Paul Gough - Physical Therapy Marketing

Paul Gough - Physical Therapy Marketing Marketing and Business Education That Helps Great Physical Therapists Become Great Business Owners.

Paul Gough is an internationally known Physical Therapist from the UK. He helps business owners from all across the USA and around the Globe to grow their clinics profits using Digital and Direct Marketing Strategies - and radically shift their Entrepreneurial thinking. He is an Award Winning Infusionsoft user - Small Business Icon (and Certified Partner), a published Author, owner of 4 Cash Based Clinics in England - and a former Professional Soccer Physiotherapist.

If your clinic disappeared tomorrow, would anyone actually notice? Because if the answer is “probably not”… that’s exact...
04/28/2026

If your clinic disappeared tomorrow, would anyone actually notice? Because if the answer is “probably not”… that’s exactly what we need to fix in 2026.

#2026

04/28/2026

Cash Pay Summit - Time To Get Excited

04/28/2026

Imagine you’re a cash based PT, you’ve spent the last 2-3 years building your case load to get to lets say 80% full. You are ready to scale but everywhere you look you see one word:

Expense.

I call it the “expense of scale” and it has 10,000s of Cash Pay PTs “hamstrung”. You maybe?

Working 9-5, patient after patient, responding to calls, emails and trying to keep up with content for social.

You are in the 2026 “Rat Race”… and no amount of clinical skills can help.

On Friday, 9am, I will present to 200 clinic owners the New Model for scaling past $300k.

Everything you have been told to this point is now out of date. Unlike clinical research, which remains true for decades, business strategies and tactics are fluid and change fast. The consumer decides what they want and how they want it.

If you are coming to LA, i can’t wait to see you… you’re in for a treat. You’ll get first look at the 25 clinic “Experiment” and the results of the new way we’ve been scaling.

In the past PTs were taught to hire people and build systems. How did that work out? No one is ever happy because the people building make mistakes or left half built automations.

Today? We switch the model. Install the autonomous systems that make staff more efficient and clinics “leaner” AND more scalable and profitable.

You are about to witness PT clinics making 30-35% become industry standard / and even better you can do it with 1 PT and one admin.

You ready??? See you in Hollywood starting 9am Friday ❤️

Stop waiting for permission. Start doing s**t.- PG
04/27/2026

Stop waiting for permission. Start doing s**t.

- PG

04/27/2026

Are you raising your kids to succeed without you or raising them to need you forever?

04/27/2026

In that PAST, this is typically how a $1M Cash Based PT clinic might look… notice the cost of staff and notice the owner involved in every dept. The owner thought that at $1M revenue it would be “plain sailing”… “easy street” and that they’d have all of the freedom(s) that they first dreamed of when starting the company.

Oooops! ☹️

How did that one turn out? You knew you needed a PT or 3, but Did you factor in $80-100k in marketing costs?…

How about $300k for a manager and a front desk function to support the 3.5 FTE PTs?… And what about Finance? At this level you’re out of your depth so the obvious solution is a $2k per month CFO to “advise” you on how to grow…

You’re staring right at the very reality of why so many PTs end up with $1M headaches… big clinics… but many making less money than when they were solo at $300k per year and all in the name of “scale”…

This image and conversation forms part or Day 1 of Cash Pay Summits major goal: to stop the MADNESS that exists in this PT profession when trying to grow inside a now very outdated model.

I’ll be showing PTs the new model org.chart that is $125k cheaper… (thats your profit)… and I’ll show the model that means you could 2X or 3X your client base with zero additional overhead or admin staff costs.

Time to wake up PTs… time to move with the times… you’re scaling a headache… there’s a new model in town and it’s on show in Hollywood, LA starting Friday at 9am!… See you all at the Summit ❤️

04/26/2026

Are your prices attracting exactly the kind of patients you’re trying to avoid?

Right now, which glass does your PT clinic look like? And be honest with yourself... ⬇️
04/26/2026

Right now, which glass does your PT clinic look like? And be honest with yourself... ⬇️

04/26/2026

At this point in my life i am completely unemployable. If i ever had to get a “real” job I wouldn’t last 2 days.

One of the reasons is i couldn’t handle most of the people I’d have to work with each day. I get 8 hours sleep, 8 hours of free time and I’m at work for the other 8.

I am making damn sure that I am selective of who i spend those 8 hours with. A ‘right’, that only exists as a business owner. But one that is often forgotten my many.

The right person isn’t just good at their job - they are people who should lift and energize you in a way that you want to spend 8 hours with them. Anything else you took the cash but lost the enjoyment.

Of course, this is not always how it works for me; some people really are juwt misersble in their soul and I find out after the interview - but it shouldn’t deflect from the point - that the people around you and how they show up matter. As much as how long you let them be around you and how close they get.

If they are a drain in your personal life - walk away. If they are a drain in the office - show them the door.

This was one of the very first and best lessons taught to me by a wise Uncle who after one week of working in a factory aged 16 knew that he simply could not spend his life with people who could not or would not try to be happy and enjoy life. There are exceptions if course, but you get my point. In the factory you have no choice who stands next to you.

I took that lesson with me and it shaped who I allow in my life - and my office. The closer people are to me, the more they’ll need to have an outlook on life that leans positive. Not all the time - that would be fake - but much of it. That is 100% possible.

My kids coming into the office is another “who” choice I get to make. They come in causing chaos, looking for new things, touching anything and everything and it reminds me to never lose a very important trait of life success: curiosity.

You still got some (curiosity)?…

Curious enough to find out what life is like making $500k per year instead of $100k? Curious enough to see what life is like with 8 weeks vacation instead of accepting 1?…

I still got mine. Let

04/25/2026

Have you been ignoring AI in your pt clinic?

Learn how to save your clinic at the Cash Pay Summit May 1st-3rd. 200 PT clinic owners. Hollywood. Don’t miss it.

DM me for ticket info.

PT school made you a great clinician. It also made you broke. Nobody teaches you the exit ramp called business. 🚗
04/25/2026

PT school made you a great clinician. It also made you broke. Nobody teaches you the exit ramp called business. 🚗

04/25/2026

For the Dads out there, this is a tough one, right?? … It’s easy to judge the success of your PT business - you either hit your target or you didn’t. You either made the patient happy, or you did not.

But what about your success as a Dad?… How do you judge that?

This was the big question that opened yesterdays show and led to some big discussions about what it really is to be successful as a dad.

The views are my own. So i didn’t hold back. The views i share are not for debate - and they are in no way offering anyone parenting advice. I am simply sharing my conviction for how I judge myself as a dad of 5.

It might surpirse some, but there’s no judging MY success based on my kids success in school, or their success in sports, and even them achieving “honor role” semester after semester. I do not believe that is MY credit to claim. And, as i said on the show, even college is irrelevant as I judge MY success as a dad.

I spoke at length about why so many kids are so protected these days, where that stems from, how that could affect kids as they become adults - and why I secretly LOVE it when I catch my kids fighting with each other. It drives their Mother crazy, but the Father in me can’t help but think it is essential for success later in life.

I explain why, on the Show.

I also discuss why you being selfish (gasp!) in pursuit of your own happyness is, i believe, one of the best things you can do for your kids.

Should you listen? If you’re anything like me, the business you are building is to give you and your family a terrific life. What we Dads must becareful of is not giving that business (no matter how successful) an excuse to cover up the need for us to pay close attention to the development and relationship with our kids.

Enjoy the show Dadda’ ❤️

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