Private practice builder Ryan Christoff joins Chad Madden to unpack how he grew from one clinic to 26 in Western PA. He shares the two books that shaped his mindset, the sub-$500 tool that moved the needle, and the painful expansion mistake that became a turning point. You’ll hear practical hiring and retention tactics, why “foot on the gas” matters, and how AI will reshape scheduling, authorizations, and collections. Watch if you want battle-tested strategies to grow your PT practice and protect your time.

00:00 - Intro & why Ryan’s a special guest

01:18 - From one clinic to 26: Ryan’s background

02:52 - Game-changing books: The Strangest Secret & Rich Dad Poor Dad

04:24 - Best sub-$500 tool: two-way texting for D2C & reactivations

05:48 - Biggest mistake opening a clinic—and the turnaround

08:30 - Mantra: “Keep your foot on the gas”

09:32 - Best investment: time to think, partner smart, win-win deals

10:46 - Unconventional review process: staff self-assess wins & teamwork

12:18 - New mindset: you can’t please everyone (comp & balance realities)

13:55 - Starting a practice: legal/finance first, don’t rely on MD referrals

15:20 - Protecting time: say no, one needle-moving task per day

16:35 - Overlooked trend: staffing squeeze & creative scheduling

17:30 - What’s next: AI for auths & collections; faster changes than ever

18:16 - Closing advice to owners