AG Physical Therapy
Dr. Ashlee Gendron's pelvic floor PT practice in North County San Diego. Five months of SEO and AI-search work between March and August 2026. Below is what the data shows, what work happened during the period, and what the data doesn't show.
"Sean has helped my clinic visibility so much, even within the first month we started working together I saw immediate results. My website was a mess and he was able to re-create the style that I wanted and the specific message and voice I wanted potential patients to see. Now my website looks professional and it's much easier to navigate and book an appointment direct. He also gives me reports on latest search trends and how I am ranking against local competitors. I highly recommend his expertise if you are trying to grow your business. The investment has been worth every penny as I am getting at least 1-2 inquiries a week on average."
Dr. Ashlee Gendron, AG Physical Therapy (agphysicaltherapypc.com)
Over five months, how often the practice showed up in local searches grew 72%. On the two search terms the practice focused on most, prenatal and postpartum care, it reached #3 among the pelvic floor PT practices tracked in the service area, and #4 of 16 across all terms. The growth was steady across eleven checks with no significant reversals.
Visibility over time
Each point is a separate check of how often the practice appears across a grid of local searches in the area. Higher means the practice is showing up in more searches, to more people, across more of the grid.
| Date | Visibility |
|---|---|
| 3/12/2026 | 13.27 |
| 3/19/2026 | 13.27 |
| 3/26/2026 | 13.89 |
| 4/2/2026 | 13.58 |
| 4/9/2026 | 14.20 |
| 4/16/2026 | 15.74 |
| 5/12/2026 | 15.12 |
| 6/12/2026 | 16.67 |
| 6/22/2026 | 18.83 |
| 7/12/2026 | 20.68 |
| 8/12/2026 | 22.84 |
Growth by search term
The search terms the practice invested in most heavily showed the biggest gains.
| Search term | Start | End | Change |
|---|---|---|---|
| postpartum physical therapy | 16.05 | 27.16 | +11.11 (+69%) |
| prenatal physical therapy | 9.88 | 23.46 | +13.58 (+137%) |
| pelvic floor home therapy | 14.81 | 25.93 | +11.12 (+75%) |
| pelvic floor therapy* | 12.35 | 14.81 | +2.46 (+20%) |
*We changed this search term in mid-April from "pelvic floor physical therapy" to "pelvic floor therapy" because patients use the shorter phrase 225% more often. The numbers are close, so the change doesn't disrupt the comparison.
What I worked on during each window
Each period of work, alongside the change in visibility during that period.
| Window | Visibility change | What I worked on |
|---|---|---|
| March 12 to April 16 | +2.47 | Cleaned up the Google Business Profile, built the first round of service pages, added men's pelvic floor content |
| April 16 to May 12 | -0.62 | Brief flat period within normal variation between checks |
| May 12 to June 12 | +1.55 | Rewrote the urinary incontinence and prenatal pages, expanded the pelvic pain page with perimenopause content, made author credentials more visible |
| June 12 to June 22 | +2.16 | Rewrote the Google Business Profile description, reconnected the profile to the practice's site, added more structured author information, reorganized the blog, reformatted service-page headings as patient questions |
| June 22 to July 12 | +1.85 | Built a dedicated orthopedic service page, corrected direct-access framing across service pages, fixed a stale directory listing tying the clinician to a former employer, kept up weekly Google Business Profile posts |
| July 12 to August 12 | +2.16 | Reframed the homepage title and hero around the practice's specialty, added a professional directory listing, improved internal linking to less-visible pages, sent the first monthly report, continued Google Business Profile posts |
The June 12 to June 22 jump (+2.16 in 10 days) is still the clearest single signal. The Google Business Profile description rewrite was the biggest piece of work in that window and likely showed up in search results quickly. What stands out over the full period is the consistency: each of the last three windows added roughly two points, so the gains read as cumulative rather than a one-time bump.
Where the practice stands today
As of August 12, 2026. The practice ranks #4 of the 16 tracked in the service area on visibility across all search terms, and #3 on the two it focused on most (prenatal and postpartum care). The chart shows the top of the field by overall visibility.
AG moved from below mid-pack at the start to #4 overall, and to #3 on prenatal and postpartum care, the two terms the practice focused on most. The two practices at the top are far ahead: one is a long-established clinic with years of accumulated reviews at a fixed address, and the other roughly doubled its own visibility over the same period. Closing that gap isn't realistic in five months. The meaningful movement is in the tier AG competes in directly, where it has pulled even with and passed practices it started behind.
How often AI search tools recognize the practice
This is a separate check, measuring whether AI search tools know the practice exists and surface it as a source. I asked 10 different questions across 3 tools on June 18-19, 2026.
| Tool | Appeared in | Notes |
|---|---|---|
| ChatGPT | 7-8 of 10 | Knows the practice, address, and services. Quoted page content directly. |
| Google AI Mode | 5-6 of 10 | Picked up the rewritten Google Business Profile description the same day it went live. |
| Perplexity | 0 of 10 | Traced to old healthcare directory listings (Healthline FindCare, Buoy Health) that still listed the clinician at a former employer. Fixes were submitted within 48 hours of the audit. |
ChatGPT and Google AI Mode both recognize the practice at rates similar to larger multi-location competitors in the audit. The Perplexity zero had a specific, fixable cause that's now being addressed. A follow-up audit is planned to re-check all three.
What the practice has reported
Visibility only matters if it turns into patients. These are the numbers Dr. Gendron has reported from her side, tracked as inquiries where the patient said they found the practice online.
- About 20 internet inquiries over roughly six months (March through August), of which 16 became scheduled patients.
- August was the strongest month: 9 consultation calls, 7 of which became patients. That is close to four times her prior monthly average.
- One August patient said he found the practice through ChatGPT, the first to name an AI tool as the source. It lines up with the AI-recognition work above.
Two honest caveats. These are the practice's own counts, not figures I can independently verify. And search visibility is one input among several, alongside word of mouth and referrals, so I can't draw a straight line from any single change to any single booking. What the numbers do show is that rising visibility and rising patient inquiries moved together over the same period.
What this data doesn't show
- A direct causal line to bookings. The visibility tracking measures how often the practice shows up in local searches, not why any specific patient booked. The patient counts above are the practice's own, and they reflect more than search alone.
- Catching the market leader. The top practices in the area are far ahead. The wins here are in the tier AG competes in directly.
- Proof that any specific piece of work caused any specific jump. Search results change for many reasons. The work-to-window mapping is a reasonable read, not a guarantee.
- Stable rankings in AI search. AI tools give different answers each time they're asked. What matters is that the AI recognizes the practice and treats it as a real source. Where the practice ranks within a list is highly variable, so the numbers above are a snapshot, not a stable benchmark. Re-checks will run every few months.
These results also reflect this practice's specific geography, competitive set, starting position, and patient mix. The approach to the work transfers across practices. The exact numbers won't.
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