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PODCAST

Physical Therapy Private Practice: Secrets of the Top 10%

Brian J. Gallagher, PT.

Welcome to our award-winning physical therapy podcast for private practice owners who want to set themselves up for success and join the industry’s top 10%. Whether your business is just starting up or you’re looking to grow as a business leader and stay on top of industry trends, this weekly podcast hosted by Brian Gallagher, PT and Founder of MEG Business, features actionable insights and tips from physical therapy experts who share the marketing, operations, personnel and clinical secrets that

business management & marketing

All Episodes

24:45

Ep.368: Unlock Hidden Profits in Your PT Practice

Physical Therapy Private Practice: Secrets of the Top... ·

2025/04/30

Are your profits hiding in plain sight? Brian breaks down the top 3 places PT owners lose money and gives you real-world tactics to fix it. From visit volume to staff productivity and payroll bloat—this episode gives you the tools to reclaim your margin and grow sustainably in 2025. 👉 Want help? Schedule a discovery call today

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24:30

Ep.367: 4 Superpowers of Every Successful Practice Owner

Physical Therapy Private Practice: Secrets of the Top... ·

2025/04/23

What separates top-performing PT owners from the rest? In this episode, Brian breaks down the four “superpowers” that transformed his journey from employee to successful practice owner. Learn why you can’t manage over disagreement, how to handle your team without carrying their emotional load, and why managing your clock is your biggest asset. Plus: the 4 Ps of practice success and a behind-the-scenes look at how MEG Pro is reshaping clinic operations across the country. ➡️ Want to scale without

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40:54

Ep.366: Ownership Challenges Are Pouring Down

Physical Therapy Private Practice: Secrets of the Top... ·

2025/04/16

Private practice ownership today can feel overwhelming—rising costs, team drama, burnout, and unpredictable reimbursement. In this episode, Brian shares the insights he gained after a week in Costa Rica and shows why your mindset—not just your metrics—is the key to pushing through the storm. Hear real stories from owners nationwide and learn how to: Reclaim your vision and lead with clarity Let go of toxic staff and build your A-team Shift from survival mode to strategic growth Create the

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35:05

Ep.365: The Lessons That Saved My Practice (and My...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/04/09

After selling his practice to his management team, Brian returned to find it nearly $200K in debt and on the brink of closing. In this episode, he shares the exact lessons and systems he used to bring it back to life and restore profitability—from front desk fixes and therapist scripts to company-wide policy changes. Whether you’re building, rebuilding, or refining your practice, these are proven actions you can implement today. 👉 Ready to grow your practice? Schedule a free discovery call 📥

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36:38

Ep.364: Fire Your PT Business Model: 6 Real Fixes...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/04/02

Want higher profit and lower stress in your physical therapy practice? This week, Brian Gallagher shares the real top challenges PT owners are facing in 2025—and gives you 6 actionable solutions that are already helping clinics restructure and thrive. After surveying dozens of practice owners, it’s clear: the biggest struggles aren’t hiring or marketing. They’re hidden in the systems you rely on every day. You’ll learn… • Why credentialing is crushing productivity—and how to fix it • What to do

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50:10

Ep.363: Physical Therapy Marketing That Works w/ Neil...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/03/26

Want more patients and profit without burning out? This week, Brian Gallagher interviews Neil Trickett, PT and CEO of Practice Promotions, to talk all things physical therapy marketing—what’s working in 2025 and how to avoid the common traps practice owners fall into. Neil shares how over 1,200 clinics are using smarter marketing systems to scale their practice, grow revenue, and stand out online—without relying on doctor drop-offs. You’ll learn… • The 3 must-haves for marketing success • Why your

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34:54

Ep.362: Reimbursement Cuts, Inflation, and Staff...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/03/19

The reality of running a private practice in 2025 is tough—Medicare cuts, rising payroll costs, and staff turnover are making it harder than ever to stay profitable. In this episode, Brian Gallagher breaks down exactly what PT owners must do to survive and thrive in today’s economy. From renegotiating insurance contracts to restructuring your team for maximum efficiency, this is a coaching session you don’t want to miss. Key Takeaways: ✅ Why fighting insurance reimbursement cuts requires a strategic

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25:19

Ep.361: Solving the Physical Therapy Credentialing...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/03/12

In this episode of Secrets of the Top 10%, Brian Gallagher unpacks the complexities of contracting and credentialing in physical therapy private practice. Often considered one of the most time-consuming and regulated aspects of running a PT business, getting this right can mean the difference between smooth scaling and costly delays. Brian shares insights on: ✅ The real time commitment for contracting & credentialing (hint: it’s 90-120 days!) ✅ Why outsourcing this process is a smart business move ✅

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33:18

Ep.360: Executive Vision: The Key to Reaching Your...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/03/05

In this high-energy episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher dives into the power of Executive Vision—the essential mindset shift that can elevate your private practice. If you find yourself constantly putting out fires and reacting to problems, it’s time to stop just doing and start leading. Brian shares hard-earned lessons from his own journey—from clinician to national business leader—and breaks down the four pillars of private practice success. If

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29:20

Ep.359: The Private Practice Revolution: Why New...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/02/26

Brian Gallagher reflects on his experience at APTA’s CSM conference in Houston, sharing insights on the new generation of physical therapists and the evolving landscape of private practice. In this episode, he breaks down the key business models available to PTs, the importance of practice management strategies, and how MEG Business is lowering the barrier to entry for private practice owners. If you’re thinking about scaling, transitioning, or launching your PT business, this episode is for you!

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21:26

Ep. 358: It’s a New World - Time to Get Out in Front...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/02/19

In this episode, Brian Gallagher highlights the rapid pace of change in business and technology—using AI, automation, and blockchain as analogies for how physical therapy practices must evolve or risk falling behind. While AI may not directly run a PT clinic, the way owners manage their business is changing just as rapidly as AI is reshaping industries. The old-school model of handling everything in-house—billing, front desk, HR—is no longer sustainable. To stay ahead, practice owners must confront

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36:56

Ep. 357: You Are Not Alone: PT Owners’ Biggest...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/02/12

Running a PT practice comes with unique challenges—but you’re not alone. In this episode, Brian Gallagher shares real conversations with practice owners who are facing the same struggles as you. From staff turnover and financial pressures to operational bottlenecks, discover the biggest challenges PT owners are dealing with right now and the exact strategies to overcome them. Key Takeaways: The top challenges PT owners face in 2025—and how to fix them The 5 essential divisions every successful

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28:44

Ep. 356: 5 Vital Life-Changing Principles for...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/02/05

In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher shares the five vital life-changing principles that every practice owner needs to know to thrive in today’s challenging healthcare environment. Whether you’re just starting or managing a multi-clinic practice, these insights will help you improve efficiency, optimize revenue, and build a stronger practice culture. Tune in to learn why luck isn’t a strategy, how transparency breeds trust, and the secret to

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26:26

Ep.355: The 4 Types of PT Owners – Which One Are You?

Physical Therapy Private Practice: Secrets of the Top... ·

2025/01/29

Not all private practice owners lead the same way. Some struggle, some survive, and some thrive—but what makes the difference? In this episode, Brian Gallagher breaks down the 4 types of PT owners and challenges you to identify where you stand: ✅ The Know-It-All Owner – Resistant to change, convinced they have it all figured out ✅ The Innocent Owner – New and uncertain, lacking structure and direction ✅ The Caregiver Owner – Passionate about patient care but neglects business fundamentals ✅ The

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29:05

Ep.354: Be Smart When You Start: Build a Thriving PT...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/01/22

Starting a private practice can feel overwhelming, but it doesn’t have to be. In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, we dive into the essential steps for starting your practice the smart way. Whether you’re transitioning from employee to employer or considering mobile PT, this episode will give you the clarity and confidence to make informed decisions, avoid common pitfalls, and set yourself up for success. Learn how to achieve financial stability, time

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26:51

Ep.353: Profits, Not Patients: The Real Challenge for...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/01/16

In this episode, Brian dives into a critical topic for physical therapy private practice owners in 2025: profitability. While patient volume is often strong, ensuring a sustainable and profitable practice is the real challenge. Drawing on over 30 years of experience and countless practice assessments, Brian shares actionable strategies for financial success, including diversifying services, leveraging automation, and outsourcing administrative tasks. This episode features an in-depth case study on

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01:04:50

Ep. 352: Deep Dive into the WebPT State of Rehab...

Physical Therapy Private Practice: Secrets of the Top... ·

2025/01/09

What does the practice of the future look like? What is our full potential as physical therapists? Join us for a deep dive of the robust State of Rehab Report with the one and only Heidi Jannenga, DPT and Co-Founder of WebPT. Episode at a glance: Adding value versus cutting costs The technology catch-up Top reasons and solutions for burnout Advocating for ourselves Choose your own adventure

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30:46

Ep.351: Physical Therapy Predictions for 2025

Physical Therapy Private Practice: Secrets of the Top... ·

2025/01/01

When looking ahead, it’s important that we study past trends as well. But it all starts with your purpose and goals! If you can’t see where you want to go, how do you expect to get there? What do you have control over? Invest in your quality, and watch your quantity soar! Episode at a glance: Decisions for 2025 The 95% rule Create your business strategic plan Quality, Efficiency, Production

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30:03

Ep.350: The 4 Gifts Every Physical Therapy Owner...

Physical Therapy Private Practice: Secrets of the Top... ·

2024/12/19

📞 Book a Call ► Brian Gallagher, PT discusses the 4 gifts every physical therapy practice owner would dream of and how to achieve them! 👉 Designing your ideal scene 👉 Increasing average monthly visits 👉 Boosting EBITDA (Net Revenue) 👉 Ensuring you’re always fully staffed 👉 Gaining the ultimate gift: Freedom 📌 Brian Gallagher, PT Linkedin Website Link ====================== 📧 Join thousands of practice owners unlocking their potential with our free resource guide > Grab it here 🔗 Resource

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24:32

Ep.349: Mechanics vs Magnetism

Physical Therapy Private Practice: Secrets of the Top... ·

2024/12/11

What matters most? The mechanics or the magnetism of your private practice? A lot of people can do good therapy, but that’s not necessarily the only reason that patients come to you! Learn how to be the provider that people know, like and trust. Episode at a glance: It’s about BEING versus DOING Transparency breeds trust There’s no time management without discipline “Collaborative Capitalism”

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