Most physical therapists know something’s broken. Reimbursements are declining. Administrative burden is rising. And despite delivering massive value, the profession is still treated like an afterthought.

In this episode of the Private Practice Owners Podcast, Nathan Shields sits down with Scott Gardner—clinic owner and leader of the United Physical Therapy Association—to unpack the real reason behind the industry’s struggles.

From the “ancillary provider” label to Medicare policy, Scott breaks down why physical therapists are stuck at the bottom of the healthcare hierarchy—and what it will actually take to change that.

This isn't theory. This is a behind-the-scenes look at the legislative, financial, and systemic forces shaping your clinic’s future.

In this episode, you’ll learn:

Why physical therapists are still classified as “ancillary” providers—and why it matters
The real reason reimbursements keep declining
How Medicare policy directly impacts your clinic revenue
What MPPPR is (and why it’s quietly costing you thousands)
The truth about “opting out” of Medicare
Why most therapists complain—but don’t take action
How advocacy and legislation shape the future of private practice
What needs to happen for PTs to gain autonomy and higher pay
Why unity across clinics may be the only way forward

This episode is not about quick wins. It’s about understanding the system—and how to actually change it.

🎯 If you’re tired of shrinking margins, policy confusion, and feeling stuck, this conversation will give you clarity on what’s really going on.

👉 Join the upcoming workshop: https://ppoclubevents.com/04-17-26-workshop

👉 Learn more about Private Practice Owners Club: https://ptoclub.com/

Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycall

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