/ 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”
- SEARCHES AT #1
- 50 of 84
- SAME 62 AT #1
- 27 → 36
- CITED IN AI MODE
- 50 of 84
- IN AI OVERVIEWS
- 27 of 34
| Period | Searches at #1 (of 62) |
|---|---|
| Aug 28 | 27 |
| Aug 31 | 27 |
| Sep 1 | 28 |
| Sep 4 | 24 |
| Sep 7 | 31 |
| Sep 10 | 29 |
| Sep 14 | 29 |
| Sep 17 | 22 |
| Sep 20 | 29 |
| Sep 23 | 36 |
Every check of the same 62 Spokane Valley searches since we began tracking them in late August, read every three days — Synergy the top organic result or first in the map pack. 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: the plain ones, typed by someone who needs a physical therapist this week.
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.
Our rank tracker reads 84 Spokane Valley searches every three days, thirty results deep, and on the latest pass Synergy came first on 50 of them — the top organic result on 35, first in the map pack on 33, and on 18 it holds both at once, which is as much of the page as a clinic can own. On the 62 searches we've watched since late August, that count went from 27 to 36 in under a month. Search “spokane valley physical therapist,” “physical therapy spokane valley wa” or “physical therapy clinic spokane valley” and the clinic is first in the map pack and the first organic result, ahead of Providence and the chains; search “physical therapy spokane valley,” the category's main search, and it's first in the map pack. It holds both spots on the searches that matter most to a clinic's margins — cash-pay physical therapy, shockwave therapy, workers' comp — and it's first in the map pack for car accidents, sciatica, and simply “best physical therapy spokane.”
The part we're proudest of is newer, and it's where search is heading. Of the 34 tracked searches where Google now puts an AI Overview above the results, 27 cite a Synergy page as a source. In Google's AI Mode — the conversational search Google now offers beside the results — the clinic is cited on 50 of the 84, and on “physical therapy spokane valley” it's the first source named. Across the country, Google's AI Overviews have cited Synergy on 84 different health questions over the past year. And when a patient skips Google and asks an AI assistant — “What's the best clinic in Spokane Valley for frequency-specific microcurrent?” — Claude names Synergy first on six of the twenty questions we put to it, and ChatGPT on three. 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 BOARD14 AT #1
Rank 1 for spokane valley physical therapist
#1 organic and in the map pack
Rank 1 for physical therapy spokane valley
first in the map pack · AI Mode cites it first
Rank 1 for physical therapy spokane valley wa
#1 organic and in the map pack
Rank 1 for physical therapy clinic spokane valley
#1 organic and in the map pack
Rank 1 for cash pay physical therapy spokane valley
#1 organic and in the map pack
Rank 1 for shockwave therapy spokane valley
#1 organic and in the map pack
Rank 1 for workers comp physical therapy spokane
#1 organic and in the map pack
Rank 1 for best physical therapy spokane
first in the map pack
Rank 1 for car accident physical therapy spokane
first in the map pack · AI Overview cites it
Rank 1 for physical therapy for sciatica spokane valley
first in the map pack · AI Overview cites it
Rank 1 for craniosacral therapy spokane valley
top organic result
Rank 1 for frequency specific microcurrent spokane
top organic result · AI Overview cites it
Rank 1 for graded motor imagery spokane
top organic result · AI Overview cites it
Rank 1 for stemwave therapy spokane
top organic result · AI Overview cites it
Rank 2 for does tricare cover physical therapy
behind only TRICARE itself · AI Overview cites it
Cited in Google's AI Overview for frequency microcurrent therapy
880/moGoogle's AI Overview
Cited in Google's AI Overview for pt for vestibular migraine
alongside the NIH and the Cleveland Clinic
Cited in Google's AI Overview for physical therapy for vestibular migraine
Google's AI Overview
Cited in Google's AI Overview for vestibular migraine treatment spokane
Google's AI Overview · #2 organic
Cited in Google's AI Overview for rotator cuff chest pain
Google's AI Overview · #2 organic
LIVE · VERIFIED · SEPTEMBER 23, 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 23, 2026
- METHOD
- OPEN GOOGLE
FROM: K. AUGUST · PRINCIPAL, AUGUST SEO
Plenty of headroom for new clients this quarter.
See where you stand before you leave this page:
A free, no-pressure check so you can see where your website optimization is getting you, the searches worth a hoot, and competitors standing in your way. We inspect your site and email you back within a business day. We don't have salespeople to hound you with a flurry of sales calls once you click submit. Since we're both local, you'll get straight answers, not a marketing runaround.
Kevin
K. AUGUST · SEO SPECIALIST · SPOKANE VALLEY, WA
- RE
- CHECK YOUR RANKINGS
- DATE
- Q4 2026
- REPLY
- IMMEDIATE RESULTS
- COST
- ZERO TROUBLE
