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Never Assume. Always Ask. The Advocacy Wake-Up Call for PTs

Never Assume. Always Ask. The Advocacy Wake-Up Call for PTs

PT Pintcast - Physical Therapy

February 22, 202616m 2s

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Show Notes

Physical therapy reimbursement has declined for years — while tuition, expectations, and scope continue to expand.


Steve Smith joins PT Pintcast live from CSM to discuss:

  • Why he became a private practice owner after a VC acquisition
  • Lessons learned about leadership during COVID
  • Medicare payment cuts and recent advocacy wins
  • Why every PT must understand advocacy
  • How state-level scope of practice changes create national ripple effects
  • The importance of simple, clear messaging in professional advocacy
  • His big goal: getting one-third of PTs in Massachusetts actively signing advocacy letters


The message is simple:

If you don’t engage before decisions are made, you’ll be reacting after something is lost.


His parting advice:

Never assume. Always ask.


Topics Covered

  • Medicare reimbursement trends
  • Scope of practice reform
  • Prescriptive authority & imaging access
  • Association engagement
  • Leadership in PT
  • How to take your “soft first step” into advocacy