7 Reasons Nicole Never Wanted to Start a Business Artwork

Pelvic PT Rising

Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practices in the country, and living life as business owners and pelvic health advocates. And we'll be keeping it 100% real - and having some fun - along the way!

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Pelvic PT Rising

7 Reasons Nicole Never Wanted to Start a Business

April 16, 2026

0:00 | 34:03

Starting your own practice gets talked about a lot.

But what doesn’t get talked about?

👉 The reasons not to do it.

In this episode, we break down the 7 reasons Nicole never wanted to start her own business — and why, for a long time, staying an employee was actually the better choice.

We cover:

What it looks like when a job gives you all the good (and shields you from the bad)
The uncertainty and complexity of starting from scratch
The role of loyalty — and when it matters
Career growth without ownership
Financial risk, student loans, and lack of safety net
The appeal of a predictable schedule
And the very real fear of failure

This is a nuanced conversation about business ownership — not everyone should do it, and that’s okay.

But it’s also about what changes when those reasons start to fall apart.

The Bigger Takeaway

If you’re thinking about starting a business…

It needs to be for something bigger than just frustration with your current job.

And if you’re a business owner…

Your job is to create a place where it’s genuinely hard for great people to leave.

Ready to Start Your Own Practice?

If you’re serious about starting your own business the right way…

👉 Check out the Business Kickstart Program (step-by-step guide):
www.pelvicptrising.com/kickstart

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 900+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!