Spokane local-SEO audit · prepared for

Cornerstone Physical Therapy in Spokane, WA

Cornerstone ranks #9 for "physical therapy clinic spokane." Three regional competitors — PT Associates, Providence, and Acceleration Physical Therapy — sit above them. That gap is structural, not competitive. The 5-star rating across 89 reviews is real leverage. It's just not reaching Google. No LocalBusiness schema means Google has to guess what Cornerstone is and where it operates. It shouldn't have to guess. The page title doesn't anchor Spokane either, and Google reads title first — so the localization signal scores 25 out of 100. Thirty-two of 42 images have no alt text, and there's no sitemap.xml to tell crawlers what to index. Fix the schema, the title, and the sitemap. That's the sequence. This report shows exactly where each gap sits, what it costs in visibility, and which fixes move the needle fastest.

1Where You Actually Rank in Spokane

3 cached queries
Primary commercial query · May 25, 2026
Cornerstone Physical Therapy in Spokane, WA ranks #9 organic
for physical therapy clinic spokane

On page one but below the local pack. Roughly 70% of clicks for this kind of query go to the 3-pack, so moving from organic #9 into local-pack #1–3 is the highest-leverage shift here.

What the Top 3 Do That Cornerstone Physical Therapy in Spokane, WA Doesn't

Organic top 3 · “physical therapy clinic spokane
#1
ptassociates.net
Physical Therapy Associates Spokane
score81/100
PSI mobile
42/100
Reviews
207
Rating
4.9/5
Schema
Partial
#2
providence.org
Providence Physical Therapy
score60/100
PSI mobile
68/100
Reviews
143
Rating
4.3/5
Schema
None
#3
accelerationphysicaltherapy.com
Acceleration Physical Therapy – Spokane Physical Therapist
score81/100
PSI mobile
58/100
Reviews
103
Rating
5.0/5
Schema
None

Audited values come from our Spokane dataset of > 40 local sites. Where a competitor is a national directory (Yelp, Reddit, etc.) we mark it as such — the signal is that those showed up in your local SERP at all, which is its own diagnosis.

Other Queries in Your Vertical
physical therapy clinic near me spokane
Not in top 10
Top: ptassociates.net · providence.org · yelp.com
best physical therapy clinic spokane
Not in top 10
Top: ptassociates.net · providence.org · lhphysicaltherapy.com
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Your Full Spokane Keyword Footprint

Beyond the three queries above — see where ptcornerstone.comranks across neighborhood and modifier long-tail (“south hill,” “affordable,” “near me,” and more). One free deep profile, yours to keep.

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2Your Spokane Signal

Local-anchor audit
Spokane localization signal
Site doesn't say it's in Spokane
25/100

Some Spokane signal present, but the page title doesn't anchor the location. Google reads title first.

"Spokane" in page title
Title: "Cornerstone Physical Therapy"
"Spokane" in meta description
Meta: "Spokane physical therapy"
Local cities / neighborhoods mentioned
No Spokane neighborhoods, Spokane Valley, or surrounding cities mentioned.
509 area code present
No 509 phone number in title/meta — moving it onsite gives Google a structured local cue.

3How the Audit Scores It

Composite — supporting signal
46
Score · 100 point composite
Critical
Across PageSpeed Insights mobile + desktop, on-page hygiene, structured-data adoption, Google Business Profile completeness, and local-pack visibility. Measured May 30, 2026.

4Diagnosis & Prescription

1 critical · 2 material · 3 polish
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The diagnosis below is free. The actionable fix for each one — and an emailed copy of the full report — unlock with a single Google sign-in. We don't spam, sell, or share. One human reads replies.

Critical
No LocalBusiness schema
JSON-LD is present but no LocalBusiness (or subtype) entity is declared. Local pack ranking relies on this.
Fix:
Material
Most images missing alt text (32/42)
Image alt coverage is below 70%.
Fix:
Material
No sitemap.xml
Sitemaps tell Google which pages exist and when they changed.
Fix:
Polish
Title tag is too short (28 chars)
Titles should be 30–65 characters to display fully in search results.
Fix:
Polish
Meta description is too short (24 chars)
Meta descriptions display best between 70 and 160 characters.
Fix:
Polish
PageSpeed Insights could not be measured
Lighthouse couldn't complete the page analysis. Usually transient — often caused by a slow first paint or scripts that block render.
Fix:
Want Expert Help With These Issues?

These fixes are doable in-house — but if you'd rather hand them off, August SEO works with Spokane businesses on exactly this. No pitch, no pressure. Just say the word.

5Among the Spokane Sites We've Audited

4 above you

A separate lens from the SERP positioning above. This ranks physical-therapy by composite audit score, across the 5 sites we've measured in this vertical.

Among Spokane Physical Therapywe've audited
Rank 5 of 5
#1
Acceleration Physical Therapy
accelerationphysicaltherapy.com
Does what you don't: Publishes a sitemap.xml
81
/ 100
#2
Physical Therapy Associates
ptassociates.net
Does what you don't: Has LocalBusiness structured data
81
/ 100
#3
Summit Rehabilitation Associates, Physical Therapy & Occupational Therapy-Downtown Spokane, WA
spokanephysicaltherapy.com
Does what you don't: Has LocalBusiness structured data
78
/ 100
#4
Inspire Physical & Hand Therapy - Downtown, Spokane, WA
therapypartnersgroup.com
Does what you don't: Publishes a sitemap.xml
78
/ 100
#5
You
Cornerstone Physical Therapy in Spokane, WA
ptcornerstone.com
Gap to #4: +32 points · Gap to #1: +35
46
/ 100

6Raw Signals

Supporting measurements
PageSpeed (mobile)
Performance /100
SEO /100
Accessibility /100
Best practices /100
Google Business Profile
Profile existsyes
Rating5.0 / 5
Reviews89
Hours publishedyes
Structured data
JSON-LD presentyes
LocalBusiness schemano
NAP complete in schemano
On-page & discovery
Title tag28 chars
Meta description24 chars
H1 count1
Images / missing alt42 / 32
robots.txtyes
sitemap.xmlno

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Audit prepared by spokaneseo.app — a project of August SEO LLC, Spokane, WA
Report cmprq8xj · 2026-05-30