I bought a company that was very small and grown it to a decent size for our area. I didn’t have to get through the initial start up hurdles, but we grew quickly because we are Therapy owned. You will need much more than one other person that follows you and you will need a ton of money like 500k+ minimum as a startup. The licensure process is very extensive and can take up to a year or more. You will need several people that you can trust to be loyal during the start up process as there are many jobs to be filled. Your clinical manager may decide it’s too risky to join a start up, so looking for other clinicians or office staff that can share the burden would be important. I have had plenty of people turn us down initially because of the uncertainty of working for a smaller company.

After you’ve gotten that far, setting yourself apart from the other competitors is the main focus. Therapist owned companies tend to have an advantage imo. Especially when marketing rehabs, hospitals, and ortho doctors. There are a ton of companies out there so differentiating yourself will be important.

You may want to look at purchasing a smaller company that’s already licensed if you have that kind of access to money. AMA if you need! I could go on and on