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The Paul Gough Show

EP734☕Is This The End Of Traditional "In Clinic" PT? (With Dr. Chris Castel Of CareWear) [Coffee with Goughy]

Ep. 734
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The old PT model is dead — and the math proves it.


I sat down with Dr. Chris Castell, who's been in this profession since the 1980s, and what he laid out is a wake-up call every clinic owner needs to hear.

Paying $90,000 in salary to collect $95 from Medicare isn't a business plan — it's a slow bleed. But right now, we're standing at the greatest opportunity this profession has seen in decades. Hybrid care models, light therapy technology, remote patient monitoring at $150 per patient per month — zero labor cost revenue that works while you sleep.


The question isn't whether this works. The question is whether you'll act on it.

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