Tips For Getting Your Chiropractic Practice Off the Ground

This article is based on the ChiroCast podcast Tips for Getting Your Practice Off the Ground with Dr. Stephanie Brown and Danielle Javines.

Highlights For Starting a Chiropractic Practice

• Assemble a professional team. Secure a business attorney and accountant to navigate legal, financial, and regulatory needs efficiently.

• Choose the right business structure. Select a structure like LLC or corporation to align with your goals and provide liability protection.

• Streamline administrative essentials. Obtain a Tax ID, register your business name, and set up a business bank account to create a solid operational foundation.

• Master licenses and credentialing. Secure personal and group NPIs, and complete insurance and Medicare credentialing for smooth billing operations.

• Launch with cost-effective office setup. Start small with scalable office space, prioritize essential equipment, and build a memorable brand.

• Attract and retain patients. Network strategically, market your services online, and provide an exceptional patient experience to build trust and generate referrals.

Starting a chiropractic practice can feel like juggling a dozen balls while riding a unicycle—challenging but achievable with the right tools and mindset. From navigating legal requirements to building your client base, the journey to becoming your own boss is full of excitement and hurdles.

But for many chiropractors, the process can feel intimidating, especially when it comes to managing essential but unfamiliar tasks like business licensing, office setup, and credentialing.

In this guide, we’ll break down the critical steps to launching your chiropractic business successfully. You’ll learn how to lay a solid foundation, secure essential credentials, and optimize your resources for sustainable growth.

Whether you’re a new graduate, transitioning from an associate role, or returning to the profession after a hiatus, these strategies will help set your practice up for long-term success.

Building a Strong Foundation for Your Chiropractic Business

Starting a chiropractic practice begins with a solid foundation. Assembling the right resources and professional support will set your new practice up for success and avoid common pitfalls along the way.

Assemble Your Professional Team

No matter how confident you feel about starting your practice, having the right professionals by your side can make or break your launch. The two most critical team members to recruit early are a business attorney and an accountant.

• Business attorney. A legal expert will guide you through critical tasks like reviewing contracts, negotiating leases, and selecting the right business structure. They’ll also make sure your practice complies with state regulations—avoiding potential headaches down the road.

• Accountant. An accountant specializing in small businesses or healthcare practices can help you manage finances, set up efficient bookkeeping systems, and navigate tax obligations.

Pro tip. Avoid shortcuts like online templates or generic advice from forums. Instead, invest in professionals who understand the unique needs of healthcare businesses in your state.

Choose the Right Business Structure

Your business structure determines everything from how you pay taxes to the level of personal liability you face.

The most common options for chiropractors include:

• Sole proprietorship. Simple but risky, as your personal assets aren’t protected from business liabilities.

• LLC or PLLC (Professional Limited Liability Company). Offers personal liability protection while keeping the business structure relatively simple.

• Corporation. More complex, with potential tax benefits for larger practices.

Your attorney and accountant can collaborate to recommend the structure that aligns with your long-term goals and local regulations. Starting with the right setup can save you from costly changes down the road.

Secure Your Business Essentials

Before opening your doors, you’ll need to check off a few foundational items:

• Tax ID (EIN). Obtain this number from the IRS to identify your business for tax purposes. Be cautious of third-party services that charge for this free process.

• Business name registration. Make sure your chosen name complies with state rules and doesn’t conflict with existing businesses.

• Business bank account. Open a dedicated account to separate personal and business finances. Look for low-fee options and a bank that’s small-business friendly.

Pro tip. Take time to research your options and avoid rushing these foundational decisions. They’ll set the tone for your practice’s operations and growth potential.

With the right team, structure, and essentials in place, you’ll be well on your way to creating a practice built for success.

Navigating Licenses, Numbers, and Regulations

Managing the administrative side of your practice can seem complex, but it’s essential for smooth operations and compliance. From securing your NPI to navigating insurance credentialing, these steps will help you establish a strong professional presence.

Obtain Your NPI (National Provider Identifier)

An NPI is a unique 10-digit number that identifies healthcare providers for billing and credentialing purposes. You may need a personal NPI (type 1) and group NPI (type 2), depending on your practice structure.

• Personal NPI. If you’re a licensed chiropractor, you’ll need a personal NPI for billing insurance and working with Medicare. Update your profile regularly to reflect changes like graduation, new credentials, or practice location.

• Group NPI. If you’re opening a practice with a physical location, you’ll also need a group NPI for your facility. This number is linked to your practice’s Tax ID and distinguishes your business from you personally.

Pro tip. Keep your NPI details updated to avoid billing disruptions, especially after changes like name updates, address changes, or a new Tax ID.

Credentialing with Medicare and Insurance

If you plan to accept insurance, credentialing is a critical step. Start with Medicare, as many insurance providers require your Medicare ID during their credentialing process.

• Medicare enrollment. Find your state’s Medicare contractor and complete their application process. Some states make this easier with online portals, but don’t hesitate to call for help if needed.

• Insurance networks. Credentialing for commercial insurance often begins with the CAQH (Council for Affordable Quality Healthcare) database. Create a profile with all your credentials, so insurance companies can easily access your information.

Pro tip. Insurance networks often close to new providers, so don’t assume you can join every plan in your area. Research network availability before committing to an insurance-based model.

Plan for DME (Durable Medical Equipment)

Offering services like orthotics or back braces? These require a separate credentialing process through Medicare for DME.

• What to expect. The process for DME credentialing is distinct from standard Medicare enrollment. It can be complex and time-consuming, so consider working with a credentialing specialist for guidance.

• Why it matters. Proper credentialing ensures you can bill for DME services and get reimbursed promptly.

Pro tip. Even if you don’t plan to offer DME immediately, keep it in mind for potential future growth opportunities.

Navigating licenses, NPIs, and insurance credentialing might feel overwhelming, but with preparation and the right resources, you can tackle these tasks confidently.

Ready to get started? Schedule a demo today!

Practical Strategies for Setting Up Your chiropractic Office

Setting up your office is one of the most exciting steps in launching your practice, but it’s also where costs can quickly add up. Focus on smart, scalable strategies so you can create a professional space that meets your needs without stretching your budget.

Start Small and Grow Strategically

When launching your practice, it’s tempting to go big, but starting small can save you significant overhead costs while allowing for organic growth.

• Lease a manageable space. Choose a space that fits your immediate needs rather than a sprawling office you may never fully utilize. Smaller spaces can still be functional, cost-effective, and professional.

• Explore shared or alternative spaces. Consider starting in a shared space, gym, or physical therapy office. These arrangements often come with built-in networking opportunities and lower costs.

Pro tip. Avoid empty, unused rooms in your office—they represent wasted resources and unnecessary expenses.

Get Creative with Your Brand

Your practice name is one of your first opportunities to make an impression. While creativity is good, make certain that your name complies with local regulations and resonates with your target audience.

• Check state laws. Some states require the word "chiropractic" in your name or prohibit claims of superiority like "best" or "leading."

• Make it memorable. A strong, descriptive name can also serve as a marketing tool, setting the tone for your practice and attracting your ideal clientele.

Pro tip. Research existing business names in your area to be sure yours is unique and legally permissible.

By starting with a right-sized space, cost-effective equipment, and a strong brand identity, you can minimize startup costs and position your practice for growth.

Choose Equipment Wisely

Investing in essential equipment is critical, but you don’t need to break the bank on brand-new, top-of-the-line items.

• Buy used or refurbished equipment. Platforms like social media groups and online classifieds often feature used chiropractic tables, therapy tools, and waiting room furniture at a fraction of the cost.

• Prioritize essentials. Focus on high-quality, durable items you’ll use daily, like adjusting tables and diagnostic tools. Luxuries can come later as your practice grows.

Pro tip. Join local chiropractic groups or forums to find recommendations and deals on gently used equipment.

Attracting Patients and Building Your Practice

Attracting patients is the lifeblood of any successful practice. Building meaningful connections within your community and professional networks is the first step to establishing trust and generating referrals.

Network Strategically to Build Connections

Networking is a powerful tool for establishing your presence and attracting your first patients. By forming relationships within your local community and professional circles, you can generate referrals and build trust.

• Join local groups. Engage with chambers of commerce, small business associations, and community organizations to connect with other professionals and potential patients.

• Leverage professional associations. Your state chiropractic association can offer networking events, resources, and mentorship opportunities to help you grow your practice.

• Collaborate with other healthcare providers. Partner with physical therapists, gym owners, and wellness professionals to create a referral network and expand your reach.

Pro tip. Networking doesn’t always mean formal events—showing up at community gatherings, gyms, or local markets can create valuable connections.

Market Your Practice Effectively

With limited resources in the early stages, focus on marketing strategies that deliver maximum impact for minimal cost.

• Create a professional online presence. Build a website that highlights your services, credentials, and patient testimonials. Ensure your site is mobile-friendly and optimized for search engines.

• Use social media. Platforms like Instagram, Facebook, and LinkedIn are great for sharing educational content, patient success stories (with permission), and special promotions.

• Encourage patient reviews. Ask satisfied patients to leave reviews on platforms like Google Business Profile to boost your credibility and visibility.

Pro tip. Start with one or two marketing channels you can manage well and expand as your practice grows.

Provide Exceptional Patient Experience

The best way to attract and retain patients is to deliver outstanding care and service.

• Prioritize patient communication. Explain treatments clearly, listen to concerns, and follow up to assure satisfaction.

• Create a welcoming environment. Make sure your office is clean, comfortable, and professional. You want patients to feel at ease from the moment they walk in.

• Offer flexible options. If possible, provide online booking, extended hours, or payment plans to meet patients’ needs.

Pro tip. Happy patients are your best advocates—word-of-mouth referrals can be your most valuable marketing asset.

By networking intentionally, marketing strategically, and providing top-notch patient care, you’ll set your practice on a path to steady growth and long-term success.

Your Practice Launch Checklist

So you’ve done your homework and you’re ready to jump in. Use this checklist as a guide to be sure you’ve covered all the critical steps.

• Consult with a business attorney and accountant to establish your legal and financial framework.

• Register your business name and obtain your tax ID (EIN).

• Secure personal and group NPIs, and complete insurance credentialing as needed.

• Lease or share an office space that fits your current needs and budget.

• Acquire essential equipment, focusing on quality and affordability.

• Build an online presence with a professional website and active social media accounts.

• Network with local professionals and community groups to generate referrals.

• Focus on creating a welcoming and professional patient experience.

Final Words of Encouragement

Launching your chiropractic practice is a challenging but highly achievable goal with the right plan in place. By following these steps, you’ll not only streamline the process but also lay the groundwork for a thriving, patient-centered business.

Your dream practice is closer than you think! Start today, and take the first steps toward making it a reality.

Power Your Practice Growth with ChiroTouch

Starting your chiropractic practice is a journey filled with challenges and opportunities. With ChiroTouch, you don’t have to go it alone. Our all-in-one chiropractic EHR software simplifies critical tasks like scheduling, SOAP notes, billing, and patient engagement, helping you focus on what matters most—caring for your patients and growing your practice.  

Join thousands of chiropractors who trust ChiroTouch as their partner in success. Schedule a demo today and see how we can help your practice thrive from day one.