This week, I had the chance to interview my longtime client (and now good friend) Jim Palmer, a PT in New York City who built a completely mobile, cash-based practice that he has grown to multiple clinicians and multiple services outside of PT.

Jim had worked the gamut—staff PT, clinic manager, clinic director—and like so many therapists, he felt handcuffed. Insurance restrictions, shrinking treatment times, more patients packed into every day. He described it as his “life force being squeezed out.”

But Jim didn’t quit. Instead, he built something different.

In one of the toughest markets in the country—New York City—Jim launched a fully mobile cash-based practice. He started just months before the pandemic, pivoted to virtual PT when the city shut down, and somehow grew through it all.

Today, his practice isn’t just surviving—it’s thriving with a full team of clinicians, concierge services, medical fitness programs, a golf performance arm, and referral relationships with high-level concierge physician groups across Manhattan… In today’s episode, you’ll learn exactly how he did it.

And here’s the part you don’t want to miss:  Jim will be hosting a members-only deep-dive training and Q&A in our Cash Practice Mastermind a few days after this blog post is published, where members can ask him anything about scaling, referrals, or running a mobile team.

If you want access to that (and to the kind of support that accelerates your success), you can join us and the rest of the successful cash-pay practice owners HERE for 50% off your first month — just use promo code “AUGUST50” at checkout.

More specifically, we discuss these topics related to mobile cash-based practice:

• The one decision that kept Jim’s NYC practice alive while dozens around him shut down.
• The referral source most PTs overlook—and how it became Jim’s #1 patient pipeline.
• How adding “non-PT” services turned into one of the smartest business moves he ever made.
• The shift that took him from solo clinician to leader of a thriving mobile team.
• What most PTs get wrong about patient retention—and the simple fix Jim used.
  
• The mindset change that transformed not just his practice, but his life outside the clinic.

From Solo Mobile PT to Multi-Therapist Concierge Practice in NYC – Interview with Jim Palmer

Have you been inspired by Jim Palmer’s journey from a one-man mobile PT in New York City to the founder of a thriving, multi-clinician cash-based practice serving some of the busiest people in the world?

Don’t miss your chance to learn directly from him!

Join me, Jim, and a group of ambitious cash practice owners who are building the practice of their dreams …

👉 Click HERE to join, and as you enroll, use the promo code “AUGUST50” at checkout to get 50% off your first month, and finally get the support you need to accelerate your growth.

As his business coach, I couldn’t be more proud of the practice Jim has built. He went from being handcuffed by insurance-driven jobs… to running a mobile concierge practice that survived the pandemic, grew into multiple services, and now thrives with a loyal team and high-value referral partnerships.

Now it’s your turn. Learn from Jim’s story and replicate his success inside the Mastermind.

👉 Click HERE to join us

Thanks so much for checking out this week’s video… hope you enjoy this episode!

WANT STEP-BY-STEP GUIDANCE TO START, GROW, OR TRANSITION YOUR OWN CASH-BASED PRACTICE? 

> Click Here to learn how to start, grow, or transition your own Cash-Based Practice <<

HERE ARE SOME MORE EPISODES ON BUILDING A MOBILE OR CONCIERGE CASH-BASED PRACTICE:

From In-Network to 7-Figure Cash-Based PT Practice: Elizabeth Rogers’ Success Story
Elizabeth reveals the strategic shifts that helped her transition from insurance-based care to a thriving, scalable cash-pay practice.

Cash-Based Pediatric Practice Success – Occupational Therapist Kristen Pfeil shares her secrets
Kristen pivoted quickly after a job loss and turned her pediatric OT skills into a cash-based business that grew through relationships and creative outreach.

From Solo Practitioner to 7-Figure Cash Practice – Interview with Jennifer Chu
Jennifer’s story of building a multi-location team-driven practice shows how solo providers can evolve into visionary CEOs.

MORE RESOURCES TO HELP YOU SUCCEED IN A CASH-BASED PRACTICE:

CASH-BASED PRACTICE MARKETING INTENSIVE

4-week training intensive designed to walk you step by step through “R.O.I Marketing Method – AI Edition” and equip you with simple, fast, & effective ways to keep your phone ringing with potential private-pay patients whenever you want them. Check it out here.

CASH-BASED PRACTICE FREEDOM 2.0

Learn How My New “Cash-Pay Profit Formula” Packs Your Appointment Calendar With Cash-Pay Patients (Even If Your Practice Is Still 100% Insurance Based) Check it out here.