A cash-pay PT practice with locations in Las Vegas, NV and Bloomfield Township, MI. Every system in PT Growth Engine was built and proven here first.
Increase in click-through rate
Increase in lead volume
Increase in booked evaluations
Decrease in cost per evaluation
Revenue increase over 90 days
Peak return on ad spend (up 13% over 90 days)
Dr. Zaki Afzal's clinical model was already elite. But the marketing was running the same generic playbook every out-of-network practice runs — pushing traffic at pages that never addressed the real objection: "why would I pay out of pocket when insurance is the responsible choice?"
Landing page opt-in rates were underperforming, and the CRM had no real system for tracking a lead from first click to booked evaluation.
A six-belief-shift structure adapted specifically for cash-pay PT, built around identity-based positioning and proof-stacking to directly address the insurance objection.
Google reviews curated and placed by objection type — including a dedicated shoulder-pain landing page built around condition-specific proof.
A 10-stage pipeline with outbound call-attempt tracking and custom workflow logic, giving full visibility from ad impression to booked evaluation.
"We built this system inside a real cash-pay PT clinic. Then we proved it works."
— Dillon Reed, Founder, PT Growth Engine