Ft. Ben England
Chad Madden sits down with Dr. Ben England, PT, DPT, FAAOMPT, to break down why adding treatment technology (laser, shockwave, direct current, dry needling, HBOT) isn’t a fad—it’s what today’s patients expect. We cover how to roll out cash-pay services, pricing, ROI, and the mindset shift...
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Titans of PT: 26 Clinics, Smart Hiring & AI—With Ryan Christoff
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…
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End on a Win: PT Engagement, CQI & Clinician Habits That Drive Growth with Dr. Ben Fung
Chad Madden and Dr. Ben Fung break down the behaviors that keep schedules full and graduation rates near 100%—from “left/right-brain” patient communication to always ending each visit on a win. They unpack UpDoc’s Corporate Quality Index (CQI), including intention-to-stay thresholds that predict...
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Scale Your PT Practice: Data-Driven Growth w/ Bob Kowalick- Tools of Titans
PT owner Chad Madden sits down with industry veteran Bob Kowalick to unpack what it really takes to scale beyond yourself. They cover the #1 book that shaped Bob’s approach, painful (and expensive) lessons on “trust but verify,” and why data. not opinions, must drive your systems. You’ll hear how...
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PT Practice Acquisitions: 8-Step Checklist to Avoid Overpaying
Thinking about buying or merging with another private practice? In this episode, Chad Madden breaks down an 8-step checklist to value a practice correctly, avoid common pitfalls, and de-risk your acquisition. You’ll learn how to assess owner dependency, calculate value using EBITDA × a fair...
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4 Levels of PT Owners Using AI (From Beginner to Pro)
Learn the four levels of private practice owners using AI—from “minor leaguer” to “hall of famer”—and see exactly how PT leaders are hiring faster, filling schedules, and building smarter systems. We cover real examples (hiring ads that 200× results, cash-based promos with RunDNA, payer rate...
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10x PT Hiring: AI Job Ads, Principles & Work-Life Balance with Justin Pezick
Private practice owner Justin Pezick of Orthopedics Plus shares how he went from “nice-sounding” job posts to high-converting, principle-driven ads using AI—boosting applicants from 2–3/week to 4–5/day. We cover purpose → principles → process, translating work-life balance into concrete policies,...
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PT Clinic Playbook: 500+ Google Reviews & 100% Graduation Rate Ft. Brenna Strawser & Christian Grove
Chad Madden sits down with DPTs Brenna Strawser & Christian Grove to unpack the simple, repeatable systems behind 500+ Google reviews and months of 100% graduation rates. You’ll hear the exact “ask” script, how to use QR codes at discharge, proactive scheduling to keep caseloads full, and...
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Titans of Private Practice PT: Doug Adams on Value, Specialization & Systems
Chad Madden is joined by five-time guest Doug Adams (Omega Project & RunDNA). Doug shares the books, systems, and mindset shifts that helped him avoid burnout, build high-value care, and scale through people and processes. You’ll learn a clever $200 marketing play, why specialization wins, and…
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How Gait Analysis Boosts PT Clinics & Patient Outcomes With Doug Adams of RunDNA
In this episode of the Grow Your Practice podcast, Chad Madden welcomes back Doug Adams from RunDNA and the Omega Project to discuss how gait and running analysis is revolutionizing physical therapy clinics. Discover how incorporating cutting-edge gait analysis can enhance patient outcomes,...
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Fix Your Payer Mix & $60K/Month Without More Patients - The Road to Build a $100M Practice - Ep: 04
Feeling stuck with low margins—even when your clinic is full? You’re not alone. In this video, Chad Madden walks through why most private practice owners feel powerless to improve their payer mix and how small strategic changes can add $60K+ in monthly profit without adding more patients or…
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How Writing a Book Can Explode Your Practice Growth: Ft. Chandler Bolt
In this episode, Chad Madden interviews Chandler Bolt, founder of SelfPublishing.com, on how private practice owners can use a book to grow their business. Chandler shares how he went from failed startup to publishing over 7,000 books and explains why a book is the best marketing asset for...
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Burnout, Belonging, and Building a Strong Team: Lessons from Lisa Flexner
Chad Madden sits down with Lisa Flexner, founder of Flex Health Consulting, to talk about her surprising journey from tech and executive coaching to becoming a physical therapist—and how a broken shoulder led to a career transformation. Lisa shares her insights on building people-centered...
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The Graduation Rate Audit: How One Simple Tool Transformed Our $150K Revenue Leak
Want to improve patient outcomes, increase referrals, and make your marketing way more effective without spending a dime? In this episode, we break down the Graduation Rate Audit — a simple but powerful tool every private practice physical therapist should be using. Learn how one clinician went...
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Building Demand With Content Marketing Ft. Dr. Kevin Christie
In this episode, Chad Madden talks with Dr. Kevin Christie about how chiropractors and physical therapists can grow their practices using content marketing that builds trust, not pressure. Whether you're insurance-based or cash-based, this episode covers how to position yourself as a local expert...
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Am I Really Making Money in My Practice? Ft. Sean Healy of Accounted4 LLC
Do you ever wonder why your profit says one thing—but your bank account says another? In this episode, Chad Madden sits down with Sean Healy, founder of Accounted4 LLC, to break down: -Why profit isn’t the best way to measure your practice's health -How to understand cash flow (without being an...
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Ben Wobker of Lake Washington PT Shares: Clinician Hiring Draft Board, Building Company Culture, Balancing Burn Out, and How to Utilize AI and Tech in Growing a Practice
In this episode of the Grow Your Practice Podcast, host Chad Madden sits down with physical therapist and Lake Washington PT founder Ben Wobker to talk about one of the hottest issues in private practice: hiring. Ben reveals his data-backed approach to attracting, hiring, and retaining top DPT...
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Core Values and How to Hire the Best: The Road to Build a $100M Practice - Ep: 02
In this episode of the Grow Your Practice podcast, Chad Madden dives deep into the foundational principles every private practice owner needs to scale sustainably, starting with clearly defined core values. If you’ve struggled with hiring, team alignment, or culture drift, you’ll want to take...
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The Top 10%: What Thriving PT Clinics Do Differently with Neil Trickett
In this episode of the Grow Your Practice podcast, Chad Madden sits down with Neil Trickett—former private practice owner and founder of Practice Promotions—to uncover what the top 10% of physical therapy clinics are doing to thrive in today’s competitive healthcare market. Neil shares his…
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Big Hairy Audacious Goals: The Road to Build a $100M Practice - Ep: 01
In this powerful solo episode, Chad dives deep into the concept of the Big Hairy Audacious Goal (BHAG)—a strategic visioning tool popularized by Jim Collins. Whether you're a solo practice owner or leading multiple locations, Chad explains why setting a bold, long-term goal can transform your...
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The 12 Reasons You Can't Ignore Reactivations
In this episode, Chad Madden breaks down the 12 hidden benefits of reactivating past patients in your physical therapy, chiropractic, or healthcare clinic. From boosting revenue during slow seasons to improving staff morale and patient outcomes, reactivations are the easiest, most overlooked…
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How to Establish Metrics & KPIs for Every Position in Your Practice
In this episode of the Grow Your Practice podcast, Chad Madden, owner of Madden Physical Therapy and Breakthrough, discusses the importance of establishing metrics and Key Performance Indicators (KPIs) for every role in a private practice. Chad explains the definitions and difference between...
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How to Achieve Your Big Hairy Audacious Goal in Private Practice
Join host Chad Madden in this episode of the 'Grow Your Practice Podcast' as he discusses strategies to help your private practice achieve its big goals, or as some might call them "unattainable goals." Chad breaks down the process of setting a Big Hairy Audacious Goal (BHAG) and how to map out a...
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How to Get More New Patients Without Relying on Doctor Referrals
In this episode of the Grow Your Practice Podcast, host Chad Madden, owner of Madden Physical Therapy and Breakthrough, shares an in-depth guide on how to diversify new patient sources and reduce reliance on physician referrals. Madden outlines the benefits of diversification, discusses the five...
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Top 3 Campaigns Working for Reactivations
Join Chad Madden, owner of Madden Physical Therapy and Breakthrough, as he delves into the best practices for crafting successful email and text campaigns aimed at reactivating past patients. Chad addresses common challenges such as what content to send, how often to send emails, and fears around...
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How Justin Pezick Saw Practice Growth and Scaled to $2.8M in Revenue
Welcome to the Grow Your Practice podcast! In today's episode, host Chad Madden, owner of Madden Physical Therapy and Breakthrough, interviews Justin Pezick, a private practice owner in Burlington, Massachusetts, of Orthopaedics Plus Physical Therapy. Justin shares his journey from being a...
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3 Ways to Attract More Patients for Your Add-on Cash Services; CSM Roundtable Insights; The Future of the Hybrid Practice
In this episode of the 'Grow Your Practice' podcast, host Chad Madden, owner of Madden Physical Therapy and Breakthrough, discusses strategies to effectively introduce and promote add-on cash-based services in a private practice. Madden shares insights from a recent roundtable at CSM in Houston,...
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How This Practice Owner Generated $2,000 of Revenue in a Single Day
In this episode of the Grow Your Practice podcast, host Chad Madden interviews Kim Bentley, owner of Steadfast Physical Therapy in Anniston and Oxford, Alabama. Kim shares her journey from working in various healthcare settings to opening her own private practice in 2023. She discusses the...
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This is the #1 Single Biggest Mistake Owners Make in Marketing
In this episode of the 'Grow Your Practice Podcast,' Chad Madden, owner of Madden Physical Therapy and Breakthrough, discusses the single biggest mistake private practice owners make in their marketing efforts. Drawing from a survey of over 300 practice owners, Madden identifies that focusing too...
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Engage & Reactivate: Your Complete Patient Retention System with Steven Coen
Join Chad Madden and Stephen as they discuss the success of the private practice network IPA in New York, involving 50 tax IDs and over 100 locations, with a payer already agreeing to negotiate contracts. They then delve into the importance of engagement and reactivation strategies for private...
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Can I Really Improve My Payer Mix with Marketing?
Mastering Payer Mix Strategy for Your Physical Therapy Practice | Grow Your Practice Podcast Join Chad Madden, owner of Madden Physical Therapy and Breakthrough, in this insightful episode of the Grow Your Practice Podcast. Chad dives into strategies to improve your payer mix, attracting more...
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Want to Sell Your Practice? Here is What You Need to Do in the Last 2 Weeks to Increase Value
Join host Chad Madden, owner of Madden Physical Therapy and Breakthrough, in this insightful episode of the Grow Your Practice podcast. Discover the key strategies and systems to elevate the value of your private practice, especially if you're considering selling. Learn about the importance of...
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How to Promote a New Clinic and Get Busy Quickly
Welcome to the Grow Your Practice Podcast! In this episode, host Chad Madden, owner of Madden Physical Therapy and Breakthrough, explores how to effectively promote a de novo (new) clinic in a cold market. Chad delves into the marketing challenges and solutions involved in filling a new clinic's...
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ABOUT THIS SHOW
Each week, the Grow Your Practice Podcast with Chad Madden of Breakthrough brings you no-nonsense marketing & business growth strategies that deliver new patients and higher profits.Co-Founder of Breakthrough, Owner of Madden Physical Therapy and Author of "Killer Marketing Secrets for Private Practice PTs", Chad grew his practice 600% in the last five years using direct response marketing strategies. He sees more than 200 new patients each month in his single location Private Practice. Now he's teaching over 800 Practice Owners to do the same.
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