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Hi Jason. While it is a best practice to use the keyword in the URL, I think you did overdo it and are running into something that would be considered keyword cannibalization within your own site. While an old blog post, the core principles remain the same here: https://moz.com/blog/how-to-solve-keyword-cannibalization.  To get around using 'physical therapy' excessively, you can break down the different types of PT into: treatments, exercises, stretches, and so on.  This semantic use of similarly related keywords is a positive signal versus the negative of keyword stuffing.  Cheers!