DSide Consulting — Operations consulting for physical therapy practices

The Problem

Thin margins, no bench, and every fire routes to the owner.

You're running a business that can't absorb a bad week. And the parts that break aren't clinical.

Operations

The system is you

Scheduling gaps, front-desk turnover, auth queues, the onboarding checklist that lives in your head. None of it is written down anywhere, so all of it comes back to you — usually at 7am.

Hiring & Talent

You're always one clinician down

Sourcing, interviewing, credentialing, ramping. Then the productivity dip while they learn your workflow. Do that twice a year and it's a part-time job you never applied for.

Finances

You know the number. Not why.

Medicare gave you 1.75% this year. Your payroll didn't ask permission. Visits get undercoded, revenue leaks between the schedule and the claim, and your EMR reports tell you what happened without telling you where the money went.

Tooling

You've bought software before

It got abandoned in ninety days. Not because the product was bad — because it was designed for a different practice than yours, and nobody stayed long enough to fit it to how you actually run.

The tools in this market aren't bad. They're just built for someone else's practice. That gap is the whole reason DSide Consulting exists.

What We Do

An operator's read on your practice. Fixes that fit how you actually run.

I'm a licensed Physical Therapist in New York, and I've run this business from the owner's side. I built the schedule, did the hiring, and signed the vendor contracts. We start by looking at the whole operation, then recommend what to change. Some of it is workflow, staffing, or how the front desk is set up. Some of it is software, and for that DSide Consulting works with a senior AI engineering team that builds for a living.

Operations and workflow

Scheduling logic, cancellation recovery, intake, auth tracking, and the handoffs between them. Sometimes the fix is a cleaner process. Sometimes it's software that knows your rules. Either way, the front desk gets its day back.

Hiring & talent systems

Pipeline tracking, structured onboarding, credentialing timelines, and productivity ramp visibility. So the next hire doesn't reset your operation for a quarter.

Financial visibility

Revenue leakage, coding patterns, payer mix, capacity utilization. Pulled from the systems you already run and put in one place you'll actually open.

Documentation relief

AI where it belongs — reducing the note burden without putting a clinical decision in a black box. Clinicians stay accountable for the chart.

The glue between your tools

Your EMR, your scheduler, your billing partner, your comms stack. Most practices don't need a new platform. They need the ones they have to talk to each other.

Whatever is specific to you

Every practice has one weird process that no vendor will ever build for. That's the work generic software can't reach, and it's usually where the margin is hiding.

Practice Operations Audit

One document. Everything you've been guessing at.

Four or five days inside your operation. I look at what you're running, what you're paying for, and what's actually getting used. Then you get it in writing, with a number attached to every recommendation.

What I look at

Workflow—how work actually moves through the practice, not how the org chart says it does
Technology in use—every software and hardware line item against what your staff genuinely uses. Not IT infrastructure.
Patient experience—from first contact through discharge
Staff experience—where people burn time, and why the front desk keeps turning over
Authorizations—the queue, who owns it, what it costs you
Billing and collections—what gets billed, what gets collected, and the gap
Purchasing—PT equipment and materials
Other lines of business^*—the gym membership, personal training, massage, retail. Whatever else is running under your roof.

^*May require additional time and cost depending on scope.

What you get

A written findings document covering all of it, plus a prioritized recommendations list with costs attached. Not a strategy deck. A list of things to fix, what each one costs, and what it's worth.

Talk to me about an audit

What It's Worth

The same $200K means two different things.

Recovered margin is recovered margin. What it's worth to you depends on whether you're building this to keep or building it to hand off.

If you're holding

$200K recovered annually · five years · $1M you actually spend

Most owners aren't selling. For them the number doesn't multiply—it repeats. Every year the auth queue holds and the cancellations get called back, that money shows up again.

And not all of the return is money:

Visits recovered against rent and payroll you're already paying. Close to pure margin, without hiring into a 13% vacancy rate.
Your week back. When the schedule and the auth queue stop routing to you, that's either clinical hours or it's time off. Your call.
Front desk turnover that stops resetting the operation, because the process lives in the software instead of in someone's head.

If you sell in the next few years

$200K recovered EBITDA × 6x typical multi-site multiple = $1.2M added at close

Multi-site PT groups have been transacting in the range of 5–10x EBITDA. So the operating margin you recover before a sale doesn't just show up in this year's distribution. It gets multiplied at close.

The auth queue, the undercoded visits, the cancellations nobody called back—all of that is EBITDA, and all of it is fixable before a diligence team starts asking. Most owners start about a year too late.

We're not brokers and we don't get paid by whoever buys you. We find the margin before someone else's diligence team does.

Run the numbers with me

Multiples vary by practice size, payer mix, and specialty concentration. The five-year figure assumes the recovery holds; it's arithmetic, not a projection. We'll tell you what your operation looks like, not what your practice is worth. That's a valuation, and it's a different job.

How It Works

Small, working, and it's yours.

No six-month discovery phase. No slide deck deliverable. We find where the time and money are going, ship solutions that fix it, review, and keep going once it's working. Repeat.

Diagnostic

Four or five days. We sit inside the operation — your schedule, your reports, your front desk, your last three hires. You get a written read on where the leakage is and what's worth fixing first, whether or not you work with us after. See what the audit covers.

Scope

We tell you honestly what's worth building and what isn't. Plenty of problems get solved by changing a process instead of buying software, and we'll say so.

We don't resell anyone's software and we take no referral fees. When we tell you a tool is worth buying, nobody is paying us to say it.

Ship

Changes go in small increments, with your team using them from day one. Some are process and staffing fixes; some are software builds. You see progress in weeks. Consequential decisions stay with your clinicians and your managers, not the model.

Handoff

Documented and owned by you. If you want us to stay on, that's a choice — not a dependency we engineered into the build.

About

I've run the practice. Sold the practice. Purchased and built new practices.

I'm Daniel Seidler, PT — a licensed Physical Therapist in New York since 1996 and the founder of DSide Consulting, LLC. I spent sixteen years owning and operating a high-volume NYC practice. Now I advise and build software for practices like the one I ran.

Most people selling solutions to PT practices have never run one. Most PT operators don't know much about systems and software. I take that knowledge and experience into every client engagement. I offer real-world, practical solutions and build software that works for the challenges of a PT business.

DSide Consulting exists because practice owners deserve someone who knows what 8am on a Monday looks like when your scheduler calls out and the auth queue has thirty items in it. Not a framework. Not a vendor pitch. Practical fixes for the things that are actually costing you.

The engineering side is a senior AI team I work with directly. Small, fast, and used to building for operations where the details matter.

Licensed PT, New York PT Tech Product & BD Practice Operations AI Implementation Revenue Cycle Workflow Design

Daniel Seidler, PTFounder, DSide Consulting, LLC

16 yrsOwning and operating a high-volume NYC PT practice

10 yrsEnterprise PT and health technology experience

Since 1996Licensed NYS Physical Therapist

$0Vendor referral fees or hidden partnerships

Most of your week isn't Physical Therapy.