Heidi Jannenga has been part of this show since the early days — and she returns with data every clinic owner and staff PT needs to see.

The 2025 State of Rehab Therapy Report reveals a widening gap between clinicians and leadership. While leaders assume pay is the biggest issue, clinicians say they’re motivated by purpose, autonomy, and meaningful work.

This episode explores:

• Why misalignment is accelerating turnover
• Why “just pay them more” won’t fix it
• What true leadership listening looks like
• The future of AI in rehab therapy
• Whether PT becomes more human-centered — or more commoditized

If the profession is at an inflection point, this is the conversation shaping what happens next.

In this episode, Jimmy, Tony Maritato, and Dave Kittle dig into something most physical therapists aren’t even considering:

Live selling. Affiliate income. Attention as the business model.

It starts with Jimmy testing live selling premium recovery devices through Amazon Live.

But it quickly turns into a bigger conversation:

• Are PTs avoiding affiliate revenue because it feels “salesy”?
• Are we spending $100K on conference booths while ignoring attention 11.99 months of the year?
• Could live shopping become a legitimate revenue stream for physical therapists?
• Does personality matter more than originality?
• Is attention the real asset in modern healthcare?

This isn’t about selling out.

It’s about understanding the shift happening in business:

If you don’t build attention, someone else will.

• Why Amazon is begging creators to go live
• Why doing it “badly” costs nothing
• Why reps matter more than polish
• How PT authority changes the equation

• Are you recommending products anyway?
• Why not monetize ethically?
• The Dr. Samantha Smith model: courses + affiliates + virtual visits
• Where affiliate income fits into clinic strategy

You don’t need to reinvent the wheel.

You need to build your version of it.

Tony breaks down:

• Why copying structure isn’t copying value
• Why pushing through “The Dip” matters
• Why most people quit too early

Spending six figures at conferences…

For 48 hours of exposure.

Meanwhile:

• Brands like Rehab 2 Perform and the Prehab Guys build attention year-round.
• They show up consistently.
• They don’t rely on one event.

What if the future of PT looks more like:

• MrBeast
• Ryan Serhant
• Or a media-first brand

Instead of:

• Waiting for referrals
• Fighting reimbursement
• Hoping the booth traffic converts

• The value isn’t in your hands. It’s in taking action.
• Nobody sees your early bad reps.
• Attention compounds.
• Personality is the differentiator.
• If you already recommend products, affiliate revenue isn’t unethical — it’s efficient.
• Selling before trust breaks the spell.
• But avoiding monetization entirely leaves opportunity on the table.

Physical therapy doesn’t have a value problem.

It has a positioning problem.

In this episode, Jimmy talks with Matthew Pratte about why private outpatient practices are getting squeezed — and what to do about it.

• Why fee-for-service puts control in someone else’s hands
• How inflation + stagnant reimbursement compress margins
• Why scale favors hospital systems and large chains
• The rise of direct-to-employer contracting
• What self-insured employers are — and why they matter
• Why PT clinics can often command higher per-visit rates through employer contracts
• Misconceptions about size and selling
• A simple first step clinic owners can take this quarter

Waiting for reimbursement to improve isn’t a strategy.

Independent clinics must rethink who they sell to — and how they position PT as first-line musculoskeletal care.

In this episode, Jimmy sits down with Chanha Hwang, PT, founder of Moviq Health, a clinical biomechanics lab in Las Vegas designed to function like “Quest Diagnostics for human movement.”

The discussion focuses on one core idea:

Physical therapy cannot claim authority in movement without standardized diagnostic infrastructure.

• Why observational data weakens PT credibility
• The link between standardized testing and patient buy-in
• How objective reporting increased plan-of-care completion rates
• The difference between inferred AI video analysis and direct measurement
• Why variability across clinics creates payer distrust
• Raising the “floor” vs raising the “ceiling” in physical therapy

Live from APTA CSM in Anaheim, Jimmy sits down with Tim Reynolds — professor, clinician, author, and anatomy educator with over one million followers online.

This episode dives into:

• Why PTs default to the “40-hour clinic model”
• The branding problem inside physical therapy
• How social media can be used responsibly in healthcare
• Why novelty prevents burnout
• The concept of “micro joys” vs. waiting for big life events
• How saying yes to one small opportunity can change your career

Tim shares how teaching one night lab turned into a full-time academic role — and how sharing educational content online expanded his reach beyond the classroom.

If you’re feeling boxed in, burned out, or unsure what’s next — this conversation will challenge how you think about your degree.

Physical therapy reimbursement has declined for years — while tuition, expectations, and scope continue to expand.

Steve Smith joins PT Pintcast live from CSM to discuss:

• Why he became a private practice owner after a VC acquisition
• Lessons learned about leadership during COVID
• Medicare payment cuts and recent advocacy wins
• Why every PT must understand advocacy
• How state-level scope of practice changes create national ripple effects
• The importance of simple, clear messaging in professional advocacy
• His big goal: getting one-third of PTs in Massachusetts actively signing advocacy letters

The message is simple:

If you don’t engage before decisions are made, you’ll be reacting after something is lost.

His parting advice:

Never assume. Always ask.

• Medicare reimbursement trends
• Scope of practice reform
• Prescriptive authority & imaging access
• Association engagement
• Leadership in PT
• How to take your “soft first step” into advocacy

What does physical therapy look like beyond the U.S. healthcare system?

In this episode, Jimmy talks with Sidy Dieye, CEO of World Physiotherapy, about how the global PT profession is evolving — and why U.S. clinicians should care.

World Physiotherapy represents 129 member organizations and over 600,000 physiotherapists worldwide.

Sidy shares:

• Why global collaboration is the profession’s greatest strength
• The workforce crisis in countries with only one trained physio per 10 million people
• How AI should be regulated and used as a tool — not feared as a replacement
• What “direct access” means in different healthcare systems
• Why the 2027 Congress in Guadalajara is more than a conference
• The 75th anniversary celebration honoring 75 transformative physios

This episode reinforces a powerful idea:

World Physiotherapy doesn’t belong to leadership — it belongs to the profession.

Rupal Patel joins PT Pintcast live from CSM to discuss why physical therapy is entering its second century — and why that means expanding our role beyond musculoskeletal care.

• Why PT is at a professional inflection point
• Social and structural determinants of health
• How zip code predicts mortality
• Why apathy is more dangerous than resistance
• How to advocate without traveling to DC
• Empowering patients to advocate for themselves
• The discomfort clinicians must embrace to grow

Rupal makes a compelling case: If PTs want better reimbursement, better access, and a sustainable future — we must advocate before frustration turns into apathy.

Her parting message draws from Mahatma Gandhi: Be the change you want to see in the world.

SaRA Health – https://sarahealth.com

U.S. Physical Therapy – https://usph.com