/ CASE STUDY
Synergy Healthcare
The top organic result for Spokane Valley physical therapy — and a source Google's AI now cites.
#1organic · Spokane Valley, WA
“spokane valley physical therapist”
589
SEARCHES THEY RANK FOR
~243
VISITS PER MONTH
- LOCAL SEARCHES AT #1
- 10 → 46
- IN THE LOCAL TOP THREE
- 22 → 78
- AI ANSWERS CITING THEM
- 55
- PAGES GOOGLE'S AI CITES
- 15
| Period | Searches at #1 |
|---|---|
| Apr 29 | 10 |
| May 6 | 13 |
| May 13 | 12 |
| May 20 | 11 |
| May 27 | 13 |
| Jun 3 | 14 |
| Jun 10 | 15 |
| Jun 17 | 16 |
| Jun 24 | 12 |
| Jul 1 | 12 |
| Jul 8 | 12 |
| Jul 15 | 11 |
| Jul 22 | 6 |
| Jul 29 | 15 |
| Aug 5 | 22 |
| Aug 12 | 24 |
| Aug 19 | 23 |
| Aug 26 | 23 |
| Sep 2 | 52 |
| Sep 9 | 60 |
| Now | 46 |
Weekly readings from the rank tracker across 132 Spokane Valley searches — first in the map pack or the first organic result, dips included.
Physical therapy is a crowded search in Spokane Valley. Providence, MultiCare, the national chains and a dozen independent clinics are all after the same few dozen searches, and on most of them a map pack — the three businesses pinned under the map — sits above the organic results and takes the first click. Synergy Healthcare already had the hard cases covered — vestibular migraine, chronic pain, post-surgical rehab — and the reviews to show for it. What it didn't own was the searches Spokane Valley patients actually run: in late April, ten of the 132 we track returned Synergy first.
We built the plan around what makes the clinic different. Synergy offers treatments most physical therapy practices don't — frequency-specific microcurrent, craniosacral therapy, visceral and neural manipulation, shockwave — and each one now has a page written to answer the questions a patient types before choosing a clinic, not a brochure paragraph. The clinic's details read the same everywhere they appear online, and the Spokane Valley pages speak the way people here actually search, including the ones who mention paying cash, a work injury, or a car accident.
The rank tracker tells the story in one line. In late April, ten of the 132 Spokane Valley searches we watch returned Synergy first. By mid-September it was forty-six, with seventy-eight in the top three — first in the map pack, first in the organic results, or both. Search “spokane valley physical therapist” from anywhere in the Valley and the clinic's own site is the top organic result, ahead of Providence, MultiCare and the chains. It holds the same spot on the searches that matter most to a clinic's margins — cash-pay physical therapy, shockwave therapy, craniosacral therapy — and on the first two it's first in the map pack as well.
The part we're proudest of is newer. When Google answers a health question with an AI Overview — the generated summary that now sits above the results — it names its sources, and on fifty-five different searches across the country one of those sources is a Synergy page. Ask what frequency-specific microcurrent is and Google's answer cites Synergy second, ahead of the Cleveland Clinic. Ask whether TRICARE covers physical therapy, or what physical therapy can do for vestibular migraine, and the clinic is cited there too. That's what it looks like when a small practice becomes the reference for what it does — and it's the same writing that earned the local rankings, read by a different machine.
/ THE BOARD7 AT #1
Rank 1 for spokane valley physical therapist
140/motop organic result · Spokane Valley
Rank 1 for physical therapist spokane valley
50/motop organic result · Spokane Valley
Rank 1 for craniosacral therapy spokane
30/motop organic result
Rank 1 for physical therapist in spokane valley
top organic result · Spokane Valley
Rank 1 for cash pay physical therapy spokane valley
first in the map pack too
Rank 1 for shockwave therapy spokane valley
first in the map pack too
Rank 1 for frequency specific microcurrent spokane
top organic result
Rank 2 for does tricare cover physical therapy
140/monational · behind only TRICARE itself
Cited in Google's AI Overview for fsm therapy
880/moGoogle's AI Overview · United States
Cited in Google's AI Overview for frequency specific microcurrent therapy
480/mocited ahead of the Cleveland Clinic
Cited in Google's AI Overview for pt for vestibular migraine
210/motwo Synergy pages cited
Cited in Google's AI Overview for neural manipulation
140/moGoogle's AI Overview · United States
LIVE · VERIFIED · SEPTEMBER 15, 2026
Check all of this yourself
Open Google and search “spokane valley physical therapist”. That's the whole verification — no dashboard, no screenshot we could have edited, no report you have to take on faith. Results move around and yours may look slightly different depending on where you're standing, which is exactly why we date every number on this page instead of pretending rankings hold still.
And if you're wondering what working together looks like: it's month to month, with no contract. You can leave whenever the work stops earning its keep, and the site and accounts stay yours. Call or text (509) 309-0900 if you'd rather just ask a question than fill anything out.
- QUERY
- “spokane valley physical therapist”
- RESULT
- #1 · SPOKANE VALLEY, WA
- CHECKED
- SEPTEMBER 15, 2026
- METHOD
- OPEN GOOGLE
FROM: K. AUGUST · PRINCIPAL, AUGUST SEO
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K. AUGUST · SEO SPECIALIST · SPOKANE VALLEY, WA
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