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  • Writer's pictureNicole Cozean

Getting to "Happy as a Little Clam" In Your Biz

How do you get to 'Happy as a Little Clam' in your business? Are you already there? What do you need to take the leap?

5 Reminders When Treating Chronic Pain

Pelvic PT Rising: The pelvic health tools to make you a better clinician and/or a more successful business owner. We want every single pelvic health practitioner to be more confident and successful in your practice and career!

  • Clinical Courses: Game-changing online courses to make you more confident, challenge your thinking and improve patient outcomes

  • Business Resources: Helping 500+ pelvic health practitioners confidently start, grow and build their dream business!


We believe (and have seen with working with 400+ businesses) there's five different phases of business.

  1. The Oh, $#i! Phase - Everything feels overwhelming, you don't have systems in place, you're not sure where to find your next patient and you're worried you're 'doing it wrong' the whole time

  2. The Hustlin' Phase - You're more clear on your direction, but everything is a grind. It's hard to get patients in the door. Sometimes you have great, full weeks. The next week the schedule is only half-full. And you're living and dying with every evaluation, phone call or cancellation.

  3. Happy as a Little Clam - You're a solopreneur (maybe with an admin) who is feeling confident in their business. You're making the money you want, paying yourself, working only the days and hours you want, have a wait list and are getting ideal clients on autopilot.

  4. Growing Beyond Yourself - You've hired another clinician and are working hard to fill their schedule. You have all the challenges of 'Hustling', but also having to hire, onboard, train, mentor and lead a team.

  5. True CEO - Your business runs smoothly without you and you're creating an amazing organization, culture and place to work.

If you're the solo clinician at your practice, you want to get to 'Happy as a Little Clam.' Here is how you'll know if you've gotten there:

  • You're getting ideal patients on autopilot (often with a long wait list) and not worrying about whether the schedule is full

  • Financially you're making as much as you'd like, paying yourself first (and consistently), saving for taxes and funding your retirement to reduce tax burdens

  • You've built a buffer of at least three months profit in your business to weather any ups and downs

  • You're working the exact days and hours you want, taking time off to spend with your family

  • You've optimized the job to eliminate anything you don't like doing or aren't good at.

Check out the full 'sode for all the details!

As Nicole said on the full 'sode of the topic...

"We believe, and have seen with working with 400+ businesses, there's five different phases of business.." - Nicole Cozean

Learn more about pelvic health with our Clinical Courses

All of the Rising clinical courses are designed to:

  • Challenge the way you think

  • Make you more confident in your clinical practice.  

  • Allow you to go-at-your-own pace (all online!)

  • Let you go back to your work: you'll have lifetime access to the lectures and handouts.  Check out all the clinical courses we offer (

Curious about private practice? Check out our Business Resources

  • We've now helped more than 200 cash-based pelvic health practices start and grow.  

  • We want to make sure you're building a business that works for you (instead of vice-versa) and actually enjoy the process along the way!  

  • See all the business resources we offer (, tailored specifically to pelvic health!


Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA

Co-founder of the Pelvic PT Rising and the Rising Podcast.

Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.

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