The Dave Kittle Show

Hosted by Dave Kittle

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457

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Aug 2026

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About the show

Have you considered selling some or all of your healthcare business? Do you have an exit strategy or succession plan? Do you need a broker? Do you want to know how you can sell your business for top dollar? This show will give you the answers.Hi I’m Dave Kittle, Doctor of Physical Therapy and Owner of Concierge Pain Relief - Home Physical Therapy in Brooklyn, NY. Welcome to The Dave Kittle Show. Each week we talk to leading experts in healthcare mergers and acquisitions, and physical therapy private practice owners. This show will also give you proven strategies, actionable insights, and essential skills to buy or sell your physical therapy practice. And, if you like what you hear from the host, Dave Kittle, then it's possible that he and his team, The Fieldmaker Group, may be interested in acquiring some or all of your physical therapy practice. Connect with him on LinkedIn: https://www.linkedin.com/in/davekittle Hosted on Acast. See acast.com/privacy for more information.

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September 11, 202627 min

Why So Many Physical Therapists Are Burned Out

Why are physical therapists burned out and would more money actually fix it? The Breakfast club debate PT burnout, high-volume practice, salaries, patient load, hiring, clinician expectations and whether they would still become physical therapists today. Watch more from PT Pintcast → https://www.youtube.com/@PTPintcast --- EPISODE BREAKDOWN [00:00] – Burnout Then vs Now [00:52] – APTA Survey Sparks Debate [01:31] – Why Burnout Hurts Care [02:31] – Hiring When Candidates Burn Out [04:43] – Defining Burnout Clearly [05:22] – WHO Three-Part Burnout Model [07:08] – What Burnout Feels Like [08:04] – Hard Work vs True Burnout [08:44] – LinkedIn Poll What Clinicians Want [10:18] – Dave’s Early Career Pressure [12:23] – Recruiting Without Ragebait [13:37] – Systems Boundaries and Ownership [16:59] – Would Pay Raises Solve Burnout [19:04] – Students Culture Fit and Hope [23:33] – Grass Is Greener and PT Going Bigger PTs — when you say you want fewer patients per day, what do you ACTUALLY want? A) More time with each patient B) A buffer between patients C) Both D) Honestly… just fewer patients And second question: If your salary increased $25,000 tomorrow, would it meaningfully change how you feel about your job? - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

September 9, 202631 min

The Viral Content Formula Physical Therapists Should Steal

What can physical therapists learn from a 255-million-view street basketball video? Dave Kittle, Jimmy McKay and Tony Maritato break down viral-content psychology, AI-assisted PT content, simple hooks, promised payoffs, recruiting, pricing, and why PT owners often overcomplicate ideas that should be simple. EPISODE BREAKDOWN [00:00] The Crash [01:06] AI Pool Compression Idea [01:56] Rapid Safety Content Ideas [02:29] Simple Ideas Win [03:37] Steal And Remix Content [04:19] Pre Sell Before Building [05:12] Human Are The Bottleneck [06:45] Boosting Posts For Resumes [08:22] Relocation Offer And Retention [09:18] New Role At Prompt [11:36] 255 Million View Reel [13:41] Why People Watch To The End [15:13] Apply Viral Tricks To PT [17:55] Youth Theater Fundraising [19:57] Mailbox Pricing And Value [23:50] Sick Calls And Coverage Systems [30:35] Parting Shot PTs: What piece of content outside of healthcare have you seen recently and thought: “I could make a PT version of that”? Drop the format below—not the exact copy. And bonus question: Would you watch a knee-replacement video longer if it started with: “82° today. Can we hit 90° before the end of this session?” - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

September 4, 202626 min

Stop Waiting for Insurance to Fix Your PT Business

Can APTA, Medicare or private insurers actually fix physical therapy reimbursement? The guys debate PT payment reform, cash-pay practice models, controlling your own pricing, alternative revenue streams and why practice owners may need to stop waiting for someone else to solve their economics. EPISODE BREAKDOWN [00:00] – Nothing Works on Payment [01:12] – Live Tweeting Trouble [02:22] – Oversharing Sells Tickets [03:48] – Napster And Trailers Lesson [05:01] – Payment vs Reimbursement [06:52] – Reference Committees Explained [07:56] – Debating Tiny Wording [09:01] – No Hope For Pay Increases [11:46] – Why Cash Pay Is Rising [12:36] – Advocacy Wins or Just Slower Loss [14:16] – Why Not Unplug From Insurance [15:41] – Self Pay Cashflow Reality [17:47] – Mailbox Guy Business Lesson [20:51] – Monetizing PT Skills PT owners: Which side are you on? A) Advocacy can eventually meaningfully improve PT payment B) Advocacy matters, but reimbursement will never keep up C) PTs need to move toward more cash-pay/direct-to-consumer models D) We need both And what would you consider a meaningful reimbursement win—3%, 5%, 10%? - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

September 2, 202633 min

Why the Middle Is Killing Physical Therapy Clinics

Should a physical therapy clinic compete on volume or go premium? Dave Kittle and Jimmy McKay break down what PT owners can learn from Equinox, Planet Fitness, membership businesses, the “third place” trend, and why getting stuck in the middle may be the hardest business model of all. Watch more from PT Pintcast → https://www.youtube.com/@PTPintcast --- EPISODE BREAKDOWN [00:00] – Price Squeeze Middle [02:19] – Gyms Outpace Nightlife [03:35] – Why Nike Gyms Failed [05:55] – Equinox Spend Breakdown [07:52] – Bell Curve Pricing Strategy [11:21] – Upsells Access and Membership Future [14:24] – Ironman Exec Model Lessons [16:48] – PT As Third Place [18:03] – Membership vs Packages [18:55] – Megan Brown Model [20:23] – Hybrid Clinic Economics [22:28] – APTA Payment Summit [26:34] – Content Formats That Work [27:57] – Parting Shots PT owners: If you had to choose ONE model today, which would you rather build? A) High-volume / insurance B) Premium / cash-pay C) Membership / wellness model D) Hybrid And if you're currently charging somewhere around $100–$150 cash per visit, do you feel squeezed between insurance clinics and higher-end practices? - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

August 28, 202625 min

Why Patients Quit Physical Therapy After Visit 3

Why do physical therapy patients stop showing up after only a few visits? Dave Kittle and Jimmy McKay discuss the “three visit” problem, inconsistent care, therapist switching, reimbursement pressure, cash-pay versus in-network models, and why patient expectations may matter more than clinics realize. Watch more from PT Pintcast → https://www.youtube.com/@PTPintcast --- EPISODE BREAKDOWN [00:00] – Consistency Matters [01:18] – Insurance Questions [02:10] – Simple Reply Script [03:13] – Cost Concerns Explained [04:15] – Polite Close And Seed [05:41] – In Network Visit Dropoff [06:51] – The Visit Three Problem [09:04] – Quality Versus Cost Framing [10:22] – Expectations Versus Reality [11:35] – Who Owns The Blame [14:45] – Personal Training Comparison [15:52] – Volume Leads to Switching [21:17] – Acquisition Cost Math [23:02] – Reuse This Script For the PTs: How often does one patient see the SAME therapist for their entire plan of care? And for patients: Would switching therapists unexpectedly make you less likely to keep going? I'm curious whether the bigger issue is price, results, or consistency. - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

August 26, 202627 min

One PT Visit Could Keep Paying You for Years

Physical therapists answer valuable questions all day and most of that knowledge disappears when the appointment ends. Dave Kittle and Tony Maritato discuss recording evaluations, turning patient education into digital assets, YouTube monetization, privacy-based pricing, and how PTs can create more value from work they're already doing. Watch more from PT Pintcast → https://www.youtube.com/@PTPintcast --- EPISODE BREAKDOWN [00:55] – Fridge Trouble Begins [01:54] – Finding A Repair Pro [02:38] – Sticker Shock Pricing [03:39] – Paying Feels Different [04:24] – Repair Or Replace [05:19] – DIY Tip From Technician [06:29] – PT Evaluation Comparison [08:25] – Consumer Cost Anxiety [09:23] – Low Barrier Video Consults [11:14] – Record Evaluations Publicly [12:41] – Discount For Recording Visits [15:01] – Video Monetization Proof [17:36] – Paywalled Evaluation Product [18:20] – Paywall Workflow Explained [20:03] – Marvel Gym Wrap Up [25:22] – Parting Shots Would you trade privacy for a lower PT rate? Example: 🔒 100% private visit: $300 🎥 Recorded visit with consent: $175 Assume the clinic could use portions of the visit for educational/marketing content. Would you take the discount? -Yes -Maybe -No way - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

August 21, 202626 min

Is Becoming a Physical Therapist Still Worth It in 2026?

Is becoming a physical therapist still worth it in 2026? The guys discuss PT school debt, salary ceilings, practice ownership, modern career opportunities, content creation, differentiation, and why AI may become one of the most important tools in physical therapy education. Watch more from PT Pintcast → https://www.youtube.com/@PTPintcast --- EPISODE BREAKDOWN [00:00] – Why PT Gets Hate [01:58] – APTA Topics and Loans [02:26] – Is PT Worth It [02:58] – Jimmy Says "It Depends" [04:06] – Dave Says Yes?... Worth It why? [05:04] – Owner Income Reality [06:01] – Every Career Has Tradeoffs [08:11] – Accountability and Modern PT [08:58] – Creative Branding Example [11:26] – Marvel Gym Marketing [12:49] – Show Don't Tell Branding Content [13:32] – Dave Builds Video Content [15:45] – Patient Consent and Storytelling [18:29] – AI In PT Education Would you become a physical therapist in 2026? 🟢 Absolutely 🟡 Yes, but only with low debt 🟠 Only if I planned to own a business 🔴 No, I'd choose another profession If you're already a PT, would you make the same choice again? - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

August 19, 202630 min

How Physical Therapists Can Turn Their Expertise Into a Scalable Business

What if the biggest physical therapy business opportunity isn’t opening another clinic? What if instead of selling your time, your name, or your treatment hours… you turned the way you get results into a system other therapists could use? A branded method. A licensing model. A productized service. Something that can scale without requiring you to personally treat every patient. That’s the question we’re digging into today. Watch more from PT Pintcast → https://www.youtube.com/@PTPintcast --- EPISODE BREAKDOWN [00:00] – Therapists Want Stability [01:42] – Licensing vs Franchise Questions [02:13] – Can Cash PT Scale [03:44] – Why Patients Drop Off Care [05:08] – McDonalds vs PT Demand [05:30] – Branded Programs Idea [06:04] – Licensing a Knee Program [07:16] – ROI Home Runs [08:22] – Jiffy Knee Breakdown [10:23] – Does This Translate to PT [12:41] – TMR vs Jiffy Knee Models [13:29] – Identity Blocks Scaling [14:48] – How Many PTs Become Owners [16:07] – Entrepreneurship Takes Risk [17:38] – Trainer vs PT Thread Fallout [20:41] – Licensing Limits and Delegation [22:10] – Scalable Unlicensed Model [27:07] – Parting Shots What is the most scalable PT business model? A: Open more clinics B: Sell courses / education C: License a treatment system D: Build a digital product E: Stay solo and charge premium rates - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

August 14, 202623 min

Can Physical Therapy Scale Without Becoming a Mill?

Should a physical therapist see 4 patients a day or 24? The Breakfast club reviews debate PT productivity, premium one-on-one care, high-volume clinics, patient access, and whether physical therapy can ever scale nationally without sacrificing quality. Watch more from PT Pintcast → https://www.youtube.com/@PTPintcast --- EPISODE BREAKDOWN [00:00] – PT Tune-Up [00:47] – Productivity Benchmarks Overview [01:53] – Outpatient Private Practice Targets [03:01] – Billing Habits And Training [03:58] – Cash Practice Numbers Debate [04:51] – One On One Session Model [05:12] – Treating Multiple Clients Ethically [06:46] – Compliance vs Business Models [07:25] – Context Matters in Volume [08:10] – Busy Hours vs Dead Time [09:42] – Scaling Care Like Honda [10:23] – Onward PT As Counterexample [12:10] – Population Health And Digital PT [13:57] – Need vs Want for PT [16:16] – Private Equity And Partnership Plays [22:30] – Onward Affiliate Playbook How many patients should one PT see per day? 🔵 4–6 — premium / one-on-one 🟢 8–12 — traditional outpatient 🟠 15–18 — high volume 🔴 20–25+ — too much Or is the number meaningless without knowing the patient population and business model? - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.

August 12, 202633 min

Are Cash-Pay Physical Therapists Undercharging?

Are cash-pay physical therapists charging too much or are most PTs undercharging? The Breakfast club reviews real pricing examples, including $250 evaluations, $300 visits, and premium packages. They also explain how conversion rate, specialization, perceived value, and patient outcomes should influence what a physical therapist charges. Watch more from PT Pintcast → https://www.youtube.com/@PTPintcast --- EPISODE BREAKDOWN [00:00] – Pricing Reality Check [01:18] – Niche Premium Pricing [02:19] – Rural Affordability Myth [03:21] – More Rate Examples [04:20] – Sticker Shock Explained [06:37] – Raising Rates Formula [07:34] – Babysitter Rate Experiment [09:34] – What Babysitting Includes [11:17] – Identity vs Value [13:05] – Finding Price Breakpoints [14:32] – How to Buy Back Your Time [16:40] – Roofing Value Analogy [18:22] – Selling Hope Marketing Ads [24:27] – Crazy Marketing Works [29:08] – Parting Shots Are most cash-pay physical therapists undercharging? Which number surprises you most? -$250 for a 30-minute evaluation -$125 for a 15-minute follow-up -$2,500 for eight sessions -Raise rates above 33% conversion Drop your current evaluation rate in the comments. - Want to Connect with Dave? Book a strategy call: https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-sales Thinking of selling your practice or partnering? https://www.fieldmakergroup.com Connect with Dave: Email: Dave@Conciergepainrelief.com Instagram: @davekittle https://www.instagram.com/davekittle/ LinkedIn: https://www.linkedin.com/in/davekittle/ or Call (646)-781-8884 Hosted on Acast. See acast.com/privacy for more information.