Case Study

7x Keyword Growth in 10 Months

Helped a private practice physical therapist get more visible locally and nationally.

Client name and identifying details have been changed at the client’s request.

7x
Keyword growth
8 → 56 ranking keywords in 10 months
0 → 11
Location keywords
Now ranking in their primary and secondary location
61%
Organic Engagement Rate
vs. 17% from direct traffic

The challenge

Momentum PT is a boutique, performance-focused physical therapy practice in NJ, serving athletes, active adults, and anyone who wants to move and live better. The founder, the founder, had been running the practice for about a year when he reached out to CDM with a simple but urgent problem: “we need more SEO.”

When we pulled the data, the picture was clear. The site had been live for roughly 8 months and was ranking for 8 keywords, every single one a variation of the founder’s name or the practice name. Not one location-based keyword. Not one service-intent keyword. No “physical therapy [primary city].” No “running rehab NJ.” No “performance PT near me.”

For an in-person, location-dependent service business, that’s essentially invisible. Someone searching for a performance PT in [primary city] had no path to finding Momentum PT, even if it was exactly the right practice for them.

The core problem

The issue wasn’t the content or the messaging. Momentum PT had strong positioning and real differentiators: TPI-certified golf PT, running gait analysis, performance rehab, a longevity wellness program. The problem was structural.

The site was small and the page hierarchy was flat. Service offerings weren’t broken out into individual pages, they lived on or near the homepage without clear, crawlable structure. There were no location-specific landing pages, despite the practice being entirely dependent on patients in the surrounding South Jersey area.

Google couldn’t get context about what this website was for or when it should appear in search results. Without that context, it wouldn’t…and didn’t.

How we connected

The founder was referred by an existing CDM client. The engagement started August 5, 2025, with a full competitive audit of both the website and social media presence.

What we built

Before recommending a single blog post or piece of content, we fixed the framework. That’s the non-obvious move: most agencies lead with content because it’s visible work. We led with structure, because content without structure doesn’t compound.

Competitive audit. Full analysis of local competitors and national boutique peers using Semrush. Identified the keyword gaps, structural differences, and content opportunities that would move the needle fastest.

Service landing pages. Broke out each core offering into its own dedicated, crawlable page — Performance Physical Therapy, Running Rehab & Gait Analysis, Golf Physical Therapy (TPI-certified), Injury Treatment, and the longevity program. Each page targets service-specific keywords locally and nationally.

Location landing pages. Built dedicated pages for the two primary service markets. These pages are the critical bridge between what Momentum PT does and where it does it, targeting “near me” and geo-modified searches that drive actual bookings.

Internal linking architecture. Connected service pages to location pages, location pages back to services, and mapped out a blog structure that would funnel long-tail traffic into the core service and location pages. Every page now has a purpose and a path.

Blog and video content structure. Rather than writing generic posts, we built the framework for content that would actually rank: blog topics tied to keyword pillars, video archive structure with proper metadata and captions, and a clear editorial direction aligned to running, golf, sports performance, and longevity themes.

Tools used. Squarespace, GA4, Google Search Console, Semrush.

“We could have just recommended blog posts with keyword targeting from day one. Instead, we fixed the framework, built on what was already there, and made it structurally sound before adding content. That’s the difference between short-term traffic and compounding returns.”

A different kind of engagement

The founder came in as an eager, engaged, tech-savvy collaborator — not someone looking to hand everything off. After each strategy session, he’d go and implement: writing blogs on the topics we’d identified, adding videos with proper captions and metadata, building out the content we’d mapped. CDM provided the strategic direction and the framework; the founder brought the execution energy and the clinical expertise.

This model — strategy-led, founder-implemented — is exactly what Cheshire Strategy is built for. It’s the step before a marketing hire: someone who can think at the level of a CMO without the overhead, and hand off a playbook the business can actually run.

The results

The engagement started August 2025. These numbers reflect approximately 10 months of work on a site that had been live for less than a year when we started. SEO is a compounding asset: this is the early trajectory, not the ceiling.

MetricBefore (Aug 2025)Now (June 2026)
Total ranking keywords856
Branded keywords only8 of 8 (100%)13 of 56 (23%)
Location keywords011
Service/specialty keywords026
Page 1 rankings02
Page 1–2 rankings04
7xKeyword growth in 10 months — from 8 branded-only terms to 56 ranking keywords across service and location intent
#3Current ranking for “what does heel drop mean in running shoes” — a running content keyword that didn’t exist before the engagement
#13Current ranking for “physical therapy [secondary city]” — a location page that didn’t exist before the engagement
#25Current ranking for “performance physical therapy NJ” — a service page that didn’t exist before the engagement
61%Organic search engagement rate in GA4 — nearly 4x the 17% engagement rate of direct traffic, showing high visitor quality
58sAverage organic search session duration — visitors finding the site through search are reading, exploring, and considering

What comes next

The foundation is in place. The location pages are indexed, the service pages are crawlable, the internal linking is connected, and the content engine is running. From here, SEO compounds: each new blog post builds topical authority, each ranking climbs as the domain ages, and the location pages will strengthen as Google’s local index catches up with the structural improvements.

Momentum PT is 10 months into a multi-year SEO investment. The keywords that matter most — “physical therapy [primary city],” “running rehab South Jersey,” “golf physical therapy NJ” — are indexed and climbing. That’s what right-foundation work looks like at the 10-month mark.

Services

Competitive Analysis · Content Strategy · Internal Linking · Landing Pages · SEO Strategy & Architecture · Video SEO Framework

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