Case Study: Scaling an Occupational Therapy Practice with Structure, Systems & Strategy

When this Occupational Therapy Founder first came to me, she wanted to build a solid reputation with a high-quality team of therapists, and strong demand from referrals. She also had a wellness center she wanted to get off the ground and scale to consistent seven figures a month.

But behind the scenes, this practice owner felt stuck: 

“Poor systems in place. Hinders scaling.”

The practitioner’s goals were to:

  1. Free up time

  2. Scale to seven figures

  3. Lead more strategically

    Instead, she found herself in survival mode: constantly busy, overwhelmed, and unable to step out of the weeds.


Time working with Hanneke 1:1: Six months.

Here’s what transpired in that time:

Transformation experienced as a result of working with Hanneke 

Our Work Together
We partnered to shift this business owner’s role from overworked practitioner to confident CEO, focusing on three key areas:

Redesigning Operations & Systems

  • Created efficient structures to support growth.

  • Streamlined billing, scheduling, and communication processes so clients and therapists had clarity.

  • Delegated daily tasks so she could focus on strategy.

Make billing better and clearer for clients so they can submit their bills to get reimbursed.
— Occupational Therapy Practice Founder

Shifting Into Leadership

  1. Moved from “doing and fixing” to empowering the team.

  2. Practiced mindset strategies to build resilience and confidence.

  3. Introduced new services and programs with clarity on the bigger vision.

Strategic Growth Planning

  1. Designed scalable revenue streams (new packages, parent programs, group classes).

  2. Built a marketing foundation beyond word of mouth.

  3. Identified where to invest for sustainable growth.

The Results

By the end of our work together, the business owner had:

  • Freed up time: no longer bogged down in daily tasks, with clear systems running the practice.

  • Built a stronger team: therapists took ownership, supported by structure and accountability.

  • Created scalable services: diversified offerings that supported steady growth.

  • Rediscovered confidence & joy: moving from overwhelm to clarity.

The transformation that happened as a result of working with Hanneke

What started as an overworked OT running everything herself turned into a well-structured, growing practice with strong systems, a confident leader, and a clear path to scale.

She not only positioned her business for long-term success but also regained her time, freedom, and energy.

If you’re an OT, PT, or therapy practice owner who feels like everything still runs through you, this case study is proof that with the right structure, strategy, and support, you can scale your practice and your freedom at the same time.

Want to experience these results in your business? I’ve got a few additional resources to help you unlock more profits and freedom below:

Here’s another useful article that you may enjoy: How can a business coach help me?    

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