Private Practice Owners Club

Many physical therapy clinic owners start with a passion for helping patients but end up trapped under a massive clinical caseload. Host Nathan Shields and guest Adam Robin break down the critical path of Private Practice Growth to help you escape the treating therapist trap. If you're working sixty hours a week and missing family milestones, you're likely stuck in the messy middle of operational...

Most private practice owners think recruiting is about posting a job ad and hoping the right clinician applies. That strategy isn't working anymore. In this live discussion, Adam Robin and Nathan Shields pull back the curtain on what actually drives successful recruiting in today's market—and why the clinics that consistently attract great clinicians are operating from an entirely different playbo...

Most private practice owners know they should track their numbers. The problem is they either don't know which numbers matter, don't know what good performance looks like, or don't know what to do when the numbers are off. In this solo episode, Nathan Shields shares a concern he's seeing across the physical therapy industry: declining reimbursements, rising expenses, shrinking profit margins, and...

If your new patient flow feels inconsistent, unpredictable, or completely random, this episode is going to change the way you think about marketing forever. In Episode 2 of the Private Practice Scorecard series, Adam Robin breaks down the exact lead generation framework private practice owners can use to create more predictable patient growth — without spending thousands on complicated marketing f...

Most private practice owners know they should track their numbers. But very few actually know which metrics matter, how to interpret them, or how to use them to make better business decisions. In this live-streamed conversation, Adam Robin and Nathan Shields break down the real reason clinic owners avoid metrics — and why ignoring your numbers is quietly destroying profitability, freedom, and grow...

Most healthcare business owners are incredible clinicians…   But completely overwhelmed when it comes to actually running a business.   In this episode of the AI Doctor Podcast, Dr. Mark Allen sits down with Nathan Shields, founder of Private Practice Owners Club, to unpack the hard lessons, mindset shifts, and business systems that transformed Nathan from a burned-out clinic owner into...

Most private practice owners think they understand their numbers. But when you actually ask them? They don’t. In this episode of the Private Practice Owners Club podcast, Adam Robin introduces a powerful new series that will completely change how you run your clinic. This is not theory. This is not motivation. This is a step-by-step breakdown of the exact metrics that drive profitability, efficien...

Most physical therapists know something’s broken. Reimbursements are declining. Administrative burden is rising. And despite delivering massive value, the profession is still treated like an afterthought. In this episode of the Private Practice Owners Podcast, Nathan Shields sits down with Scott Gardner —clinic owner and leader of the United Physical Therapy Association —to unpack the real reason...

What if the biggest growth moves in your business… was saying no? In this episode, Nathan Shields sits down with Angie McGelry to unpack how one clinic completely transformed its trajectory—not by doing more, but by getting radically clear on who they serve. After years of grinding in a traditional model, Angie and her team made a bold shift: they stopped trying to serve everyone and built their e...

Most clinics aren’t failing because they lack patients…   They’re failing because they don’t understand their numbers.   In this episode, Nathan Shields breaks down the real reason clinics feel stuck in the “busy but broke” cycle—and what actually needs to change to fix it.   Despite full schedules and strong demand, many practice owners are seeing shrinking margins, rising costs, a...

Most physical therapists believe better outcomes come from better hands-on skills. But what if that’s only a small part of the equation? In this episode of the Private Practice Owners Club podcast, Nathan Shields sits down with John Woolf , founder of Patient Success Systems , to break down a powerful (and uncomfortable) truth: 👉 Clinical outcomes are driven less by technique… and more by connect...

Most clinic owners don’t struggle because they don’t know what to do…   They struggle because they wait too long to do it.   In this episode of the Private Practice Owners Club podcast, hosts Nathan Shields and Adam Robin break down one of the hardest leadership decisions in business:   When is it time to let someone go?   This isn’t just about performance. It’s about culture,...

Most private practice owners think growth comes from doing more…more marketing, more hiring, more effort.   But what if the real leverage comes from seeing what’s already broken — and fixing it fast?   In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Nathan for a behind-the-scenes conversation on growth, leadership, and what actually moves the needle...

Most private practice owners know they need marketing… but very few understand what’s actually working right now — especially when it comes to getting found online.   In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Jeremy DuPont, former cash-based clinic owner turned founder of Patch Digital Marketing, to break down what’s driving patient growth in today...

Building a successful business isn’t just about working harder or having the best ideas. At some point, every owner hits a wall where growth stops being about individual effort and starts being about leadership, systems, and the team around you. In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with entrepreneur and business leader Spencer Shoemaker to talk about th...

Most therapists are already experimenting with AI. But very few understand the compliance risks that come with it. In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with compliance expert Daniel Hirsch of Risk and Compliance Analytics to talk about one of the biggest shifts happening in healthcare right now: AI. From documentation automation to billing analysis and...

Remote Therapeutic Monitoring (RTM) is no longer “the next big thing” — it’s here, it’s evolving fast, and in 2026, it’s becoming one of the most powerful levers for revenue growth, patient engagement, and long-term practice sustainability. But with opportunity comes responsibility. In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Daniel Hirsch , CEO of Risk &...

CPT coding isn’t what therapists went to school for. But it is one of the most common — and costly — areas of compliance risk in private practice. In this episode of the Compliance Series, Adam Robin sits down with compliance expert Daniel Hirsch from Risk & Compliance Analytics to break down how CPT codes should actually be used — and why most audit problems aren’t caused by fraud… but by bad...

Most practice owners think culture problems start with people. But what if culture actually starts with numbers? In this episode of the Private Practice Owners Club podcast, Nathan Shields and Adam Robin have a candid conversation about what really happens when production slips, urgency fades, and leadership loses clarity around business metrics. Adam shares transparently how taking his eye off th...

Most private practice owners say recruiting is hard. But very few have a real recruiting strategy. In this episode of the Private Practice Owners Podcast, Nathan Shields and Adam Robin sit down with Brian Weidner of Career Tree Network to break down what’s actually happening in the 2026 hiring market — and why many clinics are struggling to keep up. From clinics closing locations due to staffing s...

Building new cash-pay services can be one of the fastest ways to grow a private practice — or one of the fastest ways to create legal, compliance, and licensing risk if it’s done wrong. In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Daniel Hirsch , CEO and Founder of Risk & Compliance Analytics , for an action-packed installment of the Compliance Maratho...

Most practice owners feel the pressure to “keep up with AI” — but few have real clarity on what actually works, what’s hype, and what could quietly overwhelm their team. In this episode of the Private Practice Owners Club Podcast, host Nathan Shields sits down with Sharif Zeid , longtime EMR leader and representative of Empower EMR , for a grounded, practical conversation about where AI is truly d...

Most private practice owners know work comp pays better — but very few know how to actually leverage it without blowing up operations, documentation, or staff confidence. In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Josh Farley, PT , former state association president, and workers’ compensation consultant, to break down what really drives profitable, susta...

Most practice owners think valuation starts with revenue and EBITDA. But when buyers step in, they look somewhere else first — risk. And more often than not, compliance is the silent deal-killer owners never see coming. In this episode of the Private Practice Owners Club, host Adam Robin sits down with Daniel Hirsch, compliance and risk analytics expert, to unpack what buyers actually evaluate bef...

Most practice owners assume culture problems show up loud — missed numbers, complaints, chaos. But what if the real danger shows up when everything looks successful? In this PPOClub Workshop interview, Adam Robin sits down with April Atchison, CCC-SLP , to unpack a real-life leadership story that every growing practice owner needs to hear. April shares how her multi-location practice appeared stab...