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Chiropractic, physical therapy, and rehabilitation / Full business overhaul

More Patients. Smarter Clinics. One Complete Overhaul.

We transform how chiropractic, physical therapy, and rehabilitation groups attract patients, manage operations, and scale across multiple locations. Custom websites, patient acquisition, AI automation, and connected operations software built around your organization.

A long term growth, software, marketing, and operations partner for established healthcare organizations. Not a marketing package.

One organization, connected

Illustrative
  • Clinic 01
  • Clinic 02
  • Clinic 03
  1. 01Website
  2. 02Appointment requests
  3. 03Front desk
  4. 04Practice software
  5. 05Executive dashboard
Illustrative concept with fictional clinics.
01

Patient acquisition

Websites, search, campaigns, and content for every clinic and service.

02

Custom technology

An operations portal and automation built around your practice software.

03

Complete visibility

One view of inquiries, conversion, spend, and tasks across every location.

Your perspective

I’m here as…

Choose a perspective to highlight the most relevant sections. The full page stays available.

In short

How do multi location chiropractic and physical therapy groups grow without losing visibility?

They give every clinic its own pages, listings, and campaigns while running one brand, one acquisition strategy, and one reporting model. FXXK builds that as a connected system: websites, search, paid acquisition, content, a custom operations portal, and automation, around the practice software the clinics already use.

Built for
Multi location chiropractic groups, Physical therapy practices, Rehabilitation centers, Integrated spine and wellness clinics, Sports medicine and performance clinics, Multidisciplinary pain management practices.
What gets built
Websites, SEO and AI search, paid acquisition, video and content, an operations portal, and administrative automation.
What stays in place
Your practice management or EHR software and clinical records. Integrations depend on vendor APIs and security review.
Investment
Custom scoped engagements that can reach six figures, with implementation and ongoing services agreed after discovery.

Where growing clinic groups lose patients and time

Six problems worth measuring before anything is built.

Common in successful practices that grew clinic by clinic. Whether they exist in yours, and what they cost, is what the audit establishes.

  • Phones ring during treatment

    Front desks juggle check ins, insurance questions, and calls, so new patient calls go to voicemail at the busiest hours.

    What the audit asksHow many calls and requests each clinic receives, when, and how many are answered.

  • Insurance questions stall bookings

    Patients want to know whether their plan is accepted before they commit, and the answer depends on someone calling them back.

    What the audit asksHow insurance questions arrive today and how long they take to resolve.

  • Every clinic markets itself

    Locations end up with different pages, listings, and promotions, and nobody can compare them on the same terms.

    What the audit asksHow each location appears in search and which campaigns belong to which clinic.

  • Data lives in four places

    The practice software, the phone system, ad accounts, and spreadsheets each hold part of the picture.

    What the audit asksWhich systems hold which records, and which ones offer usable interfaces.

  • Plans of care lose momentum

    Missed visits and unscheduled follow ups slip through when reminders depend on whoever has time.

    What the audit asksWhich approved follow up workflows exist, and where they break down.

  • Reports arrive after the month ends

    Leadership sees last month’s numbers in a spreadsheet assembled by hand.

    What the audit asksWhich reports leadership uses and how many staff hours they cost.

The infrastructure

Six services. One connected system.

Select a service to see what we build, the information it moves, who owns it, what we measure, and what it will not do. Each one is explained in depth below.

Custom healthcare websites

A premium, accessible website that becomes the central infrastructure connecting marketing with the clinics’ existing systems.

What this pillar contributes

  • Custom healthcare website development
  • Dedicated pages for every location
  • Individual treatment and condition pages
  • Online appointment requests
  • Insurance verification request workflows
  • Provider biographies
  • Patient education resources
  • Mobile optimization
  • Accessibility
  • Conversion tracking
  • Intake integrations
Information that moves
Appointment and insurance verification requests carry the clinic, service interest, and source. Never clinical history.
Who owns it
The organization approves clinical content; FXXK builds and maintains the site.
What we would measure
Appointment requests and calls by clinic, page, and source.
What we will not do
Marketing forms do not collect protected health information.
Custom Websites & Digital Infrastructure as an individual service

Service 01 of 06

A website that runs the front door of every clinic.

A premium, conversion focused healthcare website is more than a brochure. It becomes the central infrastructure connecting marketing with the clinics’ existing systems: every request arrives with the clinic, the service, and the source attached.

How it connects

  1. 01Search and ads land on the right clinic or treatment page
  2. 02Appointment and insurance verification requests enter one routed queue
  3. 03Front desk staff follow up and book in the practice software
  4. 04Reporting matches requests to clinics, services, and campaigns
  • Custom healthcare website development
  • Dedicated pages for every location
  • Individual treatment and condition pages
  • Online appointment requests
  • Insurance verification request workflows
  • Provider biographies
  • Patient education resources
  • Mobile optimization
  • Accessibility
  • Conversion tracking
  • Intake integrations

Service 03 of 06

Coordinated patient acquisition across every clinic.

Campaigns are built by location and by service, with calls and requests tracked so executives can see which clinics and campaigns produce qualified appointment opportunities. Filter the example by clinic.

Executive campaign view

Fictional data
Fictional campaigns ranked by cost per qualified opportunity
CampaignClinicSpendQualified opportunitiesCost each
Chiropractor near meGoogleNorthfield Clinic$2,40064$38
Physical therapy near meGoogleRiverside Clinic$2,60069$38
Back pain educationMetaNorthfield Clinic$1,50038$39
Sports injury rehabMetaRiverside Clinic$1,70037$46
Spinal decompressionGoogleNorthfield Clinic$2,10041$51
New clinic awarenessMetaHillcrest Clinic$1,60029$55
Sciatica treatmentGoogleHillcrest Clinic$1,90033$58
Total$13,800311$44

Fictional demonstration data. Not a real clinic, not client results. Ranked by cost per qualified appointment opportunity. Real reporting depends on call tracking, form tracking, and what the practice software can confirm.

  • Google Ads
  • Meta Ads
  • Location specific campaigns
  • Individual service campaigns
  • Landing page optimization
  • Phone call attribution
  • Appointment inquiry tracking
  • Patient acquisition reporting
  • Advertising budget management
  • Retargeting where permitted by healthcare advertising and privacy rules

Service 04 of 06

A complete content operation for your providers and clinics.

Doctors, facilities, and patient education, produced professionally and repurposed across platforms and locations. Choose how many clinics to see how far one production day goes.

One production day

Becomes about 45 placements across 3 clinics

  • Website

    • Provider bios with video
    • Treatment explainers
    • Facility tour on each location page
  • Instagram and TikTok

    • Educational Reels
    • Provider Q and A clips
    • Behind the scenes
  • YouTube

    • Full treatment explanations
    • Provider interviews
    • Facility walkthroughs
  • Google Business Profile

    • Location photos
    • Provider introductions
    • Updates per clinic
  • Paid ads

    • Service campaign creative
    • Location specific versions
    • Retargeting creative where permitted

Illustrative count of placements. Each clinic gets local versions of shared assets.

  • Professional doctor introduction videos
  • Facility walkthroughs
  • Patient education
  • Educational Reels and TikToks
  • Provider interviews
  • Treatment explanations
  • Professional photography
  • Social media management
  • Paid advertising creative
  • Patient testimonials with appropriate written consent

Service 05 of 06

Every clinic. One operations portal.

The centerpiece of the overhaul: a centralized portal for the whole organization. Switch between the entire organization and each clinic, and compare this month with last month. Every number below is fictional demonstration data.

Clinic group operations portal

Fictional demonstration data

All three clinics · Organization wide view · this month

Appointment inquiries
555
10.1% vs last month
Appointment conversion rate
61.8%
343 appointments
New patient opportunities
407
10.6% vs last month
Marketing expenditure
$17,900
Revenue, where integrated
$388,500
2 of 3 clinics integrated
Provider utilization
81.5%
Booked share of scheduled hours

Location performance

Orange is this month; the lighter bar is last month. Select a clinic to open it.

Administrative tasks

Open
40
Overdue
8
Completed
221

Operational report

  • 8 requests past their response time
  • Overdue requests escalated to the clinic manager
  • Weekly summary scheduled for leadership

Fictional demonstration data. Not a real clinic, not client results. This is a demonstration of a concept, not a working medical records system.

How information moves

From the website to the executive dashboard.

Select each step. Integrations depend on the practice’s current software, vendor APIs, permissions, and security requirements, and the audit confirms what is possible.

What happens here

Website

Location, treatment, and condition pages capture appointment and insurance verification requests with the clinic and source attached.

Integration note

Built by FXXK. Forms collect contact details and preferences, not clinical history.

  • Executive dashboard across every clinic
  • Appointment inquiry pipeline
  • Location performance comparisons
  • Revenue reporting where integrated
  • Staff utilization metrics where available
  • Administrative task management
  • Operational reporting
  • Monthly performance comparisons
  • Integrations with existing practice management software where supported

Service 06 of 06

Practical AI for the administrative work around care.

Automation takes on routing, reminders, reporting, and alerts across the organization. Patient specific workflows are designed with privacy, security, and staff review.

  • General inquiry routing

    Questions about hours, insurance, and services go to the right clinic and team.

  • Administrative follow up

    Reminders for staff to call back, confirm paperwork, or close a request.

  • Missed call workflows

    A prompt text or task when a new patient call is missed, where appropriate and permitted.

  • Appointment request notifications

    The right front desk knows the moment a request arrives.

  • Internal task assignment

    Requests and follow ups are assigned with owners and due times.

  • Staff scheduling assistance

    Coverage gaps and busy periods surfaced for managers to decide.

  • Multi location reporting

    Daily and monthly reports assembled automatically from source systems.

  • Marketing analytics

    Campaign and search results summarized by clinic and service.

  • Executive summaries

    A plain language weekly summary of what changed and what needs attention.

  • General FAQ assistance

    Answers to common non clinical questions, with handoff to staff.

  • Automated operational alerts

    Notices when response times slip or a request goes unanswered.

What our AI never does

  • Diagnose conditions or recommend treatment
  • Interpret imaging, notes, or test results
  • Send patient specific messages without staff review
  • Move protected health information into tools without a business associate agreement

The patient journey

Eight steps, one connected infrastructure.

Step through the journey to see the technology, marketing, and operations behind each step, then switch to friction points to see where disconnected systems lose patients and time.

Step 1 of 8

Patient discovers the clinic

The patient: Searches for back pain treatment, sees a provider video, or finds the nearest clinic on a map.

  • 02 SEO & AEO
  • 03 Paid Advertising
  • 04 Video & Content
Technology
Structured data and accurate listings for every clinic
Marketing
Local SEO, AI search visibility, and location campaigns
Operations
Source tracking begins with the first visit

Multi location expansion

One organization. Multiple locations. Complete visibility.

Choose how many locations you run and compare independent systems with connected infrastructure. The difference grows with every clinic you add.

Shared infrastructure for the whole organization
  • 01
  • 02
  • 03
Illustrative model. Every clinic connects to the same pages, campaigns, workflows, and reporting.

What leadership manages

  • One website with a page per clinic
  • One acquisition strategy, budget by clinic
  • One live executive dashboard
  • One routing and follow up standard
  • Consolidated reporting

    One dashboard with shared definitions for every clinic.

  • Consistent branding

    One brand system with local details for each clinic.

  • Shared marketing strategy

    One plan that allocates budget by clinic and service.

  • Coordinated workflows

    Shared routing, owners, and alerts across the organization.

  • Scalable infrastructure

    A new location plugs into pages, campaigns, and reporting already in place.

Our Full Overhaul process

Six phases from audit to expansion.

Each phase has an output and a condition that must be true before the next begins. Larger engagements may include an on site operational audit at each clinic.

  1. 01

    Phase 01: Business audit

    Review the website, marketing, technology, workflows, and existing software across every clinic. Larger engagements may include an on site operational audit.

    Output
    Findings on where patients, staff time, and visibility are lost.
    Before the next step
    Leadership agrees on findings and priorities.
  2. 02

    Phase 02: Strategy and architecture

    Design a connected system around the organization’s needs, its practice software, and its security requirements.

    Output
    Architecture, integration plan, phased roadmap, and measurement plan.
    Before the next step
    Scope, budget, vendors, and compliance review approved.
  3. 03

    Phase 03: Infrastructure development

    Build custom websites, dashboards, integrations, and appropriate automation.

    Output
    Website, portal, tracking, and integrations ready for launch.
    Before the next step
    Testing, security review, and staff training complete.
  4. 04

    Phase 04: Acquisition and content

    Launch search, advertising, content, and lead acquisition systems clinic by clinic.

    Output
    Live campaigns and content with verified tracking.
    Before the next step
    Tracking confirmed against the practice’s own records.
  5. 05

    Phase 05: Optimization

    Measure performance, identify bottlenecks, and improve approved workflows.

    Output
    A regular review cadence with leadership.
    Before the next step
    Improvements approved before rollout.
  6. 06

    Phase 06: Expansion

    Scale the infrastructure to additional locations where appropriate.

    Output
    A repeatable launch kit for each new clinic.
    Before the next step
    The current clinics run reliably on the shared system.

Healthcare safeguards

Built for patient trust from the first line of code.

These are implementation requirements, not marketing claims. Demonstrations stay separate from production patient data.

What we never promise

  • Fabricated clinical outcomes
  • Guaranteed treatment results
  • Unsubstantiated revenue or patient growth
  • Systems that are HIPAA compliant by default
  • HIPAA considerations

    Anything that could touch protected health information is designed, hosted, and contracted with your compliance advisor. Nothing is described as HIPAA compliant without a verified implementation and review.

  • Patient privacy protections

    Marketing forms collect contact details only. Clinical information stays in the practice’s secure systems.

  • Appropriate access controls

    Role based access by clinic and job, with audit history for sensitive records.

  • Vendor security assessments

    Every tool in the stack is reviewed for security and data handling before it receives data.

  • Business associate agreements

    Required from vendors that handle protected health information. Tools that will not sign one are kept away from it.

  • Medical advertising rules

    Campaigns, tracking, and retargeting follow platform health policies, privacy rules, and professional board requirements.

  • Testimonial consent

    Testimonials, photos, and videos of patients require written consent.

  • Demonstrations stay separate

    Demonstrations use fictional data only and never touch production patient data.

Where each record lives. Clinical information stays in the practice’s systems; the audit confirms the real systems and owners.
  • Clinical records and plans of care

    System of record
    Practice management or EHR system
    Owner
    The practice
    Where it moves
    Stay where they are. Not copied into marketing tools.
  • Appointments and schedules

    System of record
    Practice management software
    Owner
    Front desk
    Where it moves
    Counts and status read where the vendor allows.
  • Appointment requests

    System of record
    Operations portal
    Owner
    Assigned clinic staff
    Where it moves
    Captured from the website, calls, and campaigns.
  • Campaign spend

    System of record
    Google and Meta ad accounts
    Owner
    FXXK, with approval
    Where it moves
    Read into reporting daily.

Flagship investment

A custom scoped engagement for established healthcare groups.

Flagship projects can reach six figures depending on infrastructure, number of locations, integration complexity, marketing scope, and ongoing services. There is no fixed quote. After discovery, we structure the work as an implementation agreement for the build and a separate ongoing service agreement for search, campaigns, content, support, and optimization.

What sets the investment

  • Scope

    Which of the six pillars the audit recommends now, which can wait, and how much is new build versus improvement of what already works.

  • Locations and brands

    How many locations, concepts, or brands need their own pages, listings, content, permissions, and reporting.

  • Integrations

    How many existing platforms need to connect, what their interfaces allow, and whether vendor cooperation is required.

  • Data quality

    How clean and consistent current records are: menus, hours, services, client lists, consent records, and identifiers.

  • Ongoing support

    Whether search, campaigns, content production, software maintenance, and fractional CMO leadership continue after launch.

  • Clinics and practice software

    How many clinics need their own pages, campaigns, and permissions, and what your practice management or EHR vendor allows us to integrate.

Discuss Your Full Overhaul

Identified separately, where they apply

  • Advertising spend paid to Google, Meta, or other platforms
  • Third party software subscriptions and platform fees
  • Payment processing
  • Hosting and infrastructure
  • AI model usage

The investment ranges on our consultation form

The same ranges used across the full overhaul. They help us propose a realistic first phase. They are not prices, and choosing one commits you to nothing.

  • Under $10,000
  • $10,000 to $25,000
  • $25,000 to $50,000
  • $50,000 to $100,000
  • $100,000+
  • Need help determining scope

Not ready for a program?

A website, local SEO, campaigns, or content production can each be engaged on its own, and a smaller first phase is always an option.

See individual services
How the full business overhaul works

Measurement plan

Measure qualified appointments by clinic, honestly.

The measures we would track once baselines are set. They describe a plan, not results already achieved.

Patient acquisition

Appointment inquiries
Calls and requests asking for an appointment, by clinic and source.
Inquiry to appointment rate
Confirmed appointments divided by inquiries, where they can be matched.
Cost per qualified opportunity
Media spend divided by qualified appointment opportunities from that campaign.

Operations

Time to first response
Minutes from inquiry to first contact during clinic hours.
Open request age
How long unresolved requests have waited, by clinic.
Reporting hours
Staff time spent assembling reports before and after automation.

Numbers that are often confused.

  • An inquiry

    is not a booked evaluation

    Inquiries measure marketing; bookings measure follow up. Both are reported.

  • A booked evaluation

    is not a completed plan of care

    Care decisions belong to providers and patients, and are never claimed as marketing results.

  • Revenue where integrated

    is not profit

    Revenue comes from the practice software and is not adjusted for costs.

Baselines are set during the audit. Revenue and utilization appear only where the practice software exposes them reliably, and no figure on this page is a forecast.

Proof, stated plainly

No engagement in this industry published yet.

We have not published a chiropractic, physical therapy, or rehabilitation client, and this page does not imply one. The program was designed by studying how established multi location practices operate; none of them is presented as a client.

The software side draws on custom operations portals we built and run for Magpie Bakery, JV Design MFG, and Serpent Drain. For dental groups, see the dental practices program.

Clinic group questions

What owners ask before an organization wide overhaul.

8 of 8 questions

What does a full overhaul include for a chiropractic or physical therapy group?

Six connected parts: a custom website with location, treatment, and condition pages; local SEO and AI search visibility; paid patient acquisition; video and content; a custom operations portal across every clinic; and administrative automation. They are planned together so every inquiry can be followed from its source to the clinic that booked it.

Do we have to replace our practice management or EHR software?

No. The portal is built around the systems your clinics already use. What it can read or write depends on your vendor’s API, permissions, and your security review. Where a system allows only exports, we design around that limit instead of forcing a change.

Is the operations portal HIPAA compliant?

We do not describe any system as HIPAA compliant without a verified implementation and review. Where a portal or automation could touch protected health information, hosting, vendors, business associate agreements, and access controls are reviewed with your compliance advisor before anything is built. The demonstration on this page uses fictional data only.

Can AI answer patient questions or recommend treatment?

AI can route general inquiries, answer common non clinical questions, and handle administrative follow up. It does not diagnose conditions or recommend treatment, and patient specific workflows are designed with privacy, security, and staff review.

How do you market a multi location chiropractic or PT practice?

Give every clinic its own location page, Google Business Profile, and campaigns, while sharing one brand, one strategy, and one reporting model. Leadership can then compare clinics and services on the same definitions and move budget to what produces qualified appointments.

How much does a healthcare overhaul cost?

Flagship engagements are custom scoped and can reach six figures depending on infrastructure, number of clinics, integration complexity, marketing scope, and ongoing services. There is no fixed quote. After discovery, implementation and ongoing services are structured as separate agreements. Advertising spend and software subscriptions are billed separately.

Can you guarantee more patients or rankings?

No. Rankings, patient volume, and revenue depend on your market, clinics, providers, capacity, and follow up. We commit to building the infrastructure, tracking it honestly, and improving it on evidence.

Is the clinic used in your research a client?

No. We studied how established multi location practices operate to design this program. This page does not name or imply any client in this industry, and FXXK Agency has not yet published an engagement here.

Strategy consultation

Tell us about your organization.

Share your clinics, systems, and where growth gets stuck. Lucas reviews every request personally before the first conversation. Please do not include any patient information.

  1. 01Share the essentialsThree required fields. Everything else is optional.
  2. 02Lucas reviews itHe looks at your locations, systems, and bottleneck first.
  3. 03Talk it throughAn optional call to discuss fit, scope, and a first phase.

Prefer to talk first? Book a call or email contact@fxxkagency.com.

Your project inquiry
About the business (optional)

Skip anything you would rather discuss on a call.

Please share business information only. Do not include patient names, health information, or anything from patient records.

Desired services

Investment ranges qualify scope, not price. Flagship programs are scoped after an audit, and a smaller range can still fit an individual service or a first phase.

Used to respond to your inquiry. This does not subscribe you to marketing. A meeting is optional after you send.