by Jimmy McKay, PT, DPT | Physical Therapy Podcast
PT Pintcast is a physical therapy podcast featuring conversations with physical therapists, clinic owners, educators, and leaders shaping the future of physical therapy. Hosted by Jimmy McKay, PT, DPT, PT Pintcast blends real talk, big ideas, and practical insight on clinical care, business, culture, and where physical therapy is headed next. If a TED Talk and a radio show had a baby and raised it in a physical therapy clinic, this would be it.
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Publishing Since
10/16/2020
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July 31, 2026
<p>Today on PT Breakfast Club, we’re talking physical therapy business, cash PT positioning, fall recovery, and the uncomfortable question: are trainers reaching patients better than physical therapists?</p><p></p><p>Jimmy McKay, Tony Meritato, and Dave Kittle dig into whether PTs are defending the wrong thing: the license, the title, the visit, the referral, the insurance model, or the certification.</p><p></p><p>The conversation starts with concierge/activity-based PT, including the idea of a physical therapist joining an older adult on the golf course to help them safely return to something they love. Then Tony brings up an Instagram trainer teaching older adults fall recovery and big movement strategies. Is that physical therapy? Occupational therapy? Personal training? Practicing without a license? Or just useful?</p><p></p><p>From there, the crew gets into cash-based physical therapy, premium patient experience, why “1-on-1 care” is not enough as a value proposition, and how concierge PT can position itself around fewer handoffs, less confusion, and more continuity.</p><p></p><p>Plus: Tony explains why he sells an experience instead of physical therapy, Dave shares early results from his direct mail/postcard campaign, and Jimmy closes with the bigger lesson: understand what game you’re playing.</p><p></p><p>In this episode:</p><p>• Concierge golf PT and activity-based care</p><p>• Trainer-led fall recovery and the PT license debate</p><p>• Cash PT vs insurance-based PT positioning</p><p>• Patient experience, handoffs, and continuity</p><p>• Why small clinics can create magic</p><p>• Direct mail, postcards, and analog marketing</p><p>• Understanding the game you’re actually playing</p><p></p><p>Chapters:</p><p>00:00 PT Breakfast Club intro</p><p>00:56 Concierge golf PT and activity-based care</p><p>03:52 How to price premium PT experiences</p><p>10:52 Trainer-led fall recovery: PT, OT, or just useful?</p><p>14:29 Is the PT license really the moat?</p><p>17:45 Are trainers doing it better?</p><p>18:04 Uber, Airbnb, and PT disruption</p><p>21:30 Why cash PT needs better positioning</p><p>24:44 You’re buying fewer handoffs</p><p>30:08 “I don’t sell physical therapy. I sell an experience.”</p><p>31:40 Why small clinics can create magic</p><p>33:52 Hiring the right PT for premium care</p><p>42:55 Dave’s postcard campaign results</p><p>49:01 Is analog marketing coming back?</p><p>53:37 Understand what game you’re playing</p><p></p><p>Follow:</p><p>Tony Meritato: Total Therapy Solution</p><p>Dave Kittle: Concierge Pain Relief / The Dave Kittle Show</p><p>Jimmy McKay: PT Pintcast</p><p></p><p>This livestream is for conversation and entertainment only, not medical, legal, billing, or business advice.</p><p></p><p>#PhysicalTherapy #PTBusiness #CashPT</p>
July 30, 2026
<p>Being medically cleared does not always mean someone feels capable of returning to the life they actually want.</p><p></p><p>In this episode of PT Pintcast, Jimmy McKay sits down with Dr. Sean Pastuch, founder of Active Life and author of <a href="https://amzn.to/4pJVgiq">Live More, Hurt Less,</a> to explore the “messy middle” between physical therapy and fitness.</p><p></p><p>A patient may be able to work, drive, sleep, and complete every activity of daily living. But can they run competitively? Lift heavy weights? Play with their children? Trust their body again?</p><p>Sean argues that temporary restrictions can quietly become permanent beliefs. A diagnosis may provide relief and clarity, but without the right conversation, it can also become an identity and a permission slip to live smaller.</p><p></p><p>Jimmy and Sean discuss:</p><p>• The difference between being cleared and being capable</p><p>• Why discharge is not always the end of recovery</p><p>• How healthcare language can unintentionally make people feel fragile</p><p>• Why chronic pain has physical, psychological, and social dimensions</p><p>• How PTs can find fitness professionals they trust</p><p>• Why patients need to clearly communicate the life they want to return to</p><p>• The problem with telling someone their pain is “all in their head”</p><p>• How PTs and fitness coaches can collaborate without competing</p><p>• Why Sean believes people are both the cause and solution to many of their problems</p><p>• The ideas behind Sean’s book, <a href="https://amzn.to/4pJVgiq">Live More, Hurt Less</a></p><p></p><p>ABOUT SEAN PASTUCH</p><p>Dr. Sean Pastuch has spent more than two decades working at the intersection of healthcare and fitness. He began his career as a personal trainer, became a clinician, founded Active Life, and built his work around helping people move from medically cleared to genuinely capable.</p><p></p><p>CONNECT WITH SEAN</p><p>Website: <a href="https://www.drseanpastuch.com/">https://www.drseanpastuch.com</a></p><p>Instagram: <a href="https://www.instagram.com/drseanpastuch">https://www.instagram.com/drseanpastuch</a></p><p>LinkedIn: <a href="https://www.linkedin.com/in/sean-pastuch-02ba88109">https://www.linkedin.com/in/sean-pastuch-02ba88109</a></p><p></p><p>Learn more about Active Life professionals and the coach network discussed in the episode at ActiveLifeProfessional.com.</p><p></p><p>Find L<a href="https://amzn.to/4pJVgiq">ive More, Hurt Less</a> through Sean’s website or wherever books are sold.</p><p></p><p>ABOUT PT PINTCAST</p><p>PT Pintcast is where smart people in healthcare come to make noise. Hosted by Jimmy McKay, PT, DPT, the show delivers conversations, not presentations, about the people, ideas, and uncomfortable questions shaping physical therapy.</p><p>Follow PT Pintcast and share this episode with a physical therapist, coach, or healthcare professional who works with people trying to return to the activities that make life feel like theirs.</p>
July 28, 2026
<p>Dave Kittle and Tony Maritato open with a prediction: Sophie Cunningham becomes the WNBA's first billionaire — not from basketball, but from the same social-media gravity that's already reshaping how physical therapists build wealth outside patient care. Jimmy joins mid-scooter-commute to Hoboken and the conversation turns practical fast: why PR only works as a growth lever when you're the underdog, why "dumbing down" clinical education is the wrong frame (scaling it down is the right one), and why a Career Connection candidate's real question is never "what's the salary" — it's "what's the floor, and how high is the ceiling."</p><p></p><p>The back half digs into hiring and retention: why money alone rarely explains why a PT leaves, the concept of "career cuffing season" (staying somewhere out of convenience, not conviction), and a "baseball card" framework for evaluating a job the way you'd evaluate a player — caseload, culture, mentorship, not just take-home pay. Jimmy also walks through the AI prompt he's been running against clinics' Google reviews to surface hidden strengths (and hidden problems), and the crew closes on the "golden mile problem" — the case for why AI can automate the diagnosis but will never replace the person who shows up, adjusts the plan, and gets someone back to their life.</p><p></p><p>Topics covered: PR and personal brand in healthcare, cash-pay retention economics, clinician compensation structure, hiring and recruiting friction, documentation compliance pitfalls, AI-assisted marketing, and the limits of AI in hands-on care.</p>
Guests from recent episodes — sign up to see every guest that has ever appeared on this show.
Tony Maritato
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Dave Kittle
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Jimmy McKay
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Derek Landis
Guest
Edie Benner
Guest
Katie Holterman
Guest
Clint Serafino
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Nate Henry
Guest
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PT Pintcast is a physical therapy podcast featuring conversations with physical therapists, clinic owners, educators, and leaders shaping the future of physical therapy.
Hosted by Jimmy McKay, PT, DPT, PT Pintcast blends real talk, big ideas, and practical insight on clinical care, business, culture, and where physical therapy is headed next. If a TED Talk and a radio show had a baby and raised it in a physical therapy clinic, this would be it.
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