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About Ranking Out
A local search agency that works with physical therapy and chiropractic practices, and nothing else. Based in Arlington, Virginia. Working with clinics across the United States.
Book A Call→Most marketing agencies will take any client who pays. That sounds like flexibility and it is actually the problem, because an agency serving roofers, restaurants and clinics at the same time is running the same playbook on all three and learning nothing specific about any of them.
We only work with physical therapy and chiropractic practices. That is a commercial constraint we chose on purpose. It means we already know what a plan of care is worth, why a discharged patient is an asset rather than a closed file, what happens to your phone at lunchtime, and which rules apply when you want to text a patient list.
It also means we say no fairly often, including to clinics we like.
Track record
This is not a new playbook we are testing on you.
Our team has spent years running patient reactivation, workshop funnels and paid campaigns for multi-location physical therapy groups. Not single clinics figuring it out. Practices operating twenty or more locations across multiple states, where a campaign that misfires is expensive and a campaign that lands has to be absorbed by a front desk that was not expecting it.
That experience is why the sequence on this site looks the way it does.
We have sent a single message to a dormant patient list and watched hundreds of replies come back in one morning. We have timed those campaigns to the end of the year, when deductibles are about to reset and patients have a concrete reason to come back now rather than in March. We have seen what happens next, when a practice that was quietly worried about next month's schedule suddenly cannot answer the phone fast enough.
We have filled workshops that turned into full plans of care. We have run ones that did not, and we know what the difference usually was.
And we have watched what consistent local presence does over a period of years. Practices reach a point where patients recognise the name before they ever search, and the owner stops asking whether there will be enough evaluations next week. That is not a campaign result. It is what accumulates when the work is done properly and does not stop.
None of it is complicated. Most practices simply never run it, or run it once and let it lapse.
How engagements run
We look at where you rank on a grid around your address, what your existing patient list actually contains, and where enquiries are being lost today. If the numbers do not support the work, we tell you that instead of selling you a retainer.
Almost every engagement opens with a reactivation campaign against your existing patients. It produces booked appointments in weeks rather than quarters, and it lets you judge us on results before committing to anything longer.
Patient Reactivation →Local search is the core of what we do. Map visibility, condition pages, reviews and the technical foundation underneath them. It is slower than a campaign and it is the part that keeps paying after you stop spending.
Local SEO →Monthly, in plain language, tied to booked patients rather than impressions. If a channel is not producing we say so and move the money, including when that means recommending less work rather than more.
How we operate
We will not take on your competitor. If we are working with a practice in your catchment, we will tell you and decline, because there is no honest way to rank two clinics first for the same search.
Your site, your domain, your Google profile, your patient data, your ad accounts. Built under your ownership from day one so leaving costs you nothing but notice.
The one that matters most
We treat your patient data as patient data.
A reactivation campaign touches a list of people who received care from you. Call handling records what a patient said about their symptoms. A contact form asking what brings someone in is collecting protected health information the moment they answer.
Generic marketing tools are not built for any of that, and most vendors in this space will not sign an agreement acknowledging it. We build on infrastructure that will, we write review responses that never confirm somebody was your patient, and where something is a question for your counsel rather than for us, we say so plainly.
Where we work
We are based in Arlington, Virginia, and we work with practices across the country. Local search does not require us to be down the road from you. It requires knowing what your patients type and where they are standing when they type it.
Arlington, Alexandria, Fairfax, Falls Church and the surrounding Northern Virginia and DC market. This is where we are, where we meet clients in person when it helps, and where we know the competitive landscape first hand.
The work is delivered remotely and the results are measured locally, on a grid around your own address. Where you are matters enormously to your rankings and not at all to our ability to do the work.
Because we take a single clinic in any given catchment, availability depends on your market rather than our calendar. Worth asking early if yours is competitive.
Thirty minutes, no pitch deck. Tell us what you have tried, what it cost and what happened, and we will tell you honestly whether we think we can do better.
Book A Call→