About the Client
SEO | Local SEO | Conversion Optimization
BackFit Health operates multiple physical therapy and wellness clinics across the U.S., offering a wide range of condition-specific treatments. As a business that thrives on foot traffic and local lead generation. Starting in 2022, BackFit partnered with Open Flow to build a scalable SEO foundation that would boost organic visibility, strengthen their local search presence, and translate digital growth directly into new patient bookings.
The Challenge
Despite their strong reputation and multiple locations, BackFit faced several challenges common to multi-location healthcare providers:
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Limited organic visibility across key service and condition keywords
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Inconsistent Google Business Profile optimization between locations
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Fragmented site architecture affecting crawlability and local SEO performance
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Under-optimized conversion paths for turning search visitors into booked appointments
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Lack of clear attribution between SEO performance and patient revenue
BackFit needed a comprehensive local SEO strategy that could deliver measurable patient growth—not just rankings.
The Solution
Open Flow executed a full-scale SEO program designed to address both technical performance and local visibility, while aligning closely with BackFit’s growth goals.
SEO Foundation & Content Strategy
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Conducted a full technical and content audit, resolving crawl issues and improving site structure.
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Restructured site architecture around service + condition + location keyword groupings to maximize organic reach.
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Launched a content strategy targeting high-value local and condition-based queries for each clinic.
Local SEO Optimization
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Fully optimized Google Business Profiles for each location, standardizing data, images, and categories.
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Managed local citations and encouraged structured patient reviews to build local authority.
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Increased map-pack visibility through schema implementation and NAP consistency.
Conversion Optimization & Iteration
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Improved on-page layouts, CTAs, and appointment funnels to lift conversion rates.
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Implemented continuous monitoring and data-driven iterations to refine strategies in real time.
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Connected SEO performance directly to lead and revenue reporting for executive visibility.
Results
- + 230 % increase in organic sessions
- 3× more monthly leads from organic / local channels
- ~40 primary keywords moved into top-3 positions
- Map-pack visibility improved for 8 of 10 clinic locations
- SEO-attributed patient revenue jumped from ~$50K/mo → ~$150K/mo
- Conversion rate uplift: 2.0 % → 3.5 %
- Enhanced backlink profile and domain authority
Why It Worked
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Full lifecycle approach: We addressed technical, content, local, and conversion levers—not just one piece.
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Location-level specificity: Each clinic received tailored strategies based on local competition and audience.
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Iterative execution: Regular performance reviews allowed us to double down on what worked and pivot quickly.
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Clear ROI visibility: Transparent reporting tied SEO investments directly to new patient revenue, securing stakeholder buy-in.
“Open Flow didn’t just give us better rankings — they delivered new patients walking through our doors. Their local SEO expertise across each clinic and their clear ROI reporting made them a true growth partner.” — BackFit Health
Takeaway for Local Businesses
If your business relies on local foot traffic, SEO can’t live in a silo. Integrating local search optimization, technical SEO, and conversion-focused strategies creates a reliable engine for growth. With the right partner, SEO becomes more than visibility—it becomes revenue.
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