If you’re applying for your next, or first, role as a physical therapist, preparing for the interview is just as important as having the right qualifications. I’ve been in this field long enough to know that hiring managers ask more than just about education and licenses. They want to understand how you think, how you treat patients, how you communicate, and how you fit into a healthcare team. This guide will walk you through the top physical therapist interview questions, what they aim to evaluate, and how to prepare strong, clear answers.

General Interview Format: What to Expect

Most physical therapy interviews are structured to evaluate both technical knowledge and interpersonal skills. Depending on the setting, the process may include:

• Phone screening with a recruiter
• In-person or panel interviews with supervisors and team members
• Case-based or situational questions related to patient care

Before the interview, make sure you bring or prepare:

• Your updated resume
• Copies of your relevant certifications
• A short list of your past clinical experience
• Research on your potential employer

Categories of Physical Therapist Interview Questions

1. Career Motivation & Goals

Interviewers want to understand why you chose this field and what drives your interest in physical therapy.

Examples:

• Why did you become a physical therapist?
• What do you enjoy most about treating patients?
• Where do you see yourself in five years?

These questions assess your long-term goals, values, and your fit with the team. Speak clearly about what brought you to the field of physical therapy, whether it was a personal injury, a volunteer experience, or a natural interest in how the human body works.

2. Clinical Experience & Patient Care

Your answers here should reflect how you approach treatment and how you handle different patient needs.

Common questions:

• How do you create patient treatment plans?
• How do you measure patient progress?
• How do you assess when to change or adapt treatment?

What they’re looking for:

• Evidence of personalized care
• Use of both subjective and objective tools
• Understanding of treatment flexibility

Tips: Include examples from your clinical experience. Describe how you set achievable goals and track progress across visits. Mention if you use paper notes or digital tools. Make it clear how your method benefits patient care and outcomes.

3. Working With Different Patient Populations

Physical therapists often work with a wide range of patients, from children to seniors.

Interview questions may include:

• Have you worked with pediatric patients or geriatric patients?
• How do you approach patients with chronic conditions or chronic pain?

What this tells employers:

• Your comfort level with specific age groups
• Your ability to adapt treatment to different physical and emotional needs

Use this opportunity to explain how you build rapport with different patient groups. Talk about techniques that help you connect with families, children, or elderly patients, especially when they may be discouraged or frustrated.

4. Communication and Interpersonal Skills

Communication is an integral part of physical therapy. You’ll need to work with patients, family members, and other healthcare providers.

Expect questions like:

• How do you encourage patients to follow their home exercises?
• How do you communicate effectively with other healthcare providers?
• Describe how you explain treatment plans to non-clinical family members.

These questions assess how you handle collaboration and education. Be ready to give examples of how you use simple language to explain complex therapy methods. Share how you use empathy and compassion to support patient understanding.

5. Handling Difficult Situations

Interviewers want to know how you handle setbacks, resistance, or conflict.

Common prompts:

• Describe a time a patient was non-compliant. What did you do?
• What if a patient refuses treatment?
• How do you handle conflict with coworkers?

These questions gauge your problem-solving skills and emotional control. Share a time when you had to adjust your strategy for a patient with chronic pain who stopped showing progress. Or describe how you worked through a scheduling issue with a teammate. Focus on solutions, not just problems.

6. Lifelong Learning & Staying Current

The field of physical therapy changes with research and policy updates. Employers want candidates who stay current.

Interview questions often include:

• How do you keep up with the latest advancements?
• Do you attend industry conferences or continuing education courses?
• Are you a member of any professional associations?

Mention your participation in CEU courses, reading current literature, or membership in APTA. Show that you understand the importance of research, ethics, and evidence-based care.

Sample Answers Using the STAR Method

Question	Sample STAR Answer
Tell me about a time you had a non-compliant patient.	Situation: A patient recovering from ACL surgery was missing sessions. Task: Help him stay on track with his treatment. Action: I called him to talk directly and learned he was discouraged by slow progress. I adjusted his treatment plan to include more frequent progress checks. Result: He began attending regularly and reached his strength targets in 10 weeks.
Describe how you build rapport with geriatric patients.	Situation: In a nursing home rotation, many patients were hesitant to engage. Task: Improve engagement and consistency. Action: I focused on personal conversations during warm-ups and adjusted sessions to their pace. Result: Participation improved, and several patients began requesting me by name.
How do you set achievable goals for patients?	Situation: A patient with chronic lower back pain wanted to return to running. Task: Help him reach realistic milestones. Action: I broke the goal into four levels: walking without pain, stretching benchmarks, light jogging, and finally running. Result: He was back to light jogging within 12 weeks and reported reduced flare-ups.

What Employers Are Looking For

Most potential employers want more than clinical knowledge. They’re looking for candidates who can:

• Communicate clearly
• Build patient trust
• Work well with other healthcare providers
• Show compassion and empathy
• Track patient progress effectively
• Manage time and documentation

They may also watch for red flags like vague answers, lack of examples, poor communication, or signs of burnout.

Questions to Ask the Employer

Your interview is also your chance to assess the fit. Here are questions that show preparation and insight:

• What is the patient-to-therapist ratio?
• How are treatment plans developed, independently or as a team?
• Are there mentorship or training opportunities?
• How do you track patient outcomes?
• What is the most common patient population at your facility?

These questions demonstrate your values, curiosity, and focus on patient care.

Tips for New Grads vs Experienced Therapists

For Recent Graduates:

• Emphasize clinical experience and internships
• Talk about the soft skills you’ve developed, communication, empathy, attention to detail
• Be honest about what you’re eager to learn, and how you’re preparing

For Experienced PTs:

• Share examples of measurable results from patient care
• Talk about your ability to lead, train, or support new therapists
• Highlight your continued learning and certifications

Final Interview Checklist

Use this checklist to prepare:

• Print copies of your resume and certifications
• Practice answering 10–15 top interview questions
• Prepare a few STAR stories
• Research your potential employer
• Dress professionally
• Prepare 2–3 questions to ask the hiring team
• Bring a notebook for notes if needed

Conclusion

Preparing for a physical therapy interview means being ready to explain how you treat patients, track progress, communicate with healthcare providers, and adapt to different patient populations. By using clear examples, focusing on patient care, and showing your knowledge of treatment plans and professional growth, you’ll stand out as a strong candidate. Whether you’re a recent graduate or have years of experience, the goal is to show how you bring value to the team. If you’re ready for your next role, Flagstar Rehab can connect you with the right opportunity.

Ready to Start?

If you’re ready to take the next step in your career, Flagstar Rehab helps physical therapists find the right opportunities across clinical and specialty settings. Whether you’re a recent graduate or an experienced clinician, we connect you with teams that match your strengths and values.

FAQs

Why should we hire you as a physical therapist?

You should hire me because I focus on patient care, communicate effectively with both patients and other healthcare providers, and have strong problem-solving skills. I create clear treatment plans based on each patient’s goals, track their progress, and adjust as needed. I also value lifelong learning and keep up with the latest research and techniques in the field of physical therapy.

What type of questions are asked in a physiotherapy interview?

Physiotherapy interviews usually include a mix of behavioral, clinical, and communication-based questions. You may be asked about how you create patient treatment plans, how you measure success or patient progress, and how you work with pediatric patients, geriatric patients, or those with chronic pain. Employers also ask about your ability to communicate effectively, handle unique challenges, and work with other healthcare providers.

What questions do physical therapists ask?

Physical therapists often ask questions to better understand the patient’s goals, symptoms, and lifestyle. For example:

• What activities or movements cause your pain?
• What are your goals for therapy?
• How has this injury or condition affected your daily life?
• Do you have any previous treatment history?

 

As a healthcare staffing agency that works with physical therapists every day, we’re always watching where the Best States for Physical Therapists are. If you’re a physical therapist today, or training to become one, you’ve probably asked yourself where you can build a strong career with good pay and stability.

Choosing where to practice physical therapy is a key decision in shaping your career. The right state can offer better job prospects, higher salaries, and an improved quality of life. In this article, I’ll break down the best states for physical therapists in 2025 using data from the Bureau of Labor Statistics and other reliable sources. This guide breaks down the best states for physical therapists in 2025 based on average salaries, projected job growth, cost of living, and demand.

Factors That Make a State Ideal for Physical Therapists

1. Average Annual Salary vs. Cost of Living

When evaluating states for physical therapists, I focus on both the physical therapy salary and the state’s cost of living. A high salary doesn’t always translate to better take-home pay if everyday expenses are higher. For example, while California offers the highest average salaries, it also has a high cost of living index. On the other hand, states like Texas and Alabama offer competitive salaries with much lower living costs.

2. Projected Employment Growth and Job Demand

States with higher projected job growth show a stronger demand for physical therapy jobs. The Bureau of Labor Statistics reports that physical therapy is expected to grow 15% from 2022 to 2032. States like Arizona and Utah are seeing the highest projected employment growth for PTs, making them ideal places to look for work.

3. Quality of Life and Work Settings

Quality of life affects both professional and personal satisfaction. States that offer a better balance between work, cost, and lifestyle generally provide more rewarding careers. In addition to salary and demand, I also consider the work settings available: hospitals, outpatient clinics, home healthcare services, and private practice.

Top 10 Best States for Physical Therapists in 2025

State	Average Annual Salary	Projected Growth (%)	Cost of Living Index
Texas	$106,960	28%	93
California	$114,270	19%	143
Nevada	$111,460	31%	101.3
Georgia	$99,860	33%	91
Arizona	$98,960	52%	107.2
New Jersey	$109,280	24%	114.1
Colorado	$98,000	37%	105.5
Pennsylvania	$98,970	20%	99
Alabama	$96,950	21%	88.8
Washington	$101,920	35%	116.4

1. Texas

Texas stands out as one of the best states for physical therapists due to strong job growth, no state income tax, and high demand across outpatient and home healthcare settings. The average salary for PTs in Texas is around $103,710, and the state projects over 1,100 annual job openings. With a cost-of-living index near 92 and consistent demand, therapists enjoy better take-home pay and long-term career opportunities.

2. California

California offers the highest average PT salary nationwide at $114,270, and leads in annual job openings with over 1,500 expected each year. While the cost of living is high, therapists working in outpatient care centers and home health can reach six-figure salaries. The state’s large, aging population keeps demand steady across all regions.

3. Nevada

Nevada ranks second in pay, with PTs earning an average annual salary of $111,460. The state also benefits from job growth of over 30% and a balanced cost of living. PTs are in demand across hospitals, home health services, and outpatient rehab clinics, especially in the Las Vegas and Reno areas.

4. Georgia

Georgia combines an affordable cost of living with high demand in outpatient and orthopedic rehab settings. Physical therapists earn an average salary of $99,860, and job growth is projected at 33%. The state is part of the Physical Therapy Licensure Compact, allowing cross-state practice for PTs holding licenses in compact states.

5. Arizona

Arizona leads the nation in projected employment growth for PTs at 52%, with an average salary of $98,960. Opportunities are strong in private practice and hospitals, and demand is driven by population growth and expanded access to healthcare services across Phoenix, Tucson, and rural areas.

6. New Jersey

New Jersey offers one of the highest PT salaries at $110,830, though the cost of living is among the highest in the U.S. The state has about 480 job openings annually, with strong hiring across outpatient rehab, educational support, and home healthcare settings.

7. Colorado

Colorado projects job growth for physical therapists at 37%, with an average salary of $98,000. Therapists work in expanding outpatient clinics, hospital rehab, and long-term care across Denver, Boulder, and Fort Collins. The state’s growing population and active lifestyle continue to drive steady demand.

8. Pennsylvania

Pennsylvania employs nearly 12,000 physical therapists, making it one of the states with the highest employment levels. The average salary is $98,970, and cost of living is close to the national median. Annual job openings hover around 770, with steady hiring in both urban hospitals and rural outpatient centers.

9. Alabama

Alabama offers affordable living and competitive salaries, with PTs earning an average of $96,950. Cost of living ranks among the lowest nationwide. Early-career therapists benefit from consistent demand in home health, rural hospitals, and private practice clinics. The state expects over 200 new openings per year.

10. Washington

Washington supports high demand and strong job growth at 35%, with PTs earning an average of $101,480. Therapists working in geriatrics, orthopedics, and neuro rehab are especially needed in Seattle, Spokane, and Tacoma. Opportunities are available across outpatient clinics, hospital systems, and home health agencies.

5 Worst States for Physical Therapists

State	Average Annual Salary	Projected Growth (%)	Cost of Living Index
Hawaii	$103,010	N/A	188.4
Maine	$91,720	9%	111.5
New Mexico	$94,200	13%	104.6
Mississippi	$95,230	23%	85.3
West Virginia	$94,130	35%	90.3

These states have either lower salaries, lower job growth, or high living costs. Hawaii, for example, has high wages but one of the most expensive housing markets in the U.S.

Where Physical Therapists Work: Settings and Salaries

Highest Paying Industries for Physical Therapists

Industry	Annual Mean Salary
Outpatient Care Centers	$123,900
Home Health Care Services	$116,500
Educational Support Services	$112,270
Management of Companies	$111,950
Individual and Family Services	$108,950

PT salaries vary depending on where physical therapists work. Outpatient clinics and home healthcare services are currently the highest-paying industries. For those with a DPT degree and experience in specialized care like wound management or sports-related injuries, private practice can also offer higher salaries.

Common Settings

• Hospitals
• Private practice
• Outpatient clinics
• Schools
• Skilled nursing facilities
• Home healthcare services

How to Increase Your Earning Potential as a PT

1. Choose High-Demand States

States with higher projected job growth offer more chances for advancement. Arizona, Utah, Georgia, and Texas lead the country in projected job growth for PTs.

2. Specialize in High-Demand Areas

Physical therapy specializations such as neurological rehab, pediatrics, and sports therapy can help raise your physical therapist’s salary. Specializing in musculoskeletal dysfunction and chronic conditions also adds value.

3. Advance Your Education

A DPT degree opens more job opportunities and allows you to qualify for higher-paying roles in both outpatient clinics and home health settings.

4. Consider Travel Therapy or Compact States

Some PTs earn more by working short-term contracts in high-demand regions. The Physical Therapy Compact makes it easier to practice physical therapy in multiple states without getting a new license every time.

Choosing the Right State for Your PT Career Goals

Picking the right state involves more than salary. You need to weigh average salaries against living costs, projected employment growth, and job availability. If you’re looking to improve your life, support your patients, and grow your career, focus on states that match both your personal and professional goals.

Conclusion

Choosing the right state to work as a physical therapist in 2025 means weighing salary, job growth, cost of living, and work setting. States like Texas, Arizona, and Georgia offer strong job prospects and balanced living costs, while California and Nevada lead in pay. Whether you’re new to the field or looking to relocate, understanding where physical therapists are in the highest demand can help you make informed career decisions. At Flagstar Rehab, we help match PTs with top opportunities across the country, so you can focus on your patients, not your job search.

Start Your Career with Flagstar Rehab

Flagstar Rehab connects physical therapists with rewarding job opportunities in the highest-paying states and fastest-growing markets. We work with healthcare professionals across various settings, including outpatient clinics, home healthcare services, and hospitals. If you’re a physical therapist today looking for a better opportunity, we’re here to support your next step. Contact us to view current openings or speak with a recruiter.

FAQs

In what state does PT make the most money?

Physical therapists make the most money in California, where the average annual salary is around $114,270, according to the Bureau of Labor Statistics. Other high-paying states include Nevada, Alaska, and New Jersey.

Where is the best place to live for a physical therapist?

The best place to live for a physical therapist depends on salary, cost of living, and job availability. Texas is a top choice due to strong job growth, affordable living, and high demand. States like Georgia, Arizona, and Colorado also offer good career opportunities and personal satisfaction.

Where do you make the most money as a physical therapist?

You make the most money as a physical therapist by working in outpatient care centers or home health settings in high-paying states like California or Nevada. Specializing in areas like sports injuries or neurological rehab can also increase your income.

Can PT make 6 figures?

Yes, many physical therapists earn six figures, especially those working in high-paying industries or states. With experience, specialization, or work in outpatient clinics or private practice, PTs can make over $100,000 per year.

If you’re thinking about becoming a physical therapist assistant, you’re probably asking one key question: how many years to become a physical therapist assistant? Most PTA students complete their education and licensure process in about two years. But that timeline includes more than just classes. It involves clinical education, national licensure, and preparation for real-world work in physical therapy.

Here’s everything you need to know, broken down step by step, from high school to becoming a licensed physical therapist assistant.

Timeline Overview – From High School to Licensure

1. Graduate from High School

To apply to any physical therapist assistant program, you’ll need a high school diploma or GED. This is the first requirement for starting your physical therapy education. In high school, courses in biology, anatomy, and exercise science can help you prepare.

2. Apply to an Accredited PTA Program

Once you meet the basic educational requirements, the next step is to apply to a physical therapist assistant program. These are often selective admissions programs that only accept a limited number of students per year.

Each PTA program sets its own admission requirements. Most will ask for:

• A completed application
• Proof of high school diploma or equivalent
• A criminal background check
• Proof of personal health insurance
• Basic Life Support (BLS) certification

Some programs may require observation hours at clinical sites or interviews as part of the application.

3. Complete a Two-Year Associate’s Degree

Most PTA students complete an Associate of Applied Science degree in about two years or five semesters. That includes classroom instruction, lab work, and clinical education.

You’ll study both general education courses and core PTA courses. Topics in the PTA curriculum often include:

• Anatomy and physiology
• Clinical pathology
• Kinesiology
• Behavioral sciences
• Communication and ethics
• Physical therapy procedures
• Therapeutic exercises
• Patient care and documentation

This part of your physical therapist assistant education is essential for preparing you to work under the supervision of a licensed physical therapist.

4. Complete Clinical Education

Your program will include clinical education at assigned clinical education sites. This is where you’ll gain real experience working with patients in:

• Outpatient clinics
• Skilled nursing facilities
• Hospitals
• Rehabilitation centers

You’ll typically spend around 16 weeks in full-time clinical assignments. This is about 25% of your program’s requirements. During this time, you’ll apply your classroom knowledge in real-world settings while being supervised by a licensed physical therapist.

How Long Is a PTA Program?

Stage	Estimated Time
High school diploma or GED	4 years (if starting from high school)
PTA Program (Associate’s Degree)	2 years (5 semesters, including summer)
Clinical Education	Part of the 2-year program
NPTE Licensing Exam Prep & Testing	1–3 months

Total Time from Start to Licensure: ~24 to 30 months

Most PTA programs follow a two-year schedule, often including a summer semester to complete all required courses and clinical experience.

What to Expect in a PTA Program

Curriculum and Courses

Each physical therapist assistant program offers different course descriptions, but most cover these key areas:

General Education Courses:

• English composition
• General psychology
• Introductory math or statistics
• Health sciences

Core PTA Courses:

• Clinical pathology
• Therapeutic exercises
• Rehabilitation techniques
• Physical therapy procedures
• Documentation and ethics

Clinical Assignments

During your clinical education, you’ll complete rotations in multiple settings. These clinical sites help you build hands-on skills and prepare for working with people across the lifespan, from children to the aging population.

You’ll learn how to:

• Monitor progress
• Assist with exercise programs
• Manage pain
• Help patients improve physical function

How Competitive Are PTA Programs?

PTA programs are often limited in size and use selective admission policies. Some programs only accept students once per year.

Common admission requirements include:

• High school diploma
• GPA minimums
• Background checks
• Proof of BLS training
• Physical exams or vaccination records

Many students interested in PTA programs already work in allied health or as rehabilitation aides. But you don’t need a bachelor’s degree to apply.

Licensing and the National Exam

After completing your PTA program, the next step is passing the National Physical Therapy Exam (NPTE) for PTAs. This is a state-administered national exam required for licensure.

Exam Overview

• Developed by the Federation of State Boards of Physical Therapy (FSBPT)
• Covers clinical application, safety, and physical therapy procedures
• Required in nearly all U.S. states

You’ll usually take this exam within 1–3 months of graduating. After successful completion, you can apply for jobs as a licensed physical therapist assistant.

PTA vs. PT: Education and Career Path Comparison

Role	Degree Required	Total Education Time	Exam	Average Salary*
PTA	Associate’s Degree	~2 years	NPTE (PTA)	~$62,770
PT	Doctorate (DPT) + Bachelor’s Degree	~7 years	NPTE (PT)	~$95,620

Note: This Data from the U.S. Bureau of Labor Statistics

PTAs support treatment and patient care. PTs diagnose and create care plans. Both roles are essential in delivering quality physical therapy services.

Can PTA Students Become Physical Therapists Later?

Yes. Many PTA students go on to earn a full physical therapy degree. This usually means:

• Completing a bachelor’s degree if you don’t already have one
• Applying to a Doctor of Physical Therapy (DPT) program
• Finishing about 3 more years of physical therapy education

Some schools offer bridge programs designed for working PTA professionals. But the process takes several more years.

Job Growth and Career Outlook

The U.S. Department of Labor Statistics projects strong job growth for physical therapist assistants due to the needs of an aging population and the expansion of physical therapy services.

Where PTAs Work:

• Outpatient facilities
• Skilled nursing
• Home health
• Pediatrics
• Hospitals

Why the Demand Is Rising:

• Increased need for post-operative rehab
• Shortage of licensed physical therapists
• Cost-effective patient care model

PTAs are among the most in-demand jobs in allied health, especially in rural and underserved areas.

Accreditation and Program Effectiveness

Every physical therapist assistant program in the United States must be accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE). Accreditation guarantees that the program meets national standards for physical therapy education, including curriculum quality, faculty qualifications, and clinical training requirements. Enrolling in a CAPTE-accredited program is required to sit for the National Physical Therapy Exam and obtain your PTA license in most states.

Before choosing a school, it’s important to understand how each program performs. You can do this by reviewing public program effectiveness data, which may include graduation rates, national licensure examination pass rates, and post-graduation job placement.

Questions to Ask When Choosing a Physical Therapist Assistant Program

• What is the program’s NPTE pass rate?: This shows how well the school prepares students to meet state licensure standards.
• How many credit hours are required for graduation?: Most programs require between 60–75 credit hours, including general education courses, core PTA courses, and clinical courses.
• What are the clinical education requirements?: Ask how many clinical education sites the school partners with, how many hours of clinical experience are included, and how clinical assignments are scheduled.
• What is the employment rate within 6 months of graduation?: A strong job outlook and placement rate indicate the program is well-connected to local employers like outpatient clinics, skilled nursing facilities, and rehabilitation centers.

Many schools make this data available on their websites. Reviewing the program’s effectiveness helps students interested in becoming a physical therapist assistant choose the right school based on real results, not just marketing.

Start Your Career With Support From Flagstar Rehab

At Flagstar Rehab, we work with PTA students, recent graduates, and experienced physical therapy assistants across the country. Whether you’re looking for work in outpatient clinics, skilled nursing facilities, or rehabilitation centers, our team can help you find the right fit. We’re connected to licensed physical therapists, clinical sites, and growing healthcare employers. Our recruiters understand the job market and support you every step of the way. Ready to take the next step in your physical therapy career? Contact Flagstar Rehab today to learn more about job opportunities for PTAs in your area.

Frequently Asked Questions

Is it hard to become a physical therapist assistant?

It’s not hard, but it does require meeting specific requirements. PTA programs are competitive, and you’ll need to complete clinical education and pass a national licensure exam.

How long does it take to get a physical therapy assistant license?

It usually takes about two years to complete a PTA program, plus a few months to prepare for and pass the NPTE. Most students are licensed within 24–30 months total.

How much does a PTA make in California?

Physical therapist assistants in California earn an average of $76,000 per year. Pay can vary based on experience and setting, with higher wages in outpatient clinics and skilled nursing facilities.

How to become a PTA in Maryland?

You need to complete an accredited PTA program, pass the National Physical Therapy Exam, and apply for licensure through the Maryland Board. A background check and supporting documents are also required.

If you’re thinking about a career in physical therapy, you’ve probably come across two common roles: physical therapist vs physical therapist assistant. At first glance, they might sound similar, but there are clear differences in training, responsibilities, and how each role helps patients.

Some people choose to become a physical therapist to lead treatment planning and specialize in clinical care, especially considering the job outlook in the field. Others prefer the faster path of becoming a physical therapist assistant, where they can work directly with patients and start helping sooner.

This guide breaks down the key differences between a physical therapy assistant vs physical therapist, which include considerations of job growth. We’ll cover education requirements, job duties, salary, work environments, and career outlook so you can make an informed decision that fits your goals.

Comparing Two Career Paths in Physical Therapy

Choosing between becoming a physical therapist and a physical therapist assistant is one of the first major decisions for anyone interested in physical therapy. While both roles are part of the same patient care team, the day-to-day responsibilities, education requirements, career paths, and key characteristics are different. If you’re trying to understand the key differences between a physical therapy assistant vs physical therapist, this article breaks it down clearly and practically.

Education Requirements and Credentials

Becoming a Physical Therapist

To become a licensed physical therapist, you need to complete a Doctor of Physical Therapy (DPT) degree. This typically requires:

• A bachelor’s degree (usually in exercise science, biology, or another health-related major)
• Acceptance into a DPT program accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE)
• 3 years of formal education in areas such as biomechanics, neuroscience, and patient care
• Required clinical rotations in various settings
• Passing the National Physical Therapy Examination (NPTE) to obtain licensure

This process usually takes around 7 years from start to finish.

Becoming a Physical Therapist Assistant

To become a physical therapist assistant, the path is shorter and more accessible. Here’s what most physical therapist assistants complete:

• A high school diploma
• An associate’s degree from a CAPTE-accredited program
• Hands-on experience during clinical training
• Passing the national physical therapy exam specific to assistants
• State-specific licensure requirements

Most PTA programs take about 2 years, including on-the-job training in a clinical setting.

Comparison Table: PT vs. PTA Education

Requirement	Physical Therapist (PT)	Physical Therapist Assistant (PTA)
Degree	Bachelor’s + DPT	Associate’s Degree
Program Length	~7 years	~2 years
Clinical Rotations	Yes	Yes
Licensure Exam	NPTE	NPTE for PTAs
Accredited Program Required	Yes	Yes

Job Duties and Scope of Work

What Physical Therapists Do

Physical therapists are licensed healthcare professionals who diagnose and create treatment plans for patients with chronic conditions, mobility-related injuries, or recovery needs, often earning a median annual wage that reflects their expertise. They:

• Perform the initial evaluation
• Design individualized care plans
• Supervise therapy staff and therapy aides
• Monitor and adjust therapeutic exercises
• Work in physical therapy offices, outpatient clinics, and hospitals
• Handle clerical duties like documentation and insurance forms

What Physical Therapist Assistants Do

PTAs work under the supervision of a licensed physical therapist. Their job includes:

• Assisting patients with specific exercises
• Providing hands-on therapy, like stretches and massages
• Reporting changes in the patient’s status
• Educating family members on follow-up care
• Supporting therapy in skilled nursing facilities, outpatient clinics, and physical therapists’ offices

They help patients recover by improving mobility, reducing pain, and guiding them through therapy sessions based on the PT’s plan.

Key Differences in Job Duties

Task	PT	PTA
Create treatment plans	✅	❌
Assist patients directly	✅	✅
Provide hands-on therapy	✅	✅
Perform initial evaluation	✅	❌
Adjust treatment goals	✅	❌
Document and report patient progress	✅	✅
Supervise aides and assistants	✅	❌

Work Environments and Daily Settings

Both PTs and PTAs can be found working in similar environments, including:

• Physical therapy offices
• Outpatient clinics
• Skilled nursing facilities
• Hospitals
• Home health care settings

Physical therapists may also work in administrative roles, manage clinics, or consult on more complex patient cases, especially in response to an aging population. PTAs typically provide daily care and hands-on experience with patients throughout their treatment areas.

Licensure and Certification Process

PT Licensure

• Completion of a CAPTE-accredited DPT program
• Passing the National Physical Therapy Examination
• Meeting state-specific licensure requirements
• Ongoing continuing education

PTA Licensure

• Graduation from an accredited program
• Passing the national physical therapy exam for assistants
• Fulfilling state licensing criteria
• Possible requirements for Basic Life Support (BLS) certification

Salary, Job Outlook, and Growth Potential

According to the Bureau of Labor Statistics, both roles offer strong salaries and stable job growth.

Median Annual Wage

Role	Median Salary
Physical Therapist	$101,020
Physical Therapist Assistant	$65,510

Projected Job Growth

Role	Projected Growth (2022–2032)
Physical Therapist	14.2%
PTA	25.4%

Job openings for PTAs are increasing faster due to many baby boomers needing care after heart attacks, strokes, and mobility-related injuries. PTAs also help reduce the cost of physical therapy services, which increases their demand in skilled nursing facilities and modern healthcare environments.

Which Career Path Fits Your Goals?

Both careers support quality care and offer a rewarding career in healthcare. Your choice depends on the time and cost of education, work preferences, and long-term goals.

Comparison Table: Career Path Summary

Category	PT	PTA
Education Length	~7 years	~2 years
Degree	DPT	Associate’s
Starting Salary	Higher	Moderate
Role Type	Evaluator	Implementer
Patient Interaction	Moderate	High
Clerical Duties	Yes	Limited
Advancement Opportunities	Specialization, management	PTA-to-PT bridge, management

Career Progression and Related Opportunities

Most physical therapist assistants begin their careers working directly with patients in hospitals, outpatient clinics, or skilled nursing facilities. But the role doesn’t have to stop there. Many PTAs choose to continue their education and take on new responsibilities as their careers grow.

Pathways for Advancement

1. PTA-to-PT Bridge Programs: One of the most common next steps is enrolling in a bridge program to become a licensed physical therapist. These programs are designed for working PTAs and often offer flexible schedules. They build on your associate’s degree and clinical experience, allowing you to earn a Doctor of Physical Therapy (DPT) degree and qualify for the national physical therapy examination. This path is longer but opens up more independence, decision-making, and higher earning potential.
2. Teaching and Education Roles: Experienced PTAs sometimes take on instructor roles in accredited PTA programs. They help train the next generation of physical therapy assistants by teaching lab skills, supervising clinical rotations, or offering classroom instruction. Some also assist with professional development workshops for practicing therapists.
3. Clinic Management and Leadership: With enough experience, some PTAs move into clinic coordinator or supervisory roles. These positions may involve scheduling, quality assurance, mentoring new staff, and supporting clinic operations. Strong communication and organizational skills are helpful for these roles.
4. Specialized Care Areas: PTAs can also focus their work in specific treatment areas such as:
   • Pediatrics – working with children to improve mobility and motor function
   • Geriatrics – helping older adults manage age-related conditions
   • Orthopedics – supporting patients recovering from surgery, fractures, or joint problems

Other Related Career Paths

Even if you decide not to pursue the PT path, your background as a PTA can open doors in related fields:

• Physical Therapy Aide – A non-licensed role focused on supporting therapists with setup, scheduling, and clerical duties
• Exercise Science – Many PTAs go on to earn bachelor’s degrees in exercise science and move into wellness coaching, fitness training, or rehabilitation services
• Speech and Occupational Therapy Support – PTAs may cross-train or support professionals in related fields, like speech therapists or occupational therapists, especially in multidisciplinary clinics

How to Start Your Career in Physical Therapy

If you’re thinking about entering the field of physical therapy, there are two main career paths: becoming a physical therapist or a physical therapy assistant (PTA), both of which have unique demands. Each has its steps, time commitments, and education requirements.

Path to Becoming a Physical Therapist

1. Earn a Bachelor’s Degree: Start by completing a bachelor’s degree in a health-related field such as exercise science, biology, or kinesiology. Most Doctor of Physical Therapy (DPT) programs require coursework in anatomy, physiology, physics, and chemistry, so it’s helpful to choose a major that includes these classes.
2. Apply to a DPT Program: Once you finish your undergraduate degree, you’ll need to apply to a Doctor of Physical Therapy program accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE). Admission is competitive and usually requires a solid GPA, letters of recommendation, and observation hours in a physical therapy setting.
3. Complete Formal Education and Clinical Rotations: DPT programs typically take about three years to complete. They include classroom instruction and hands-on clinical experience in hospitals, outpatient clinics, and other healthcare settings. Clinical rotations help you apply what you’ve learned and gain experience treating real patients.
4. Pass the National Physical Therapy Examination (NPTE): After graduation, you’ll need to pass the NPTE to become licensed. Every state requires this exam, and some states may have additional requirements.
5. Obtain State Licensure: Once you pass the NPTE, apply for licensure in the state where you plan to work. Licensure must be maintained through continuing education and periodic renewal.

Path to Becoming a Physical Therapist Assistant (PTA)

1. Graduate with a High School Diploma: Most PTA programs require a high school diploma or GED. Strong grades in science and math can help during the admissions process.
2. Apply to an Accredited PTA Program: Look for a program accredited by CAPTE. These associate’s degree programs usually take about two years and include both academic coursework and clinical training.
3. Complete Clinical Experience: During your program, you’ll work in a clinical setting where you’ll gain hands-on experience assisting patients, learning therapy techniques, and working with supervising physical therapists.
4. Pass the National Physical Therapy Exam for Assistants: After graduation, you must pass the national physical therapy exam to be eligible for licensure. The exam tests your knowledge of patient care, safety, and therapy procedures.
5. Obtain Licensure for Your State: Every state requires PTAs to be licensed or certified. In addition to passing the exam, some states may require a background check or additional documentation.

Why Work with Flagstar Rehab

At Flagstar Rehab, we place licensed physical therapists, physical therapist assistants, and allied health professionals in trusted healthcare facilities across the country. Whether you’re just starting your career or looking for your next job in patient care, we can connect you with the right work environment.

• Access to job openings in top physical therapy offices and skilled nursing facilities
• Help with licensure, applications, and placements
• Support for new graduates and experienced professionals

Conclusion

The difference between a physical therapist and a physical therapist assistant comes down to how each supports patient care, how long it takes to enter the field, and what responsibilities they carry. PTs focus on evaluations and treatment planning, while PTAs carry out those plans and work more directly with patients each day. Both paths offer stable, meaningful work in modern healthcare settings. As highlighted by the Bureau of Labor Statistics, job growth for these roles remains strong due to the aging population and increasing demand for physical therapy services. Whether you’re drawn to leading care plans or want to get started with hands-on support, both careers offer long-term opportunity, especially with the right training and support from a staffing partner like Flagstar Rehab.

Ready to find a job in physical therapy?

Flagstar Rehab helps connect physical therapy professionals with roles that match their goals. Whether you’re looking for your first PTA position or preparing to apply after graduating from a DPT program, we can help you take the next step.

Frequently Asked Questions

What can a physical therapist do that a physical therapist assistant can’t?

A licensed physical therapist (PT) can perform patient evaluations, diagnose conditions, and create or change treatment plans. PTs also make final decisions about the direction of care. Physical therapist assistants (PTAs) cannot diagnose or modify a care plan; they follow the treatment plan set by the PT and provide hands-on therapy under supervision.

Can you go from a physical therapy assistant to a physical therapist?

Yes. Many physical therapist assistants continue their education through PTA-to-PT bridge programs. These programs allow PTAs to apply their previous coursework and clinical experience toward earning a Doctor of Physical Therapy (DPT) degree. After completing a DPT program, they must pass the National Physical Therapy Examination and meet state licensure requirements to become a licensed physical therapist.

What is the lowest degree you need for a career in physical therapy?

To become a physical therapist assistant, the lowest required degree is an associate’s degree from an accredited physical therapy assistant program. To become a physical therapist, you need a bachelor’s degree followed by a Doctor of Physical Therapy (DPT) degree. Both roles require licensure exams and clinical experience.

Are physical therapist assistants being phased out?

No. Physical therapist assistants are not being phased out. In fact, job openings for PTAs are expected to grow. As highlighted by the Bureau of Labor Statistics, the demand for physical therapy services is increasing due to an aging population and a rise in mobility-related injuries. PTAs continue to play a key role in delivering hands-on patient care in clinics, hospitals, and skilled nursing facilities.