CashPT Lunch Hour Wes Miller Antifragile PT





In this episode of The CashPT Lunch Hour, episode lucky #13, I had the honor of sitting down to an actual lunch with Wes Miller, PT FAAOMPT of Anti-Fragile Physical Therapy in Asheville, NC. Wesley runs a 100% cash-based practice and provides a one-on-one physical therapy. His professional focus is on client-centered care, evidence-based assessment, relevant patient education, expert manual therapy, corrective exercise, and neuromuscular running / gait training, or medical bike fitting with the goal of providing high quality physical therapy specific to his patient’s goals.

Physical Therapy Advocacy

Wes and I were both in Raleigh, NC, our states capital, to advocate for our profession and attempt to get our practice act updated and modernized. The main restriction we want to remove is the need for a physician’s referral, order or script for a spinal manipulation. We are fortunate here in North Carolina that we have had Direct Access for 30+ years, but this is one of the dinosaur concessions that was made initially, it’s time to have it removed, we have the support we need, though it’s a slow process. Definitely get involved in your states process so we can continue to raise the bar.

Cash-Based Physical Therapy Lifestyle

In this episode we discuss:


  • His journey into physical therapy and why he decided to start a cash-based practice.
  • How he knew he made the right decision to start a cash-based private practice.
  • His weekly schedule and how he’s designed his practice around his lifestyle.
  • Wes’s marketing strategy, how he develops relationships in his community and how he get’s new patients.
  • His strategies for targeting local runners and working with local running stores.
  • His authentic social media strategy.
  • The #1 mistake he made when starting his practice and how to make the shift in mindset to avoid it.
  • His best recommendation for someone who wants to start a cash-based practice.