December 16, 2023

Guide to Starting a Private Practice for Physical Therapists

Tired of trading autonomy for paychecks? It's time to ditch the clinic grind and take the reins of your PT career. 

This guide unlocks the door to your very own private practice, where passion fuels your profits and patient care reigns supreme. 

Here, you'll discover the secrets to starting a private practice that reflects your unique values, fuels your financial goals, and transforms lives – all while you call the shots.

The Advantages of Starting a Private Practice

Trading fluorescent lights for sunshine in your own clinic? Yes, please! Give up the limitations of the traditional model and embrace the electrifying world of private practice ownership. 

Nowadays, with practice management software like PtEverywhere on the market, it is easier than ever to start a private practice, and there are many benefits to be enjoyed.

Here's a sneak peek at the hidden treasures awaiting you by starting a private practice:

Autonomy and Decision-Making


Stepping into the role of practice owner empowers you to break free from the constraints of institutional mandates. You gain the autonomy to curate treatment protocols, shape management strategies, and design a patient experience that aligns seamlessly with your professional vision and therapeutic philosophy. 

Imagine building a practice where every facet reflects your unique values and expertise, attracting patients who resonate with your approach to care.

Financial Rewards

While initial investment requires careful planning, starting a private practice offers the exhilarating prospect of limitless financial rewards. Your dedication translates directly into your bottom line, providing a potent incentive to push boundaries and build a thriving enterprise. 

Unlike the confines of salaried positions, owning your practice allows you to reap the full benefits of your efforts, paving the way for financial freedom and long-term wealth creation.

Patient-Centric Care

Starting a private therapy practice liberates you from the time constraints and standardized protocols that often compromise patient care in traditional settings. 

You gain the flexibility to dedicate ample time to each individual, crafting personalized treatment plans that address specific needs and goals. This fosters deeper connections with your patients, enabling you to deliver truly transformative care that empowers them to achieve optimal health outcomes.

Professional Growth and Development

Operating your own practice is not just about treating patients. Rather, it is about embarking on a journey of continuous professional evolution. You hone your business acumen, navigate the intricacies of practice management, and cultivate niche expertise – all while pushing the boundaries of your clinical knowledge and skills. This dynamic environment fosters intellectual growth, keeping you at the forefront of your field and enhancing your professional stature.

Flexibility in Services

Starting a private therapy practice ownership empowers you to break free from the one-size-fits-all model and design services that cater to the specific needs of your community. 

Whether it's exploring subscription-based wellness programs, establishing a niche clinic focused on sports rehabilitation, or forging partnerships with local gyms, the possibilities are endless. This adaptability grants you the freedom to innovate, differentiate yourself, and build a practice that resonates with your unique strengths and the evolving needs of your patients.

Decision-Making: Going Solo or Partnering Up

Starting a private practice journey requires not just dedication, but also a crucial decision at the outset: do you go solo or join forces with a partner (or multiple partners) in a group practice?

Ultimately, the choice between solo, partnership, or joining a group practice is a personal one. There's no right or wrong answer, but by carefully considering your strengths, priorities, and risk tolerance, you can decide on the path that best aligns with your vision for a fulfilling and successful private practice journey.

Let's explore the nuances of each option.

Solo Leadership

Going solo grants you unparalleled autonomy. You're the captain of your ship, making all treatment, management, and business decisions without consulting anyone else. This freedom allows you to align your practice with your vision and values, shaping the patient experience you've always envisioned. Plus, you reap the financial rewards directly, with your hard work translating into personal gain. 

However, solo leadership demands independence and resourcefulness. You shoulder the administrative burden of marketing, bookkeeping, and legal compliance. Be prepared to wear many hats, from therapist to entrepreneur, and hone your business acumen to ensure your practice thrives.

Partnership Considerations

Partnering up can be a strategic move, bringing valuable synergy to your practice. A well-chosen partner can provide financial support, shared expertise, and complementary skill sets. You can tap into their experience in different areas, whether it's business operations, niche specialties, or simply the emotional and professional support that comes with shared responsibility. 

But partnerships also require compromise and careful communication. Defining roles, responsibilities, and financial arrangements upfront is crucial. Ensure your vision aligns with your partner's to ensure a smooth collaboration.

Joining a Group Practice

For those seeking a middle ground, joining an existing group practice offers a unique alternative. You benefit from the resources and reputation of a successful enterprise, gaining access to established patient networks, administrative infrastructure, and potentially even mentorship from senior colleagues. 

However, within a group, you may have less autonomy over decision-making, and financial rewards may be shared according to established agreements. Weigh the benefits of support and shared resources against the potential trade-offs in independence and individual growth.

Alternative Business Models


Forget cookie-cutter clinics! In today's dynamic healthcare landscape, physical therapists have a wealth of innovative business models at their fingertips. 

These models allow you to carve your own niche, cater to diverse patient needs, and achieve financial sustainability in a way that aligns with your unique vision and skills. 

Let's delve into some exciting possibilities:

Telehealth Physical Therapy

Embrace the power of technology to expand your reach, offer flexible care options, and cater to patients who face accessibility challenges. Imagine treating patients from anywhere, enhancing convenience, and collaborating with specialists across regions. 

Invest in secure platforms, market your virtual offerings, and continuously refine your virtual care skills. By embracing telehealth, you create a more accessible, convenient, and patient-centric model of physical therapy.

This business model is extremely strong thanks to platforms such as PtEverywhere. By using PtEverywhere, physical therapists can diagnose and treat patients remotely, eliminating the need for in-person visits. Telehealth also reduces costs, making it more accessible to more people.

Multidisciplinary Care Teams

This collaborative approach integrates physical therapists with other healthcare professionals, such as physicians, chiropractors, and nutritionists, within a single practice setting. 

By fostering holistic patient care, facilitating seamless referrals, and optimizing treatment plans, multidisciplinary teams demonstrate improved clinical outcomes and reduced healthcare expenditure.

Subscription-Based or Concierge Services

Recognizing the limitations of fragmented, per-visit care, subscription models offer patients unlimited access to physical therapy services for a predictable monthly or annual fee. This incentivizes preventative care, fosters stronger patient-therapist relationships, and generates a stable revenue stream for the practice.

Gym Partnerships

Leveraging their expertise in biomechanics and rehabilitation, physical therapists can cultivate mutually beneficial partnerships with gyms and fitness centers. 

By providing exercise prescription, injury prevention programs, and post-surgical reconditioning services, physical therapists expand their reach to a fitness-oriented clientele while offering gyms value-added services for their members.

Corporate Office Settings

Large corporations, universities, and even athletic facilities are increasingly recognizing the benefits of on-site physical therapy clinics. 

This model offers employees convenient access to preventative care, injury management, and ergonomic assessments, potentially reducing healthcare costs and promoting employee well-being and productivity.

Niche Physical Therapy Clinics

By developing expertise in a specific area, such as Parkinson's disease, pediatric rehabilitation, or sports-related injuries, physical therapists can establish themselves as sought-after specialists within a dedicated patient population. This allows them to command premium fees, build a strong professional reputation, and deliver highly specialized care in an underserved market.

Compensation: Cash-Based or Insurance-Based


Hold onto your stethoscopes, PTs, because we're diving into the financial heart of your practice: compensation

Let's crack open the piggy bank and explore the main models that will have your bank account doing its happy dance: the traditional insurance-based model and the oh-so-trendy cash-based revolution.

Traditional Insurance-Based Model

This established model offers the allure of consistent patient referrals through contracted insurance networks. Practitioners benefit from a predictable, albeit potentially limited, revenue stream generated from negotiated reimbursement rates. 

However, navigating the intricacies of insurance billing, administrative burdens, and ever-decreasing reimbursement rates can significantly compromise autonomy and practice efficiency.

Cash-Based Model

Embracing a cash-based model empowers practitioners to take full control of their financial destiny. By setting their own fees and designing bespoke treatment plans, they cultivate stronger patient relationships built on trust and direct value exchange. 

This model fosters entrepreneurial spirit and financial flexibility but demands meticulous attention to marketing, patient acquisition, and demonstrating clinical expertise in a competitive marketplace.

Pro Tip: Insurance Credentialing

For practices opting for the insurance route, obtaining and maintaining proper credentials is paramount. Securing a tax identification number, malpractice insurance, National Provider Identifier (NPI), and a state license are essential prerequisites for inclusion on insurance panels. 

Navigating the credentialing process adds a layer of administrative complexity but unlocks access to the large patient pool provided by insurance networks.

PtEverywhere can help you overcome this administrative hurdle, ensuring you meet all requirements and unlock access to the lucrative insurance patient pool.

Choosing Your Clinic Location

Finding the perfect home for your physical therapy practice is more than just picking a pretty corner on a map. It's about laying the foundation for a thriving business that serves your patients and grows alongside your ambitions. 

Let's delve into the strategic considerations that will transform your location search from a daunting task to a confident stride towards success.

Market Research

Before laying the first brick, market research becomes your trusty shovel. Delve into the demographics of your chosen area, unearthing insights like age, income level, and activity preferences. 

Are there underserved communities with specific needs you can cater to? Is there fierce competition from established clinics, or a gap waiting to be filled? 

Answering these questions provides a roadmap for tailoring your services and positioning your practice for success.

Real Estate Considerations 

Beyond statistics, the physical location itself holds immense power. Think accessibility – will your patients find it easy to reach via public transit or car? Is there ample parking? 

Visibility is key – a prominent location on a busy street or near complementary businesses like gyms or wellness centers can attract foot traffic. 

Remember, convenience matters – consider proximity to residential areas or workplaces to make your services seamlessly integrated into patients' lives.

Space Requirements 

Analyze your equipment needs, treatment modalities, and future growth plans to determine the optimal square footage. Consider options like subleasing unused space or starting small and strategically expanding to avoid financial bloat. 

Remember, a well-designed, functional space can work wonders even within a modest footprint.

Financing Your Venture


Starting your practice requires careful financial planning. Taking stock of expenses, preparing essential documents, selecting the right lender, and considering revenue-generating opportunities are crucial steps in obtaining the necessary funding.

Proactive Financial Planning 

Determine projected monthly expenses, including fixed costs, variable expenses, and labor costs. Allocating funds wisely and focusing on cost-effective strategies enhance the viability of your startup. 

Essential Documents 

Before approaching lenders, ensure you have essential documents in order, including a business plan, financial projections, a personal financial statement, and professional references. These documents streamline the loan application process. 

Selecting a Lender 

Choosing the right lender is critical for a successful loan application. Go for a bank with experience in healthcare or consider the U.S. Small Business Administration (SBA). Avoid rushing the decision and explore multiple offers before committing. 

Local Bank Considerations 

Opting for a local bank provides the advantage of personalized service and a better understanding of the community. Local banks with experience in healthcare may offer more tailored solutions to meet your specific needs.

Revenue-Generating Opportunities

While providing top-notch physical therapy will always be your core offering, the key to a thriving practice lies in venturing beyond traditional treatments and diversifying your revenue streams. This empowers you to build financial resilience, cater to evolving patient needs, and create a truly holistic well-being hub.

Explore the Potential:

  • Cash-Based Wellness Services: Go beyond therapy sessions and offer wellness programs like mindfulness workshops, yoga classes, or personalized fitness coaching. These cater to patients seeking preventative care and holistic approaches to health, while generating additional income.
  • Retail Products: Sell products that complement your treatment plans, such as ergonomic equipment, pain relief aids, or exercise accessories. This provides convenience for patients and generates a steady passive income stream.
  • Educational Events: Host workshops or seminars on topics like injury prevention, sports performance optimization, or chronic pain management. This establishes you as a trusted community resource, attracts new patients, and creates an additional revenue channel.
  • Corporate Wellness Programs: Partner with local businesses to offer on-site employee wellness programs that include fitness assessments, injury prevention workshops, and ergonomic consultations. This provides a recurring revenue stream while promoting employee well-being and boosting corporate partnerships.
  • Telehealth Expansion: Leverage your telehealth platform to offer virtual consultations for nutritionists, chiropractors, or mental health professionals. This expands your service offerings, attracts a wider patient base, and maximizes the utilization of your virtual infrastructure.

By strategically diversifying your revenue streams, you transform your practice from a physical therapy clinic into a comprehensive wellness hub. So, unleash your entrepreneurial spirit and explore the vast potential of these additional revenue streams.

With PtEverywhere as your trusted partner, you can seamlessly integrate new services, grow your clientele, manage finances efficiently, and watch your practice evolve into a thriving center for physical, mental, and holistic well-being.

Equipment Purchase: Smart Strategies

In order to run a successful physical therapy clinic, you need a strategic selection of equipment that empowers you to deliver exceptional care without breaking the bank.

Let's explore some savvy strategies to turn equipment acquisition from a financial headache to a calculated investment in your practice's success.

Online Shopping

Utilize online platforms like eBay, Amazon, or specialized marketplaces for cost-effective equipment purchases. 

But don't just chase the lowest price. Join professional networks and forums to tap into the collective wisdom of fellow PTs. Their recommendations and reviews can guide you towards reliable equipment, even within the pre-owned realm.

Creativity in Equipment Selection 

Avoid unnecessary expenses by creatively selecting equipment. Prioritize essential items for your core treatment approaches, and for specialty needs, consider renting or sharing equipment with colleagues to avoid unnecessary purchases. 

Remember, a clever PT with a limited budget can work wonders by maximizing utility and prioritizing versatility.

Equipment Rentals 

Leasing offers an attractive alternative, allowing you to access the latest technology without a crippling upfront investment. This is especially beneficial for specialized equipment with limited long-term use or for trying out new modalities before committing to a purchase. 

Just be sure to factor in leasing terms, maintenance costs, and potential upgrade options to ensure it aligns with your budget and practice needs.

Legal Considerations


The thrill of building your own physical therapy practice can be overshadowed by the daunting legal landscape. But fear not! 

By demystifying these essential considerations, you can lay a solid legal foundation that protects your practice and fuels its success.

Legal Structure 

The initial step requires selecting the most suitable legal structure for your practice. Each option, such as sole proprietorship, partnership, Limited Liability Company (LLC), or Professional Corporation (PC), carries distinct implications for liability, taxation, and management structure. 

Analyzing your individual goals, risk tolerance, and anticipated growth trajectory is crucial in making this decisive choice. Consulting with legal professionals can provide invaluable guidance as you navigate this labyrinthine terrain.

Licensing and Permits 

Ensuring regulatory compliance is paramount. Thoroughly research and acquire all necessary licenses mandated by your state for physical therapy practice. 

Additionally, verify zoning regulations for your chosen location and obtain any required permits specific to your clinic's operation. Securing a Federal Employer Identification Number (FEIN) is essential for tax purposes, ensuring seamless integration into the financial ecosystem.

Professional Liability Insurance 

Protecting your practice and personal assets from unforeseen liabilities is a non-negotiable element. Tailor professional liability insurance coverage to comprehensively address the potential risks associated with your specific treatment modalities and patient population. 

Remember, this safeguard provides invaluable peace of mind, allowing you to focus on delivering exceptional care without undue worry.

Employment Agreements 

As your practice evolves and expands, attracting talented staff becomes increasingly important. To foster a harmonious and productive working environment, clearly defined employment agreements are indispensable. 

These agreements should meticulously outline roles, responsibilities, compensation structures, and benefits, ensuring adherence to all relevant labor laws and safeguarding both the interests of your practice and your esteemed employees.

Marketing Your Practice 

Starting a therapy private practice requires not only clinical expertise but also a carefully crafted marketing strategy. By effectively communicating your services and forging strong connections within the community, you can entice new patients and cultivate a loyal following.

Online Presence 

In today's digital landscape, online marketing is king. Your website serves as your virtual storefront. Craft a professional and informative website that clearly outlines your services, highlights your team's credentials, and provides convenient contact information. 

Leverage the power of social media platforms to engage with potential patients, share informative content, and showcase the positive impact of physical therapy. Utilize targeted digital advertising strategies to reach specific demographics within your local area.


Collaboration breeds success. Forge valuable relationships with local physicians, chiropractors, and other healthcare professionals. Partner with fitness centers or sports organizations to offer specialized services or workshops. 

Participate in community events and join relevant business associations to build visibility and expand your referral network. Remember, these connections can become conduits for potential patients seeking your expertise.

Patient Retention

The key to starting a private practice lies not just in attracting new patients but also in retaining existing ones. Prioritize patient satisfaction by delivering personalized treatment plans, fostering a positive clinic environment, and demonstrating genuine care. 

Implement a patient loyalty program to reward long-term patients and incentivize ongoing visits. Embrace technological solutions like PtEverywhere to streamline communication, manage appointments, and gather valuable feedback. 

By actively listening to and addressing patient concerns, you cultivate a sense of loyalty and trust that keeps them coming back for more.

Software Solutions for Success 

starting a private practice with pteverywhere

Successfully starting a private medical practice demands not only clinical expertise but also a robust operational infrastructure. While traditional methods may have served generations of therapists, the landscape has shifted. 

Embracing innovative practice management software solutions like PtEverywhere empowers you to streamline workflows, elevate patient care, and propel your practice towards sustainable growth.

Billing Efficiency 

PtEverywhere acts as your financial alchemist, transforming the cumbersome billing process into a seamless ballet of efficiency. Forget manual form-filling and claim-chasing – automated procedures ensure pinpoint accuracy, minimize coding errors, and guarantee timely reimbursement. 

With PtEverywhere as your financial navigator, you can focus on your patients, confident that the revenue cycle hums along behind the scenes.

Treatment Documentation 

Gone are the days of hastily scribbled notes and misplaced charts. PtEverywhere's secure Electronic Medical Records (EMR) system transforms documentation into a standardized, accessible symphony. 

Meticulously track patient progress, maintain defensible records, and effortlessly comply with reporting regulations. 

PtEverywhere provides not only organizational clarity but also peace of mind, ensuring your documentation serves as a testament to your expertise and dedication.

Practice Management 

From the initial appointment booking to the final farewell, PtEverywhere conducts your practice with the precision of a seasoned maestro. 

Streamlined scheduling, digital intake forms, automated reminders, and seamless interoperability with other healthcare platforms create a paperless symphony of efficiency.

PtEverywhere transforms your front office into a digital hub, liberating you and your staff to focus on what truly matters: delivering exceptional care.

Financial Benefits 

Investing in PtEverywhere is not merely a software acquisition; it's a strategic investment in your practice's future. The ripple effects of increased efficiency, error reduction, and optimized workflows translate to tangible cost savings and enhanced profitability.

PtEverywhere is not just an operational optimization tool - it's a financial bulwark, safeguarding your practice's future and empowering you to reinvest in your team, your services, and ultimately, your patients' well-being.

Bottom Line

Starting a private practice is an odyssey of discovery. Every decision, from location to equipment, contributes to the unique tapestry of your vision. Remember, the tools you choose, like PtEverywhere, are partners in your journey, empowering you to deliver exceptional care, build meaningful connections with your patients, and make a lasting impact on your community. 

So, don't face the challenges of practice management alone. Embrace PtEverywhere as your trusted sidekick, and together, watch your physical therapy practice transform into a haven of healing, efficiency, and success, one empowered patient at a time.

Get started with PtEverywhere today and witness firsthand how our practice management software can revolutionize your practice.