Case Study · Speech Therapy

Parkwood Clinic

How RxMedia leveraged AI search optimization (GEO/AEO) to get Parkwood cited across ChatGPT, Perplexity, and Google AI Overviews for high-intent pediatric therapy queries.

47
query terms now cite Parkwood in Google AI Overviews (from 0)
73%
ChatGPT citation rate for “pediatric speech therapy in Portland”
The practice

Parkwood Clinic: pediatric speech, language & feeding.

Client
Parkwood Clinic
Vertical
Speech Therapy (pediatric)
Location
Portland, OR + statewide teletherapy
Service
AI SEO (GEO / AEO)
Timeline
Feb – June 2026

Parkwood Clinic is a top-rated pediatric speech, language, and feeding therapy center based in Portland, Oregon. With two clinic locations and statewide teletherapy, Parkwood specializes in goal-driven, data-based treatment tailored to each child's needs.

Their team covers fluency and stuttering therapy, orofacial myofunctional therapy, early intervention and parent training, feeding therapy, and AAC — the full pediatric range, delivered by credentialed clinicians.

The challenge

Patients started asking AI before they searched Google.

By early 2026, a measurable share of Parkwood's prospective parents were asking ChatGPT and Perplexity questions like “best pediatric speech therapist in Portland for late talkers” or “feeding therapy clinic near me that accepts BCBS.” The AI engines answered with specific recommendations — citing 3–5 practices per response. Parkwood was not one of them.

The problem wasn't ranking. Parkwood's traditional SEO was strong — #1 for “speech therapy” and “pediatric speech therapy” in Portland. The problem was that AI engines were intercepting the search journey before users ever saw the Google results page. Without explicit AI-search visibility, a strong organic-SEO investment was being silently bypassed for an increasing share of high-intent searches.

Parkwood asked RxMedia: how do we get cited by AI when patients ask about us — and how do we measure whether it's working?

The goals
  • Get Parkwood cited in AI engine responses — ChatGPT, Perplexity, Google AI Overviews — for high-intent pediatric therapy queries in Portland and the surrounding area.
  • Implement schema and content structure that AI engines treat as authoritative — without sacrificing traditional SEO performance.
  • Build measurement so Parkwood can see AI-referred traffic and inquiries as a distinct channel, separate from organic search.
  • Establish E-E-A-T signals strong enough to clear Google's YMYL scrutiny on AI-generated answers for pediatric healthcare.
What we did

Six workstreams, one playbook.

We applied RxMedia's behavioral-health AI SEO playbook to Parkwood across six concrete workstreams. Each one targeted a specific signal AI engines actually weight when generating cited answers.

01

Restructured high-intent pages for LLM extraction

Rewrote the top 12 service pages to lead with direct, answer-first paragraphs. The first 2–3 sentences under each heading now answer it directly — exactly the content LLMs pull as citations. No agency-speak preamble, no scrolling to find the answer.

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02

Implemented healthcare-specific schema markup

Added MedicalCondition, MedicalProcedure, FAQPage, and Person (clinician) schema across all service and clinician pages, plus MedicalBusiness schema sitewide with proper geo coordinates and service areas. AI engines use structured data to understand what pages mean.

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03

Built clinician-led pages with verified E-E-A-T signals

Every clinician page now carries credentials (CCC-SLP, M.S., certifications), years of experience, knowsAbout schema fields, and a bio in the clinician's voice. For YMYL content, AI engines lean disproportionately on verified-author signals when deciding who to cite.

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04

Established pillar + cluster topical architecture

Restructured the content map around four pillars — speech, language, feeding, AAC — with cluster articles on specific conditions, age groups, and parent concerns. Topical depth is one of the strongest signals AI engines use to identify subject-matter authority.

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05

Built Parkwood's entity presence outside the site

Verified Parkwood across the structured-data sources AI engines actually pull from — Google's Knowledge Graph via consistent NAP and entity markup, weighted healthcare directories, and professional-association clinician profiles. Off-site entity recognition matters as much as on-site work.

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06

Set up AI Overview + citation monitoring

Built monitoring for which queries trigger Google AI Overviews and ChatGPT responses in Parkwood's space, and who gets cited in each. Monthly reporting tracks citation rate per query category, so we iterate on what's working and what isn't.

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The results

From zero AI visibility to a cited authority.

Measured over the first 4–5 months following AI SEO program launch (Feb → June 2026).

47
Query terms citing Parkwood in Google AI Overviews (from 0)
73%
ChatGPT citation rate for core Portland queries
11%
Conversion rate for AI-referred visitors
+180%
Growth in featured-snippet appearances

Timeline · Feb 2026 → June 2026 (first 4–5 months)

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