Episode 8: The Business Side of Physical Therapy

By Dan Bien, PT, DPT
March 15, 2025

On this episode, we are joined by Dr. Doug Kechijian, who discusses the business side of physical therapy, including considerations for those considering starting a cash pay, out-of-network, or insurance-based practice.

Doug and his business partners, Drs. Trevor Rappa and Greg Spatz founded Resilient Performance Physical Therapy shortly after PT school with a shared vision and goal. Doug shares how this shared vision emerged, and their business development focus and priorities in their early stages. He then offers great insight into the pros and cons of various physical therapy practice models and payment systems, and implications for both the practitioner and the consumer. We talk business structuring, legal considerations, business education and preparation resources, and marketing. Doug also shares some business lessons he has learned over the years, and considerations for future growth. We wrap up with Doug discussing what he is working on for personal growth and what he considers his most valuable educational tool and resource.

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