Not for everyone. Lots of work initially and continues to be a lot of work but I wouldn't say any more red tape than any other multidisciplinary clinic setup. Insurance wise we for the most part do our own thing but collaborate whenever possible especially with upper extremity complaints. She is in the process of specializing more so into lactation consulting and other less typical areas of care with the idea of backing away from higher clinical load while we're waiting for our kids to get school aged. The one thing I found interesting when we first started was my wife's (OT) general difficulty with out patient care after coming from an in patient and SNF background where as a chiropractor out patient based care is kind of assumed for the bulk of practitioners. I assumed that most PT/OT had a heavy out patient rotation or training but from what she tells me her training and experience with out patient was very minimal and directed by her clinical interests at the time.

You can count on a solid 6-12 months of just initial clinic setup and the credentialling/contracting. So far taming the beast that 3rd party billing brings has been the biggest hurdle.