Physical Therapy Private Practice: Secrets of the Top 10%

Brian Gallagher sits down with Sean Healy, Founder and President of Accounted4 LLC, based in Philadelphia, PA, to unpack the financial side of running a physical therapy private practice. Together, they explore the difference between profit and cash flow, the power of KPIs, and why maintaining data integrity leads to smarter business decisions.

They also discuss today's economic ...

Most private practice owners aren't being held back by their competition — they're being held back by fear.

In this week's episode, Brian unpacks the two types of mistakes that quietly sabotage your success:

• The Conscious Mistake: When you overanalyze and delay decisions until opportunity passes.

• The Invis...

This episode is all about shifting how you think as a practice owner. You're not just a clinician anymore — you're the doctor of your business. It's time to diagnose your practice the same way you would a patient: identify the symptoms, run the right tests, and apply the cure.

We'll cover how to measure what truly matters, manage by statistics instead of personality, and fix the two biggest problems hold...

As a PT private practice owner, one of the biggest challenges you'll face isn't just reimbursement cuts or competition—it's uninspired staff. In this episode, Brian breaks down how practice owners can re-ignite motivation in their teams by starting with themselves, communicating effectively, and turning negative energy into productive engagement. From diffusing anger to addressing unexpressed resentment, and from empow...

Are you tired of balance sheets, P&Ls, and financial jargon that never seem to match what's really happening in your practice? In this episode, Brian explains why true success as a PT private practice owner comes from confidence in your leadership role—not accounting reports.

You'll learn how to focus on the right numbers, create a culture that retains staff and patients, and build quality systems that...

In this week's episode, Brian dives into Division 3: Finance — the keystone of scaling a successful PT private practice. Whether you're a startup hustling through the first 24 months or a multi-clinic owner ready to expand, financial management is the cornerstone that separates thriving practices from those stuck in survival mode. Learn how to shift from managing by personality to managing by statistics, why "control equals income,...

In Part 2 of our five-part success series, we're tackling internal and external marketing — and the outpoints that may be choking off your growth. From website fixes and Google Business Profile updates to referral-building strategies and patient engagement tactics, these are the proven steps that keep PT owners thriving.

If you want to strengthen your online presence, boost referr...

Failure rates for new businesses are high — but your physical therapy practice doesn't have to be one of them. In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher, PT, shares the best practices of the best practices that every PT owner can implement to protect their clinic from stagnation or failure.

From defining your ideal scene to building the right structure,...

In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher, PT, draws from recent conversations with practice owners to reveal why stagnant growth happens and how to reverse it. He'll help you evaluate whether you're acting as the projector (driving change) or just the screen (reacting to circumstances), define your ideal scene in vivid detail, and align it with the people who matter...

In this no-holds-barred episode, Brian Gallagher dives deep into what it really takes to succeed in physical therapy private practice in 2025. From letting go of fixed ideas and outdated models to embracing automation, hybrid services, and strategic outsourcing—this episode gives you the mindset and tools you need to thrive. Learn how to fire your doubts, shed unproductive habits, and build a business model that supports freedom, g...

In Episode 380 of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher, PT, dives deep into the most important factor driving your personal and professional success: purpose. This solo episode takes you behind the scenes of Brian's own journey—growing up in poverty, discovering his "why" at age 12, and dedicating his life to helping others achieve their best selves.

Starting your own physical therapy clinic? Don't let financing be the thing that holds you back. In this episode of Physical Therapy Private Practice Secrets of the Top 10%, we break down smart and safe ways to fund your startup so you can launch with confidence.

👉 Ready to open your own physical therapy clinic the smart way? Book a free discovery call wit...

If you're still relying on salary and sign-on bonuses to keep your clinic staffed, you're missing the bigger picture.

In this episode, Brian Gallagher, PT unpacks the real secret to hiring and retention — and it's not about money or mechanics. It's about culture, leadership, and the energy you give off as a practice. People don't just want a job; they want a place they believ...

In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian sits down with Quinn Wordley, CEO of PT United, to talk about smarter, faster ways to set up your physical therapy clinic. Whether you're starting your first location or expanding to your fifth, PT United's "Clinic in a Box" offers a simple, efficient solution to handle everything from equipment to supplies—without the Amazon chaos.

Discover the two paths every private practice PT owner must consider to thrive today: scale up or specialize. In this episode, we break down how to choose the right strategy for your clinic's success — and how to build a practice that's resilient, profitable, and aligned with your vision.

👉 Ready to explore what's best for your practice? Book a free discovery call with our ...

Hiring physical therapists has never been tougher—but it's not impossible. In this episode, we unpack real-world strategies that private practice owners can use to attract and retain top PT talent. From building a culture clinicians love to avoiding common hiring pitfalls, you'll walk away with actionable steps to strengthen your team and keep your practice moving forward.

👉 Want help applying these str...