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Generated Oct 26, 2026
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growth playbook · Oct 26, 2026

expressable.com (opens in a new tab)

Expressable growth playbook

Diagnosis

Expressable has a strong speech therapy engine: about 100 city pages, 700 Learning Center articles, a self-screener, clear private-pay prices and published speech outcomes. It is now adding occupational therapy (OTs hired in Texas, Georgia and Virginia), physician SDRs in Texas and Virginia, and a Director of Paid Media to target by payer and therapist capacity.

The OT offer on the site is not ready for that push: duplicate OT pages, speech reviews on the OT page, no OT prices, states or city pages.

This playbook fixes the OT page and the referral kit first, adds state and plan landing pages, consistent numbers, HIPAA-safe conversion signals and a faster mobile page, then builds OT city pages, an OT milestone checker, a speech-to-OT path and stronger physician loops, and bets on physician groups, a caregiver program and OT outcomes.

Growth Score

7/10

Biggest Opportunity

Launch occupational therapy with the same proof and local pages that already work for speech, and let physicians refer both from one kit.

Biggest Risk

Better Speech and Great Speech compete on price and speed online; paid media for OT will waste money if the OT page still shows speech proof and no coverage details.

01

Start here

The three moves to make first. Each one is written up in full below.

  1. 1

    Give occupational therapy its own page and proof before paid media sends parents to it

    Redirect /occupationaltherapy to /occupational-therapy and fix the title today.

    High impact First result in 1 month
  2. 2

    A two-service referral kit for the new physician SDRs in Texas and Virginia

    Add /for-providers to the sitemap and redirect /referrals.

    High impact First result in 1 month
  3. 3

    Landing pages by state and plan for paid campaigns

    Rank the top ten state and plan pairs by sign-ups.

    High impact First result in 1 month

02

Your idea portfolio

21 ideas, grouped by when to run them. Open any idea for how to run it: the steps, who to approach, copy you can use, and how to measure it.

  • 7 ideas are marked Unexpected: plays you are unlikely to have tried.

Every idea placed by the effort it takes against the impact it could have. Quick wins sit top left; select a number to open that idea. The filters below narrow the list by status, timing, category and what Programmable can build.

Effort vs impactEach number is an idea. Select one to open it.
Impact →
Quick wins · 2Big bets · 8Fill-ins · 6Reconsider · 5
Effort →

Showing 21 of 21 ideas

This week 6

Quick wins with a clear first action.

  • 01

    Expressable is hiring occupational therapists in Texas, Georgia and Virginia and a Director of Paid Media to target "geographies based on payer coverage, therapist capacity". But the OT offer is not ready for that traffic. There are two near-identical OT pages, each with its own canonical tag, so they compete with each other in search; one is titled "Find an Therapist". Every review on the OT page is a speech therapy review from a speech-language pathologist ("I was skeptical on how effective speech therapy would be virtually"). The page names no states, no OT price (the pricing page covers speech only) and no occupational therapists. A parent who clicks an OT ad sees proof for a different service.

    High impactLow effort First result in 1 month Director of Paid Media

    First action

    Redirect /occupationaltherapy to /occupational-therapy and fix the title today.

    How to measure it

    OT sign-up conversion from paid traffic

    Now
    –
    Target
    +40%
    By
    60 days

    Steps

    1. 1

      Merge the pages

      301 the duplicate, one canonical, fixed title.

      Web engineering 1 day

    2. 2

      Collect OT reviews

      Ask current OT families for consent and a short review.

      Occupational Therapist 2 weeks

    3. 3

      Add OT therapists

      Profiles with credentials and states.

      Marketing team 1 week

    4. 4

      Show coverage

      States and plans where OT is offered now.

      Insurance and intake team 3 days

    5. 5

      Add OT pricing

      Private-pay evaluation and session price on the OT and pricing pages.

      Marketing team 2 days

    6. 6

      Clinical review

      Copy checked by OT leadership; no outcome claims without data.

      Clinical leadership 3 days

    7. 7

      Build market pages

      Texas, Georgia and Virginia versions for paid campaigns.

      Director of Paid Media 1 week

    8. 8

      Test

      Market page against the general page.

      Director of Paid Media 4 weeks

    First result
    1 month
    Cost
    Staff time only
    Owner
    Director of Paid Media

    Smallest test

    Swap the speech reviews on the OT page for two OT clinician quotes this week.

    Why it works

    Keep one OT page (/occupational-therapy), 301-redirect the other, and fix the title. Replace the speech reviews with OT family reviews; if there are not enough yet, use quotes from the occupational therapists about how sessions work, and ask the first OT families for reviews. Add the states where OT is available today (starting with Texas, Georgia and Virginia), the insurance plans covered there, the private-pay price for an OT evaluation and sessions, and profiles of the OTs. Then build one OT landing page per paid market and test it against the current page.

    Parents decide on trust and fit: reviews about the service they are looking for, a therapist they can see, and a clear answer to "is this covered where I live". Paid OT campaigns will convert better and cost less per sign-up once the page matches the ad.

    Ready to use

    ChecklistOT page launch list

    [ ] One OT URL, the other 301-redirected
    [ ] Title fixed ("Find an Occupational Therapist")
    [ ] OT family reviews only (with consent)
    [ ] OT therapist profiles
    [ ] States and insurance plans where OT is offered
    [ ] OT private-pay price on the OT and pricing pages
    [ ] OT copy reviewed by clinical leadership
    [ ] Market landing pages for TX, GA, VA

    Risks and how to handle them

    • Few OT reviews yet

      Use clinician quotes and a clear process until family reviews come in; never reuse speech reviews.

    • OT capacity by state

      Show only states with open OT capacity, and update weekly.

    Evidence

    • Your websiteOccupational therapy has two near-identical pages, /occupational-therapy and /occupationaltherapy, each with its own canonical tag; one has the title "1-on-1 Online Occupational Therapy | Find an Therapist". Every testimonial on the OT page is a speech therapy review credited to a speech-language pathologist (M.S., CCC-SLP), for example "I was skeptical on how effective speech therapy would be virtually". The page names no states, prices or occupational therapists.Source
    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source
    • HiringDirector of Paid Media (remote, posted October 2, 2026): owns Google, Meta and emerging channels, "accountable for CAC, conversion volume, and payback"; will "Manage budget allocation by market and payer mix, targeting geographies based on payer coverage, therapist capacity, and performance trends"; run A/B tests on "ad creative, audiences, bidding strategies, and landing pages"; "Strengthen attribution under HIPAA constraints, including server-side conversion signals"; and partner on "sign-up flow experiments".Source
    • Your websitePricing page: "Everyone deserves access to amazing speech therapy"; private pay "Evaluation $175", "Ongoing sessions $88"; "Get matched with a speech therapist". No occupational therapy price or path.Source
    • Your websiteSitemap (1,402 URLs): about 100 "speech-therapy-in-<city>" and state pages (including San Antonio, Austin, Richmond, Virginia Beach and Atlanta), 463 therapist profiles and 704 Learning Center articles, about a dozen of them on OT milestones. There are no OT state or city pages. The sitemap lists /referrals, a speech-only referral page, but not /for-providers (which has the occupational therapy referral), /for-schools, /outcomes or /reviews.Source
  • 02

    The new SDRs in San Antonio/Austin and Virginia will "build physician relationships" and "educate new referral partners". The provider page now takes both speech and occupational therapy referrals, but the sitemap still lists the older speech-only /referrals page and leaves out /for-providers, so a practice that searches finds the speech-only version.

    High impactLow effort First result in 1 month Sales Development Representat…

    First action

    Add /for-providers to the sitemap and redirect /referrals.

    How to measure it

    Monthly referrals from SDR territories

    Now
    –
    Target
    +50%
    By
    1 quarter

    Steps

    1. 1

      Fix the pages

      Redirect /referrals, add provider pages to the sitemap.

      Web engineering 1 day

    2. 2

      Write the kit

      Speech and OT on one page, per state.

      Marketing team 1 week

    3. 3

      Clinical review

      Wording matches the company's own claims.

      Clinical leadership 3 days

    4. 4

      QR referral

      Tracked by practice.

      Web engineering 2 days

    5. 5

      Train SDRs

      Kit and talk track.

      Sales leadership 1 day

    6. 6

      Visit practices

      Weekly targets.

      Sales Development Representative (Virginia) ongoing

    7. 7

      Report

      Referrals by practice.

      Sales Development Representative (San Antonio / Austin) monthly

    First result
    1 month
    Cost
    Printing
    Owner
    Sales Development Representative (San Antonio / Austin)

    Smallest test

    Give ten practices the kit and track referrals.

    Why it works

    Point /referrals to /for-providers (or update it), add /for-providers to the sitemap, and give each SDR a one-page leave-behind for pediatric practices: what speech and OT help with, in the company's own words, how to refer (form, fax, QR code), insurance and Medicaid accepted in that state, and how progress updates are shared with the referring provider.

    Physicians refer to the service that is easiest to use and keeps them informed. A single kit with both services doubles what each office visit can bring in.

    Risks and how to handle them

    • Practices overloaded with vendors

      Keep it to one page and one QR code.

    Evidence

    • HiringSales Development Representatives in Virginia and in San Antonio / Austin, Texas (posted October 19, 2026) to "build physician relationships" and "secure direct referrals": relationships with "primary and specialty physicians, medical staff, referral coordinators", educating "new referral partners on our care model", with regular territory travel.Source
    • Your websiteSitemap (1,402 URLs): about 100 "speech-therapy-in-<city>" and state pages (including San Antonio, Austin, Richmond, Virginia Beach and Atlanta), 463 therapist profiles and 704 Learning Center articles, about a dozen of them on OT milestones. There are no OT state or city pages. The sitemap lists /referrals, a speech-only referral page, but not /for-providers (which has the occupational therapy referral), /for-schools, /outcomes or /reviews.Source
    • Your websiteProvider page: "Expressable partners with hundreds of pediatricians and PCPs"; "schedule an evaluation in as little as 2 days"; "in-network with 400+ insurance plans, including Medicaid"; "96% of patients make progress within 5 sessions" (clinician-rated goal tracking, January 2023 to October 2025); a fax number and both speech and occupational therapy referral forms.Source
    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source
  • 03

    The Director of Paid Media will allocate budget "by market and payer mix". The homepage search already asks for state and insurance, and "Most pay on average $0 - $21 per visit". A parent who searches "speech therapy covered by Medicaid in Texas" should land on that answer.

    High impactMedium effort First result in 1 month Director of Paid Media

    First action

    Rank the top ten state and plan pairs by sign-ups.

    How to measure it

    Paid cost per completed sign-up

    Now
    –
    Target
    -25%
    By
    90 days

    Steps

    1. 1

      Rank pairs

      By sign-ups and capacity.

      Director of Paid Media 1 week

    2. 2

      Check coverage

      Per plan and state.

      Insurance and intake team 1 week

    3. 3

      Template

      One page design.

      Designer 1 week

    4. 4

      Build ten

      Top pairs.

      Web engineering 2 weeks

    5. 5

      Point campaigns

      Ad groups to pages.

      Director of Paid Media 1 week

    6. 6

      Measure

      Cost per sign-up.

      Director of Paid Media weekly

    First result
    1 month
    Cost
    Design time
    Owner
    Director of Paid Media

    Smallest test

    Build the Texas Medicaid page first.

    Why it works

    Build landing pages for the top state and plan combinations (for example Texas Medicaid, Georgia Medicaid, the largest commercial plans in Virginia): what is covered, the typical cost range the company already quotes, how fast an evaluation can start, and therapists licensed in that state. Pause ads where therapist capacity is full.

    Matching the ad, the plan and the page removes the biggest doubt (cost) and lifts conversion for the same spend.

    Risks and how to handle them

    • Coverage changes

      Review pages monthly with intake.

    Evidence

    • HiringDirector of Paid Media (remote, posted October 2, 2026): owns Google, Meta and emerging channels, "accountable for CAC, conversion volume, and payback"; will "Manage budget allocation by market and payer mix, targeting geographies based on payer coverage, therapist capacity, and performance trends"; run A/B tests on "ad creative, audiences, bidding strategies, and landing pages"; "Strengthen attribution under HIPAA constraints, including server-side conversion signals"; and partner on "sign-up flow experiments".Source
    • Your websiteHomepage: "Speech therapy that makes your home a classroom"; a search by who needs services, state, insurance plan and needs; "Most pay on average $0 - $21 per visit"; "With 200+ speech therapists on our team"; therapists are "W2 employees (not contractors)" and "Trained in online delivery and parent coaching". There is a free self-screener for communication, and one Spanish page for kids and families.Source
    • Your websiteProvider page: "Expressable partners with hundreds of pediatricians and PCPs"; "schedule an evaluation in as little as 2 days"; "in-network with 400+ insurance plans, including Medicaid"; "96% of patients make progress within 5 sessions" (clinician-rated goal tracking, January 2023 to October 2025); a fax number and both speech and occupational therapy referral forms.Source
    • Your websiteSitemap (1,402 URLs): about 100 "speech-therapy-in-<city>" and state pages (including San Antonio, Austin, Richmond, Virginia Beach and Atlanta), 463 therapist profiles and 704 Learning Center articles, about a dozen of them on OT milestones. There are no OT state or city pages. The sitemap lists /referrals, a speech-only referral page, but not /for-providers (which has the occupational therapy referral), /for-schools, /outcomes or /reviews.Source
  • 04

    The homepage says "3,500+ 5-star reviews" in one place and "3,000+ ... 4.9/5" in another, "300K+" sessions, 94% progress and 250+ plans; the provider page says 400+ plans and 4.83/5; the outcomes page says nearly 500,000 sessions and 4,500+ reviews. Physicians and parents notice when numbers disagree.

    Medium impactLow effort First result in 2 weeks Marketing team

    First action

    List every number on the homepage, provider, outcomes and pricing pages.

    How to measure it

    Pages using the shared numbers

    Now
    –
    Target
    100%
    By
    1 month

    Steps

    1. 1

      List numbers

      All pages.

      Marketing team 1 day

    2. 2

      Agree the source

      Outcomes page and date.

      Clinical leadership 2 days

    3. 3

      Store in CMS

      One shared entry.

      Web engineering 2 days

    4. 4

      Replace

      All pages and ads.

      Marketing team 3 days

    5. 5

      Date them

      Last updated label.

      Marketing team 1 day

    6. 6

      Review

      Quarterly.

      Clinical leadership quarterly

    First result
    2 weeks
    Cost
    $0
    Owner
    Marketing team

    Smallest test

    Fix the homepage review count today.

    Why it works

    Keep the numbers in one place in the CMS, update them every quarter with the date, and use the outcomes page as the source, with its method note, on every page and in ads.

    Consistent, dated numbers build trust with physicians and pass ad platform review for health claims more easily.

    Risks and how to handle them

    • Lower numbers look worse

      Accuracy matters more than size for clinicians.

    Evidence

    • Your websiteNumbers differ between pages: the homepage says "3,500+ 5-star reviews" in the hero and "3,000+ 5-star reviews (4.9/5 average)", "300K+ Speech therapy sessions delivered", "94% Clients achieve clinical progress" and "250+ Insurance plans accepted" lower down; the provider page says "400+ insurance plans" and "4.83/5"; the outcomes page says "nearly 500,000 sessions", "4,500+ reviews" and "20,000+ patients".Source
    • Your websiteProvider page: "Expressable partners with hundreds of pediatricians and PCPs"; "schedule an evaluation in as little as 2 days"; "in-network with 400+ insurance plans, including Medicaid"; "96% of patients make progress within 5 sessions" (clinician-rated goal tracking, January 2023 to October 2025); a fax number and both speech and occupational therapy referral forms.Source
    • Your websiteHomepage: "Speech therapy that makes your home a classroom"; a search by who needs services, state, insurance plan and needs; "Most pay on average $0 - $21 per visit"; "With 200+ speech therapists on our team"; therapists are "W2 employees (not contractors)" and "Trained in online delivery and parent coaching". There is a free self-screener for communication, and one Spanish page for kids and families.Source
  • 05

    The Director of Paid Media is asked to strengthen attribution "under HIPAA constraints, including server-side conversion signals". Without them, Google and Meta optimise toward clicks instead of families who complete intake.

    High impactMedium effort First result in 1 month Director of Paid Media

    First action

    Map which events can be sent without health information.

    How to measure it

    Cost per booked evaluation

    Now
    –
    Target
    -20%
    By
    1 quarter

    Steps

    1. 1

      Map events

      No health data.

      Director of Paid Media 1 week

    2. 2

      Privacy review

      HIPAA check.

      Compliance 1 week

    3. 3

      Build

      Server-side events.

      Web engineering 2 weeks

    4. 4

      Switch goals

      Optimise for bookings.

      Director of Paid Media 1 week

    5. 5

      Geo holdout

      One market.

      Director of Paid Media 1 month

    6. 6

      Report

      Weekly.

      Director of Paid Media weekly

    First result
    1 month
    Cost
    Engineering time
    Owner
    Director of Paid Media

    Smallest test

    Send one de-identified "evaluation booked" event.

    Why it works

    Send de-identified server-side events (sign-up started, insurance checked, evaluation booked) through the compliant data layer, with no health details, and set campaigns to optimise for evaluation booked. Add geo-holdout tests to measure real lift.

    Better signals let the platforms find more families like those who book, lowering cost per evaluation.

    Risks and how to handle them

    • Privacy mistakes

      Send only de-identified events, reviewed by compliance.

    Evidence

    • HiringDirector of Paid Media (remote, posted October 2, 2026): owns Google, Meta and emerging channels, "accountable for CAC, conversion volume, and payback"; will "Manage budget allocation by market and payer mix, targeting geographies based on payer coverage, therapist capacity, and performance trends"; run A/B tests on "ad creative, audiences, bidding strategies, and landing pages"; "Strengthen attribution under HIPAA constraints, including server-side conversion signals"; and partner on "sign-up flow experiments".Source
    • Your websiteHomepage: "Speech therapy that makes your home a classroom"; a search by who needs services, state, insurance plan and needs; "Most pay on average $0 - $21 per visit"; "With 200+ speech therapists on our team"; therapists are "W2 employees (not contractors)" and "Trained in online delivery and parent coaching". There is a free self-screener for communication, and one Spanish page for kids and families.Source
  • 06

    Real visitors pass Core Web Vitals, but in the phone test the hero text takes 14.1 seconds to appear, the page weighs 2.3 MB and unused JavaScript costs about 2.1 seconds. Parents clicking ads on slower phones are the ones who wait.

    Medium impactLow effort First result in 2 weeks Web engineering

    First action

    Run PageSpeed on the top five paid landing pages.

    How to measure it

    Mobile bounce rate

    Now
    –
    Target
    -15%
    By
    1 month

    Steps

    1. 1

      Test pages

      Top five paid pages.

      Web engineering 1 day

    2. 2

      Hero first

      Server-rendered text.

      Web engineering 2 days

    3. 3

      Cut scripts

      Unused JavaScript.

      Web engineering 1 week

    4. 4

      Cache

      Longer lifetimes.

      Web engineering 1 day

    5. 5

      Images

      Compress.

      Designer 2 days

    6. 6

      Compare

      Bounce before and after.

      Director of Paid Media 2 weeks

    First result
    2 weeks
    Cost
    $0
    Owner
    Web engineering

    Smallest test

    Fix the hero rendering first.

    Why it works

    Render the hero text without waiting for scripts, remove unused JavaScript, cache static files longer and compress images. Use the lighter page for paid landing pages first.

    A faster first screen keeps more paid clicks, and every lost click is paid for.

    Risks and how to handle them

    • Breaking analytics

      Test tags after each change.

    Evidence

    • Google PageSpeedMobile lab score 61: the main content (the hero paragraph) takes 14.1 s to appear in the phone test, the page downloads 2.3 MB, and unused JavaScript costs about 2.1 s. Real Chrome visitors pass Core Web Vitals (LCP 2.1 s, INP 137 ms).Source
    • HiringDirector of Paid Media (remote, posted October 2, 2026): owns Google, Meta and emerging channels, "accountable for CAC, conversion volume, and payback"; will "Manage budget allocation by market and payer mix, targeting geographies based on payer coverage, therapist capacity, and performance trends"; run A/B tests on "ad creative, audiences, bidding strategies, and landing pages"; "Strengthen attribution under HIPAA constraints, including server-side conversion signals"; and partner on "sign-up flow experiments".Source

This quarter 9

The core plays for the next three months.

  • 07

    Expressable has about 100 "speech therapy in <city>" pages, including San Antonio, Austin, Richmond, Virginia Beach and Atlanta, and none for occupational therapy, while it hires OTs in Texas, Georgia and Virginia.

    High impactMedium effort First result in 1 quarter Marketing team

    First action

    Pick ten cities in Texas, Georgia and Virginia.

    How to measure it

    OT sign-ups from city pages

    Now
    –
    Target
    50 a month
    By
    2 quarters

    Steps

    1. 1

      Pick cities

      Ten first.

      Marketing team 1 week

    2. 2

      Template

      From speech pages.

      Designer 1 week

    3. 3

      Write

      Local details.

      Marketing team 1 month

    4. 4

      Clinical review

      OT wording.

      Clinical leadership 2 weeks

    5. 5

      Publish

      With cross-links.

      Web engineering 1 week

    6. 6

      Measure

      Visits and sign-ups.

      Director of Paid Media monthly

    First result
    1 quarter
    Cost
    Writing time
    Owner
    Marketing team

    Smallest test

    Publish San Antonio and Richmond first.

    Why it works

    Build "occupational therapy in <city>" pages for cities in those states: OT therapists licensed there, plans covered, the OT page content and an OT referral link for local practices. Cross-link them with the speech city pages.

    Local searches are high intent, and the speech pages already show the template works for the site.

    Risks and how to handle them

    • Thin pages

      Include real local therapists and plans.

    Evidence

    • Your websiteSitemap (1,402 URLs): about 100 "speech-therapy-in-<city>" and state pages (including San Antonio, Austin, Richmond, Virginia Beach and Atlanta), 463 therapist profiles and 704 Learning Center articles, about a dozen of them on OT milestones. There are no OT state or city pages. The sitemap lists /referrals, a speech-only referral page, but not /for-providers (which has the occupational therapy referral), /for-schools, /outcomes or /reviews.Source
    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source
    • Your websiteOccupational therapy has two near-identical pages, /occupational-therapy and /occupationaltherapy, each with its own canonical tag; one has the title "1-on-1 Online Occupational Therapy | Find an Therapist". Every testimonial on the OT page is a speech therapy review credited to a speech-language pathologist (M.S., CCC-SLP), for example "I was skeptical on how effective speech therapy would be virtually". The page names no states, prices or occupational therapists.Source
  • 08

    Expressable has a free self-screener for communication and about a dozen Learning Center articles on OT milestones, but no OT checker. Parents searching milestones are often deciding whether to ask for help.

    High impactMedium effort First result in 1 quarter Occupational Therapist

    First action

    Draft the questions for ages 1 to 5 from existing articles.

    How to measure it

    OT evaluations from the checker

    Now
    –
    Target
    40 a month
    By
    2 quarters

    Steps

    1. 1

      Draft questions

      From articles.

      Occupational Therapist 2 weeks

    2. 2

      Clinical review

      OT leadership.

      Clinical leadership 2 weeks

    3. 3

      Build

      Like the speech screener.

      Web engineering 1 month

    4. 4

      Link articles

      Milestone posts.

      Marketing team 1 week

    5. 5

      Promote

      Social and newsletter.

      Marketing team ongoing

    6. 6

      Measure

      Evaluations.

      Director of Paid Media monthly

    First result
    1 quarter
    Cost
    Engineering time
    Owner
    Occupational Therapist

    Smallest test

    Publish the 3-year-old checklist as a PDF.

    Why it works

    Build a short, age-based checklist from the OT milestone articles (fine motor, self-care, sensory), reviewed by the occupational therapists. Results say whether an OT evaluation may be worth discussing, with a link to book and to share with the child's doctor. It informs, it does not diagnose.

    A checklist turns milestone traffic into conversations with families who already wonder.

    Risks and how to handle them

    • Read as a diagnosis

      State clearly that it is informational and to discuss with a clinician.

    Evidence

    • Your websiteHomepage: "Speech therapy that makes your home a classroom"; a search by who needs services, state, insurance plan and needs; "Most pay on average $0 - $21 per visit"; "With 200+ speech therapists on our team"; therapists are "W2 employees (not contractors)" and "Trained in online delivery and parent coaching". There is a free self-screener for communication, and one Spanish page for kids and families.Source
    • Your websiteSitemap (1,402 URLs): about 100 "speech-therapy-in-<city>" and state pages (including San Antonio, Austin, Richmond, Virginia Beach and Atlanta), 463 therapist profiles and 704 Learning Center articles, about a dozen of them on OT milestones. There are no OT state or city pages. The sitemap lists /referrals, a speech-only referral page, but not /for-providers (which has the occupational therapy referral), /for-schools, /outcomes or /reviews.Source
    • Your websiteOccupational therapy has two near-identical pages, /occupational-therapy and /occupationaltherapy, each with its own canonical tag; one has the title "1-on-1 Online Occupational Therapy | Find an Therapist". Every testimonial on the OT page is a speech therapy review credited to a speech-language pathologist (M.S., CCC-SLP), for example "I was skeptical on how effective speech therapy would be virtually". The page names no states, prices or occupational therapists.Source
    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source
  • 09

    Expressable now offers speech and occupational therapy. Speech therapists see families every week and are often the first to hear about handwriting, dressing or sensory concerns.

    High impactMedium effort First result in 1 quarter Clinical leadership

    First action

    Count speech families in OT states today.

    How to measure it

    Families in speech and OT

    Now
    –
    Target
    +300
    By
    2 quarters

    Steps

    1. 1

      Define the path

      When to suggest OT.

      Clinical leadership 2 weeks

    2. 2

      Consent flow

      In the portal.

      Web engineering 1 month

    3. 3

      Train SLPs

      Short session.

      Clinical leadership 2 weeks

    4. 4

      Scheduling

      Joint slots.

      Insurance and intake team 1 month

    5. 5

      Launch

      OT states first.

      Clinical leadership 1 week

    6. 6

      Measure

      Uptake and satisfaction.

      Clinical leadership monthly

    First result
    1 quarter
    Cost
    Clinical time
    Owner
    Clinical leadership

    Smallest test

    Pilot with ten SLPs in Texas.

    Why it works

    Give speech therapists a simple way to suggest an OT consultation when they think it is appropriate, with parent consent, and coordinate scheduling so both services fit the family's week. Track how many families use both.

    Families who trust their speech therapist are the easiest to serve with a second service, and coordinated care is easier for parents.

    Risks and how to handle them

    • Feels like upselling

      Only clinician-initiated, never automated.

    Evidence

    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source
    • HiringSpeech-Language Pathologists hired in 12 states (posted July to September 2026), W2, part-time and salaried. Posts say clients "typically seek services after 3:30pm weekdays and early mornings/afternoons on weekends", and that the clinician-built AI assistant Scout "dramatically cuts documentation time".Source
    • Your websiteOccupational therapy has two near-identical pages, /occupational-therapy and /occupationaltherapy, each with its own canonical tag; one has the title "1-on-1 Online Occupational Therapy | Find an Therapist". Every testimonial on the OT page is a speech therapy review credited to a speech-language pathologist (M.S., CCC-SLP), for example "I was skeptical on how effective speech therapy would be virtually". The page names no states, prices or occupational therapists.Source
  • 10

    The provider page promises that progress is tracked and shared with clients and providers. For a pediatrician, a short update is the proof that a referral went well.

    High impactMedium effort First result in 1 quarter Sales Development Representat…

    First action

    Check how updates are shared today.

    How to measure it

    Practices referring again within 90 days

    Now
    –
    Target
    60%
    By
    2 quarters

    Steps

    1. 1

      Define update

      One page.

      Clinical leadership 2 weeks

    2. 2

      Consent

      Intake form.

      Insurance and intake team 2 weeks

    3. 3

      Automate

      Fax or portal.

      Web engineering 1 month

    4. 4

      Launch

      SDR territories.

      Sales Development Representative (Virginia) 1 week

    5. 5

      Review

      Quarterly with practices.

      Sales Development Representative (San Antonio / Austin) quarterly

    6. 6

      Measure

      Repeat referrals.

      Sales Development Representative (Virginia) monthly

    First result
    1 quarter
    Cost
    Engineering time
    Owner
    Sales Development Representative (Virginia)

    Smallest test

    Send updates by hand to five practices.

    Why it works

    Send referring providers a simple, consented update after the evaluation and at set intervals (attending, goals set, progress noted by the clinician), through fax or their portal. SDRs review updates with each practice quarterly.

    Physicians refer again to services that close the loop.

    Risks and how to handle them

    • Privacy

      Only with parent consent, minimum necessary.

    Evidence

    • Your websiteProvider page: "Expressable partners with hundreds of pediatricians and PCPs"; "schedule an evaluation in as little as 2 days"; "in-network with 400+ insurance plans, including Medicaid"; "96% of patients make progress within 5 sessions" (clinician-rated goal tracking, January 2023 to October 2025); a fax number and both speech and occupational therapy referral forms.Source
    • HiringSales Development Representatives in Virginia and in San Antonio / Austin, Texas (posted October 19, 2026) to "build physician relationships" and "secure direct referrals": relationships with "primary and specialty physicians, medical staff, referral coordinators", educating "new referral partners on our care model", with regular territory travel.Source
  • 11

    Expressable has one Spanish page for kids and families and is hiring OTs and physician SDRs in Texas, where many Medicaid families speak Spanish at home.

    Medium impactMedium effort First result in 1 quarter Director of Paid Media

    First action

    Count clinicians who can provide sessions in Spanish.

    How to measure it

    Spanish sign-ups

    Now
    –
    Target
    100 a month
    By
    2 quarters

    Steps

    1. 1

      Count clinicians

      Spanish-speaking.

      Clinical leadership 1 week

    2. 2

      Translate

      Pages and intake.

      Marketing team 1 month

    3. 3

      Review

      Native speakers.

      Clinical leadership 2 weeks

    4. 4

      Ads

      Spanish Meta and Google.

      Director of Paid Media ongoing

    5. 5

      SDR kit

      Spanish handout.

      Sales Development Representative (San Antonio / Austin) 2 weeks

    6. 6

      Measure

      Sign-ups.

      Director of Paid Media monthly

    First result
    1 quarter
    Cost
    Translation
    Owner
    Director of Paid Media

    Smallest test

    Run one Spanish ad to the existing page.

    Why it works

    Expand the Spanish path: Spanish landing pages for speech and OT in Texas, a Spanish intake option, Spanish ads, and matching with Spanish-speaking clinicians where available.

    Families choose care they can understand, and few online providers market in Spanish.

    Risks and how to handle them

    • Not enough Spanish-speaking clinicians

      Offer Spanish intake and caregiver materials first.

    Evidence

    • Your websiteHomepage: "Speech therapy that makes your home a classroom"; a search by who needs services, state, insurance plan and needs; "Most pay on average $0 - $21 per visit"; "With 200+ speech therapists on our team"; therapists are "W2 employees (not contractors)" and "Trained in online delivery and parent coaching". There is a free self-screener for communication, and one Spanish page for kids and families.Source
    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source
    • HiringSales Development Representatives in Virginia and in San Antonio / Austin, Texas (posted October 19, 2026) to "build physician relationships" and "secure direct referrals": relationships with "primary and specialty physicians, medical staff, referral coordinators", educating "new referral partners on our care model", with regular territory travel.Source
    • HiringDirector of Paid Media (remote, posted October 2, 2026): owns Google, Meta and emerging channels, "accountable for CAC, conversion volume, and payback"; will "Manage budget allocation by market and payer mix, targeting geographies based on payer coverage, therapist capacity, and performance trends"; run A/B tests on "ad creative, audiences, bidding strategies, and landing pages"; "Strengthen attribution under HIPAA constraints, including server-side conversion signals"; and partner on "sign-up flow experiments".Source
  • 12

    The YouTube channel has 298 videos and about 1.5 million views. Parents who watch a video on a speech topic are halfway to asking for help.

    Medium impactMedium effort First result in 1 month Video editor

    First action

    Tag links in the top 20 videos.

    How to measure it

    YouTube-sourced screeners

    Now
    –
    Target
    500 a month
    By
    1 quarter

    Steps

    1. 1

      Top videos

      By views.

      Video editor 1 day

    2. 2

      Add links

      Pinned and end screens.

      Video editor 1 week

    3. 3

      OT videos

      Five short ones.

      Occupational Therapist 1 month

    4. 4

      Shorts

      Clips to TikTok.

      Video editor weekly

    5. 5

      Track

      Tagged links.

      Director of Paid Media weekly

    6. 6

      Repeat

      New videos.

      Video editor ongoing

    First result
    1 month
    Cost
    Video time
    Owner
    Video editor

    Smallest test

    Add links to the top five videos.

    Why it works

    Add a pinned comment and end screen on every video linking the self-screener (and the OT checker), and make short OT videos with the occupational therapists. Track sign-ups with tagged links.

    Turning existing views into screener starts costs nothing.

    Risks and how to handle them

    • Medical advice in comments

      Point to the screener and a clinician.

    Evidence

    • Your channelsYouTube channel: 7,710 subscribers, 298 videos and about 1.5 million views; also on TikTok, Instagram and Facebook, with a Mailchimp newsletter for "free speech therapy tips".Source
    • Your websiteHomepage: "Speech therapy that makes your home a classroom"; a search by who needs services, state, insurance plan and needs; "Most pay on average $0 - $21 per visit"; "With 200+ speech therapists on our team"; therapists are "W2 employees (not contractors)" and "Trained in online delivery and parent coaching". There is a free self-screener for communication, and one Spanish page for kids and families.Source
  • 13

    Expressable already offers daycares and preschools free virtual screenings and family consultations. Teachers are often the first to notice a concern.

    Medium impactMedium effort First result in 2 quarters Partnerships

    First action

    List 50 daycares in San Antonio and Richmond.

    How to measure it

    Evaluations from daycare partners

    Now
    –
    Target
    60 a quarter
    By
    2 quarters

    Steps

    1. 1

      List centers

      50 per region.

      Partnerships 2 weeks

    2. 2

      Pitch

      Free screenings.

      Sales Development Representative (San Antonio / Austin) ongoing

    3. 3

      Add OT

      Milestones.

      Occupational Therapist 1 month

    4. 4

      Run days

      Each term.

      Speech-Language Pathologist quarterly

    5. 5

      Handout

      For parents.

      Marketing team 2 weeks

    6. 6

      Measure

      Evaluations.

      Partnerships quarterly

    First result
    2 quarters
    Cost
    Clinician time
    Owner
    Partnerships

    Smallest test

    Run one screening day.

    Why it works

    Sign daycares in Texas, Georgia and Virginia, run screening days each term, add OT milestones to the screening, and give teachers a parent handout.

    Schools and daycares reach many families at once, with a trusted voice.

    Risks and how to handle them

    • Families feel pressured

      Share results privately with families only.

    Evidence

    • Your websiteSchools page: free virtual screenings for daycares and preschools, with families receiving "a summary of findings and next steps within 48 hours", free family consultations, and SLP staffing for PreK-12 "to fulfill IEP minutes". Partner pages exist for health plans and groups such as Privia, United, Surest, Curative and Humana Military.Source
    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source
    • HiringSales Development Representatives in Virginia and in San Antonio / Austin, Texas (posted October 19, 2026) to "build physician relationships" and "secure direct referrals": relationships with "primary and specialty physicians, medical staff, referral coordinators", educating "new referral partners on our care model", with regular territory travel.Source
  • 14

    Expressable has thousands of 5-star reviews, but the OT page has none of its own. Reviews are most natural after a goal is met.

    Medium impactLow effort First result in 1 month Marketing team

    First action

    Count OT families who reached a goal this quarter.

    How to measure it

    OT reviews

    Now
    –
    Target
    50
    By
    1 quarter

    Steps

    1. 1

      Define moments

      Goal met, graduation.

      Clinical leadership 1 week

    2. 2

      Consent

      Use on site.

      Insurance and intake team 1 week

    3. 3

      Automate

      Email and text.

      Web engineering 2 weeks

    4. 4

      Route

      OT to OT pages.

      Marketing team 1 week

    5. 5

      Moderate

      Privacy check.

      Marketing team ongoing

    6. 6

      Measure

      Reviews per month.

      Marketing team monthly

    First result
    1 month
    Cost
    $0
    Owner
    Marketing team

    Smallest test

    Ask ten OT families this month.

    Why it works

    Send a review request when a family reaches a goal or graduates, with consent for use on the site, and route OT reviews to the OT pages.

    Fresh, service-specific reviews lift conversion on every page.

    Risks and how to handle them

    • Child privacy

      First names or initials only, with consent.

    Evidence

    • Your websiteOccupational therapy has two near-identical pages, /occupational-therapy and /occupationaltherapy, each with its own canonical tag; one has the title "1-on-1 Online Occupational Therapy | Find an Therapist". Every testimonial on the OT page is a speech therapy review credited to a speech-language pathologist (M.S., CCC-SLP), for example "I was skeptical on how effective speech therapy would be virtually". The page names no states, prices or occupational therapists.Source
    • Your websiteNumbers differ between pages: the homepage says "3,500+ 5-star reviews" in the hero and "3,000+ 5-star reviews (4.9/5 average)", "300K+ Speech therapy sessions delivered", "94% Clients achieve clinical progress" and "250+ Insurance plans accepted" lower down; the provider page says "400+ insurance plans" and "4.83/5"; the outcomes page says "nearly 500,000 sessions", "4,500+ reviews" and "20,000+ patients".Source
  • 15

    The paid media role targets by "therapist capacity", and the SLP posts say families seek sessions after 3:30 pm and on weekends. Paying for families in markets with no open evening slots wastes budget.

    Medium impactMedium effort First result in 1 quarter Director of Paid Media

    First action

    Export open slots by state and time.

    How to measure it

    Families starting within 7 days

    Now
    –
    Target
    +30%
    By
    1 quarter

    Steps

    1. 1

      Export slots

      Weekly.

      Insurance and intake team 1 week

    2. 2

      Set rules

      Budget by capacity.

      Director of Paid Media 1 week

    3. 3

      Automate

      Script to ad platforms.

      Web engineering 1 month

    4. 4

      Ad copy

      Evening availability.

      Director of Paid Media 1 week

    5. 5

      Hiring link

      Flag full markets to recruiting.

      Recruiting ongoing

    6. 6

      Measure

      Time to start.

      Director of Paid Media monthly

    First result
    1 quarter
    Cost
    Engineering time
    Owner
    Director of Paid Media

    Smallest test

    Pause ads in one full market for two weeks.

    Why it works

    Feed open slots by state and time of day into budget rules: raise spend where evenings are open, pause where they are full, and show "evening and weekend times available" in ads where true.

    Spend goes where families can start quickly, which lifts conversion and lowers waitlist drop-off.

    Risks and how to handle them

    • Data lag

      Update daily.

    Evidence

    • HiringDirector of Paid Media (remote, posted October 2, 2026): owns Google, Meta and emerging channels, "accountable for CAC, conversion volume, and payback"; will "Manage budget allocation by market and payer mix, targeting geographies based on payer coverage, therapist capacity, and performance trends"; run A/B tests on "ad creative, audiences, bidding strategies, and landing pages"; "Strengthen attribution under HIPAA constraints, including server-side conversion signals"; and partner on "sign-up flow experiments".Source
    • HiringSpeech-Language Pathologists hired in 12 states (posted July to September 2026), W2, part-time and salaried. Posts say clients "typically seek services after 3:30pm weekdays and early mornings/afternoons on weekends", and that the clinician-built AI assistant Scout "dramatically cuts documentation time".Source
    • Your websiteProvider page: "Expressable partners with hundreds of pediatricians and PCPs"; "schedule an evaluation in as little as 2 days"; "in-network with 400+ insurance plans, including Medicaid"; "96% of patients make progress within 5 sessions" (clinician-rated goal tracking, January 2023 to October 2025); a fax number and both speech and occupational therapy referral forms.Source

Big bets 3

Larger plays that can change the trajectory.

  • 16

    Expressable hires Medicaid-enrolled OTs in Texas, physician SDRs in Texas and Virginia, and already partners with groups such as Privia. Large physician groups can make Expressable their default for both services.

    High impactHigh effort First result in 3 quarters Partnerships

    First action

    List the largest pediatric groups in each state.

    How to measure it

    Monthly referrals from partner groups

    Now
    –
    Target
    300
    By
    3 quarters

    Steps

    1. 1

      List groups

      Per state.

      Partnerships 1 month

    2. 2

      Offer

      Workflow and reporting.

      Partnerships 1 month

    3. 3

      Sign two per state

      Pilots.

      Partnerships 2 quarters

    4. 4

      Integrate

      Referral workflow.

      Web engineering 1 quarter

    5. 5

      Report

      Quarterly to groups.

      Clinical leadership quarterly

    6. 6

      Expand

      More groups.

      Partnerships ongoing

    First result
    3 quarters
    Cost
    Partnership time
    Owner
    Partnerships

    Smallest test

    Sign one group in Texas.

    Why it works

    Sign two physician groups per state as preferred partners: shared referral workflow, progress updates, and an evaluation within days. Report results to each group quarterly.

    A few large partners can bring steady referrals at lower cost than paid media.

    Risks and how to handle them

    • Capacity

      Hire ahead of signed groups.

    Evidence

    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source
    • HiringSales Development Representatives in Virginia and in San Antonio / Austin, Texas (posted October 19, 2026) to "build physician relationships" and "secure direct referrals": relationships with "primary and specialty physicians, medical staff, referral coordinators", educating "new referral partners on our care model", with regular territory travel.Source
    • Your websiteSchools page: free virtual screenings for daycares and preschools, with families receiving "a summary of findings and next steps within 48 hours", free family consultations, and SLP staffing for PreK-12 "to fulfill IEP minutes". Partner pages exist for health plans and groups such as Privia, United, Surest, Curative and Humana Military.Source
    • Your websiteProvider page: "Expressable partners with hundreds of pediatricians and PCPs"; "schedule an evaluation in as little as 2 days"; "in-network with 400+ insurance plans, including Medicaid"; "96% of patients make progress within 5 sessions" (clinician-rated goal tracking, January 2023 to October 2025); a fax number and both speech and occupational therapy referral forms.Source
  • 17

    Expressable has thousands of home-based learning modules authored by its clinicians and a waitlist page. Families who wait may go elsewhere.

    High impactHigh effort First result in 3 quarters Clinical leadership

    First action

    Pick ten modules for the first program.

    How to measure it

    Waitlist-to-start rate

    Now
    –
    Target
    +20%
    By
    3 quarters

    Steps

    1. 1

      Pick modules

      By age and concern.

      Clinical leadership 1 month

    2. 2

      Design

      Weekly lessons.

      Designer 1 month

    3. 3

      Build

      Portal access.

      Web engineering 2 months

    4. 4

      Launch

      Waitlist first.

      Marketing team 1 month

    5. 5

      Measure

      Starts and engagement.

      Clinical leadership monthly

    6. 6

      Extend

      Add-on during care.

      Clinical leadership 1 quarter

    First result
    3 quarters
    Cost
    Product time
    Owner
    Clinical leadership

    Smallest test

    Send one module a week to waitlisted families by email.

    Why it works

    Offer a guided caregiver program built from those modules: short weekly lessons for parents, matched to the child's age and concern, free while waiting and as an add-on during care.

    It keeps families engaged before the first session and extends the company's caregiver-led approach.

    Risks and how to handle them

    • Replaces therapy

      Present it as support, not treatment.

    Evidence

    • Your websiteHomepage: "Speech therapy that makes your home a classroom"; a search by who needs services, state, insurance plan and needs; "Most pay on average $0 - $21 per visit"; "With 200+ speech therapists on our team"; therapists are "W2 employees (not contractors)" and "Trained in online delivery and parent coaching". There is a free self-screener for communication, and one Spanish page for kids and families.Source
    • HiringDirector of Paid Media (remote, posted October 2, 2026): owns Google, Meta and emerging channels, "accountable for CAC, conversion volume, and payback"; will "Manage budget allocation by market and payer mix, targeting geographies based on payer coverage, therapist capacity, and performance trends"; run A/B tests on "ad creative, audiences, bidding strategies, and landing pages"; "Strengthen attribution under HIPAA constraints, including server-side conversion signals"; and partner on "sign-up flow experiments".Source
  • 18

    The outcomes page explains speech results with dates, sample size and a clinical reviewer. There is nothing similar for occupational therapy, which physicians will ask about.

    Medium impactHigh effort First result in 3 quarters Clinical leadership

    First action

    Define how OT goals are tracked.

    How to measure it

    OT outcomes page

    Now
    –
    Target
    Live with method
    By
    3 quarters

    Steps

    1. 1

      Define tracking

      OT goals.

      Clinical leadership 1 month

    2. 2

      Collect

      Two quarters.

      Occupational Therapist 2 quarters

    3. 3

      Analyze

      With method.

      Clinical leadership 1 month

    4. 4

      Review

      Clinical sign-off.

      Clinical leadership 2 weeks

    5. 5

      Publish

      Outcomes page.

      Marketing team 1 week

    6. 6

      Use

      Provider kit.

      Sales Development Representative (Virginia) ongoing

    First result
    3 quarters
    Cost
    Analyst time
    Owner
    Clinical leadership

    Smallest test

    Agree the OT tracking measures.

    Why it works

    Track OT goals the same way, and when there is enough data, publish OT results with the same method notes and review.

    Transparent results win physician trust and give paid media approved claims.

    Risks and how to handle them

    • Small samples

      Publish only with enough data, and say so.

    Evidence

    • Your websiteProvider page: "Expressable partners with hundreds of pediatricians and PCPs"; "schedule an evaluation in as little as 2 days"; "in-network with 400+ insurance plans, including Medicaid"; "96% of patients make progress within 5 sessions" (clinician-rated goal tracking, January 2023 to October 2025); a fax number and both speech and occupational therapy referral forms.Source
    • Your websiteNumbers differ between pages: the homepage says "3,500+ 5-star reviews" in the hero and "3,000+ 5-star reviews (4.9/5 average)", "300K+ Speech therapy sessions delivered", "94% Clients achieve clinical progress" and "250+ Insurance plans accepted" lower down; the provider page says "400+ insurance plans" and "4.83/5"; the outcomes page says "nearly 500,000 sessions", "4,500+ reviews" and "20,000+ patients".Source
    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source

Wildcards 3

Unexpected experiments, each with a cheap way to test it.

  • 19

    Expressable stresses that therapists are W2 employees, with average 10+ years of experience and training in parent coaching, and it is hiring OTs and SLPs across many states.

    Medium impactLow effort First result in 1 month Marketing team

    First action

    Record three therapists.

    How to measure it

    Sign-ups after watching a profile video

    Now
    –
    Target
    +10%
    By
    1 quarter

    Steps

    1. 1

      Pick therapists

      Three.

      Marketing team 1 week

    2. 2

      Script

      Process, not outcomes.

      Clinical leadership 1 week

    3. 3

      Record

      Remote.

      Video editor 2 weeks

    4. 4

      Post

      Profiles and careers.

      Marketing team 1 week

    5. 5

      Social

      Clips.

      Video editor ongoing

    6. 6

      Measure

      Views and sign-ups.

      Director of Paid Media monthly

    First result
    1 month
    Cost
    Video time
    Owner
    Marketing team

    Smallest test

    Record one video.

    Why it works

    Make short "meet your therapist" videos with new OTs and SLPs explaining how sessions and home practice work. Post them on careers pages, therapist profiles and parent social channels.

    The same video recruits clinicians and reassures parents.

    Risks and how to handle them

    • Therapist privacy

      Volunteers only.

    Evidence

    • Your websiteHomepage: "Speech therapy that makes your home a classroom"; a search by who needs services, state, insurance plan and needs; "Most pay on average $0 - $21 per visit"; "With 200+ speech therapists on our team"; therapists are "W2 employees (not contractors)" and "Trained in online delivery and parent coaching". There is a free self-screener for communication, and one Spanish page for kids and families.Source
    • HiringOccupational Therapists (posted September 18 to October 21, 2026) in Texas, Georgia and Virginia, including salaried Texas and Georgia roles that require "an active TX OT license and be previously enrolled in TX Medicaid". The OT posts describe "family-led online speech & occupational therapy" for "a diverse pediatric population" and "350+ OTs and SLPs".Source
    • HiringSpeech-Language Pathologists hired in 12 states (posted July to September 2026), W2, part-time and salaried. Posts say clients "typically seek services after 3:30pm weekdays and early mornings/afternoons on weekends", and that the clinician-built AI assistant Scout "dramatically cuts documentation time".Source
    • Your channelsYouTube channel: 7,710 subscribers, 298 videos and about 1.5 million views; also on TikTok, Instagram and Facebook, with a Mailchimp newsletter for "free speech therapy tips".Source
  • 20

    The SDRs work with physicians, but other professionals see children often. In-person therapy clinics with long waitlists may prefer to refer than to turn families away.

    Medium impactLow effort First result in 1 month Sales Development Representat…

    First action

    List ten clinics with waitlists in San Antonio.

    How to measure it

    Monthly referrals

    Now
    –
    Target
    20
    By
    1 quarter

    Steps

    1. 1

      List partners

      Clinics and dentists.

      Sales Development Representative (San Antonio / Austin) 2 weeks

    2. 2

      Handout

      Short, reviewed.

      Marketing team 1 week

    3. 3

      Visit

      Territory.

      Sales Development Representative (San Antonio / Austin) ongoing

    4. 4

      Referral form

      Tracked.

      Web engineering 1 week

    5. 5

      Follow up

      Monthly.

      Sales Development Representative (San Antonio / Austin) monthly

    6. 6

      Measure

      Referrals.

      Sales Development Representative (San Antonio / Austin) monthly

    First result
    1 month
    Cost
    Printing
    Owner
    Sales Development Representative (San Antonio / Austin)

    Smallest test

    Visit three clinics.

    Why it works

    Offer clinics with waitlists a referral partnership for families who cannot wait or live far away, and give pediatric dentists a simple handout about speech and feeding concerns in the company's own words.

    Professionals who already see these families can refer without changing their own practice.

    Risks and how to handle them

    • Seen as competition

      Position as overflow help.

    Evidence

    • HiringSales Development Representatives in Virginia and in San Antonio / Austin, Texas (posted October 19, 2026) to "build physician relationships" and "secure direct referrals": relationships with "primary and specialty physicians, medical staff, referral coordinators", educating "new referral partners on our care model", with regular territory travel.Source
    • Your websiteProvider page: "Expressable partners with hundreds of pediatricians and PCPs"; "schedule an evaluation in as little as 2 days"; "in-network with 400+ insurance plans, including Medicaid"; "96% of patients make progress within 5 sessions" (clinician-rated goal tracking, January 2023 to October 2025); a fax number and both speech and occupational therapy referral forms.Source
  • 21

    Parents follow goals week by week in the portal. Many would share a milestone with family or their child's doctor if it were easy.

    Medium impactLow effort First result in 1 month Marketing team

    First action

    Design one card.

    How to measure it

    Shared cards

    Now
    –
    Target
    500
    By
    1 quarter

    Steps

    1. 1

      Design

      One card.

      Designer 1 week

    2. 2

      Privacy review

      Opt-in only.

      Compliance 1 week

    3. 3

      Build

      Portal button.

      Web engineering 2 weeks

    4. 4

      Launch

      Email to parents.

      Marketing team 1 week

    5. 5

      Track

      Referral links.

      Director of Paid Media monthly

    6. 6

      Improve

      Based on use.

      Marketing team monthly

    First result
    1 month
    Cost
    Design time
    Owner
    Marketing team

    Smallest test

    Email ten parents a card by hand.

    Why it works

    Add an opt-in progress card in the portal (goal met, no health details beyond what the parent chooses) with an Expressable mention and a referral link.

    Word of mouth from parents is the most trusted channel in pediatric care.

    Risks and how to handle them

    • Child privacy

      Parent chooses what to share; no default details.

    Evidence

    • Your websiteHomepage: "Speech therapy that makes your home a classroom"; a search by who needs services, state, insurance plan and needs; "Most pay on average $0 - $21 per visit"; "With 200+ speech therapists on our team"; therapists are "W2 employees (not contractors)" and "Trained in online delivery and parent coaching". There is a free self-screener for communication, and one Spanish page for kids and families.Source
    • Your websiteProvider page: "Expressable partners with hundreds of pediatricians and PCPs"; "schedule an evaluation in as little as 2 days"; "in-network with 400+ insurance plans, including Medicaid"; "96% of patients make progress within 5 sessions" (clinician-rated goal tracking, January 2023 to October 2025); a fax number and both speech and occupational therapy referral forms.Source

03

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See every playbook and website review

Independent research. Programmable wrote this playbook from public sources, as they stood on October 26, 2026, and cites them throughout. Expressable did not commission, review or endorse it, and Programmable is not affiliated with Expressable. Company and product names are trademarks of their owners, used only to identify them. The ideas are suggestions and opinion, not professional, legal or financial advice, and not statements about how Expressable runs its business.

Something wrong, or do you represent Expressable? Email [email protected] and we will correct it or take it down.

30/60/90 roadmap

What to focus on in each month, and the ideas that carry it.

  1. Days 1 to 306 ideas

    OT page and proof, the referral kit, state and plan landing pages, one set of numbers, server-side conversions and the mobile speed fix.

  2. Days 31 to 6012 ideas

    OT city pages, the milestone checker, speech-to-OT path, provider updates, Spanish path, YouTube routing, daycares, reviews and capacity-based budgets; the recruiting videos, clinic referrals and progress cards.

  3. Days 61 to 903 ideas

    Commit to the big bets: physician group partners, a caregiver program and OT outcomes.

The research behind the plan

3 research areas, each summarised in a few lines. Open any of them for the full detail.

Customers

What customers say

Customers value therapy from home with no driving. The most cited problem: waitlists for in-person therapy.

  • Home practice and texting with the therapist
  • Cost and coverage questions
  • In their words: “from home”

Market

Competitive landscape

3 competitors compared: Better Speech, Great Speech and Local in-person clinics.

  • Gap to exploit: Online speech and OT from one provider
  • Better Speech: Speech only
  • Great Speech: Speech only

Hiring signals

Expressable is adding occupational therapy to its speech practice and growing in specific states.

  • Director of Paid Media: Budget by payer and capacity; HIPAA attribution. Ideas 1, 3, 5, 15.
  • Occupational Therapist (TX Salary): OT launch with Texas Medicaid. Ideas 1, 7, 8.
  • Occupational Therapist (Georgia): OT in Georgia. Idea 7.

From the team that wrote this playbook

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