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Want to open a cash pay clinic, but worry you're too fresh out of school? Tune in to the Cash Pay Clinic series, by new grad Kevin Prue, PT, DPT, CSCS!

Cash Pay Physical Therapy – Intro

Hi everyone,

My name is Kevin Prue, and I am excited to help the team here at New Grad PT by sharing my experiences as a cash pay physical therapy clinic owner. Before we dive into the nuts and bolts of owning a cash PT clinic, I just wanted to share a little bit about myself. I graduated from Duke University’s Doctor of Physical Therapy program in May of 2014 and opened my cash PT clinic at the end of October 2014. Prior to PT school, I was a college baseball player who just wanted to play as long as I could. After a couple of arm surgeries, and numerous hours spent in PT clinics around the county, I decided physical therapy was a career path I wanted to pursue.


A Good Professional Mentor Goes a Long Way

I was lucky enough to have a strength and conditioning internship at a busy orthopedic practice in Springfield, Massachusetts while I was an undergrad. This internship led to a job at the same practice for a year while I completed my pre-requisite course work to apply to PT schools.

I knew that I wanted to open my own practice at some point in my career, so while I worked at this clinic, I spent as much time with the clinic director as possible, to learn about the business aspects of running a physical therapy clinic. This experience was extremely valuable as I entered PT school, and ultimately was a major reason why I was able to open my clinic right after graduation.

I Am a New Grad Physical Therapist, Just Like You

While on clinical rotations during my final year of PT school, I was introduced to the cash pay physical therapy model. The idea was intriguing, but I wondered if a new grad could successfully pull off such a new approach. It took a lot of thought and discussion with other cash PT clinic owners before I made my decision to open a cash pay clinic vs. a traditional insurance based clinic.

The more I learned about cash PT, the more I realized it was a perfect fit for why I wanted to open my own practice to begin with. I wanted to create an environment where I could put all my knowledge and skills to work, while providing quality patient care. Due to declining reimbursement from insurance companies, traditional clinics were forced to see multiple patients per hour, and often the quality of care was negatively impacted. This led to poor patient outcomes and a negative outlook on our profession by the public.

It All Starts By Jumping In

After graduation I had to make a decision, did I want to pursue a residency/fellowship path (which was my initial plan), did I want to work in an clinic for a few years, or did I want to take a leap into private practice. I made the decision after weighing multiple factors to try and open my own cash PT practice. It’s taken a lot of planning and work to get it started, but we are now starting our 8th month of operation, and things are finally starting to come together.


I hope by sharing my experiences with you I will be able to introduce some of you to the new world of cash pay physical therapy, and maybe even inspire some of you to join me in the adventure that is owning a cash pay PT clinic.

Kevin Prue, PT, DPT, CSCS is the NGPT community cash pay expert!
Check out his article detailing how a cash pay PT practice works.

About Kevin Prue

Cash PT owner since graduation. Clinical focus in sports medicine and orthopedics. Publication director at NewGradPT. Adjunct professor and Healthcare business consultant.

One comment

  1. Thanks for sharing Kevin! I am a physical therapy student at Springfield College right now looking into different career paths. Thank you for the insight.

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