Ep. 75 : Choose Your Hard: Building a Cash-Based PT Business in a Performance Gym | Andrew Millet

In The RACK Podcast...Powered by ProForm Physical Therapy

Most PTs know the system is broken…High volume. Insurance-driven care. Burnout.

But very few actually do something about it.

In this episode of the In The RACK Podcast, Chad sits down with Andrew Millet, owner of Move Strong Physical Therapy inside Cressey Sports Performance in Hudson, Massachusetts, to break down what it really looks like to leave the traditional model and build something better.

Andrew shares his journey from working in high-volume insurance-based clinics to launching a cash-based practice starting just one day per week in 2017 while balancing home health and eventually going all-in by 2018.

What started small has now grown into a team of three full-time PTs plus remote support built inside one of the top performance facilities in the country.

But it wasn’t easy…

We dive into:

 • The reality of transitioning out of insurance-based PT

 • Building a business inside a performance gym

 • Early struggles: missed family time, turnover, and growing pains

 • Leadership lessons and the importance of hard conversations

 • Why systems, sales, and marketing actually matter

 • The impact of mentorship

 • Defining success beyond just revenue

We also go deeper into something most clinic owners ignore…Your health.

Andrew shares how dialing in training, nutrition, and hormone optimization didn’t just change his physique...it elevated his leadership, his family life, and his business performance.

Because at the end of the day…You can’t build a high-level business if you’re running on empty.

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📲 Connect with Andrew: 

 • Instagram: Instagram → @movestrongphysicaltherapy

 • Website: Move Strong Physical Therapy → www.movestrongphysicaltherapy.com

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🎧 Listen, Apply, Execute 

If you’re a PT, coach, or business owner who knows there’s a better way—but hasn’t made the move yet...This episode will hit.

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TimeStamps:

00:56 Meet Andrew Millet

03:02 Why Physical Therapy

04:19 From High Volume to One on One

06:27 Starting Move Strong at CSP

09:00 Scaling Team and Culture

14:08 Vision Shifts After Loss

15:43 Early Struggles and Leadership Lessons

24:33 PT Inside Performance Gym

26:54 PT Biz Mastermind Impact

32:02 Implementation and Accountability Systems

33:42 Redefining Success Metrics

35:52 Reordering Life Priorities

36:51 Family Rituals That Stick

37:35 Meeting Ally Gilbert

39:34 Hormone Optimization Wakeup

43:13 Results Validation And Confidence

45:12 Health Culture At Home

50:44 Leading By Example In Clinic

53:48 What Makes Clinics Grow

57:43 Leadership And Resilience Lessons

01:04:17 Starting A Practice Right

01:08:16 Wrap Up And Where To Find

01:09:02 Choose Your Hard