How to become a physical therapy aide
No license and no degree: employers ask for a high school diploma and a CPR card, then train you on the job for about a week to a month.
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A physical therapy aide wipes down a treatment table and racks resistance bands between patients in an outpatient clinic.
What a physical therapy aide does
A physical therapy aide keeps the treatment area ready: cleaning it, setting up the equipment, washing linens, helping patients move to and from a therapy area, and handling clerical work such as answering phones, scheduling patients, ordering supplies and completing insurance forms. That list is how the Bureau of Labor Statistics describes the job in its Occupational Outlook Handbook (last updated August 2025). Aides are supervised by a physical therapist or by a physical therapist assistant, and the tasks an aide is allowed to do vary by state.
Our catalogue lists the role as physical therapist aide, which is also the BLS title. Employers post it as physical therapy aide, and searchers shorten it to PT aide. Same job, three names.
The role directly above it is the physical therapist assistant, who holds an associate degree and a state license and treats patients. An aide does none of the treating and needs neither credential.
How long it takes to become a physical therapy aide
Weeks. You get hired first and trained afterward, and BLS puts on-the-job training for physical therapist aides at about one week to one month. There is no degree to finish and no exam to pass before you apply.
| High school diploma or GED | What employers ask for. |
|---|---|
| CPR or BLS card | One class, taken before you apply. Formats and cost are in our BLS and CPR certification guide. |
| Applying and interviewing | Set by the employer. There is no application cycle or cohort start date to wait for. |
| On-the-job training | About one week to one month (BLS Occupational Outlook Handbook, 2025). |
| State license | None. BLS states that no state requires physical therapist aides to be licensed. |
Compare that with the two steps above. A physical therapist assistant needs a two-year associate degree and a state license, and a physical therapist needs a doctorate and a state license. The aide job is the one you can start this month.
What employers ask for
A high school diploma or GED and a CPR or BLS card from a vendor the employer accepts. Those were the only qualifications marked required in the physical therapy aide postings we carried on July 25, 2026, alongside the employer's own vaccination policy.
All three came from Adventist Health in Hanford, California: two full-time day shifts and one per diem, posted between June 19 and July 23, 2026. Each asks for "High School Education/GED or equivalent: Required" and a "Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification" from an approved vendor. Each lists an associate or technical degree in physical therapy as preferred, and each requires the employer's vaccinations. Three postings from one employer in one town show how a requirement block gets worded, and nothing more than that.
There is also no aide credential to study for. CAPTE, the accreditor for physical therapy education, accredits physical therapist and physical therapist assistant programs only, so a physical therapy aide certificate sits outside CAPTE's scope and outside what these employers require.
State rules do exist, and they apply to the clinic. California, where those postings sit, regulates the use of aides in Title 16, section 1399 of its code of regulations, last amended in 2011. The physical therapist has to evaluate the patient and record a treatment plan before an aide performs any patient-related task, has to be in the same facility and in immediate proximity while the aide works with that patient, and has to give the patient direct treatment at some point in the day. The same section separates patient-related tasks from observation, transport, housekeeping, clerical work, physical support during gait or transfer and similar functions. Rules like this decide what your shift looks like, and they differ by state, so read your own state practice act before you assume a task belongs to you.
Step by step: how to become a physical therapy aide
- Finish high school or get a GED.
- Take a CPR or BLS class and keep the card current. Employers name the vendors they accept, so check the posting before you pay for a course.
- Write your resume around the non-clinical half of the job: scheduling, front-desk work, cleaning and setup, lifting and moving people. Retail, warehouse, restaurant and caregiving work all read as relevant here.
- Apply where aides actually work. BLS puts 66% of them in offices of physical, occupational and speech therapists and audiologists, 17% in hospitals and 9% in physicians' offices.
- Take the per diem and part-time openings seriously. One of the three postings on our facet in July 2026 was per diem.
- Use the first month of training to learn the clinic: the equipment setup each therapist wants, the documentation, and the safe way to move each patient.
- Decide within a year or two whether you want the next step, and start collecting the observation hours a PTA program will ask for.
What physical therapy aides earn
The median wage for physical therapist aides was $34,520 a year in May 2024, per BLS. The lowest-paid 10% earned under $24,960 and the highest-paid 10% earned over $46,930.
| Government, excluding state and local education and hospitals | $46,790 |
|---|---|
| Nursing care facilities | $42,320 |
| Hospitals: state, local and private | $38,080 |
| Offices of physicians | $36,660 |
| Offices of physical, occupational and speech therapists and audiologists | $32,640 |
Median annual wages by industry, May 2024, from the same BLS release. The industry that employs two thirds of all aides pays the least of those five, and a hospital job pays about $5,400 a year more. None of the three postings we carried in July 2026 published a pay range, so ask about the hourly rate and any shift differential in the interview.
Where the job leads next
The next step is physical therapist assistant, and it roughly doubles the pay: the PTA median was $65,510 in May 2024 against $34,520 for aides. It costs a two-year associate degree from an accredited program and a state license, and our PTA license guide covers the exam and the state boards.
PTA programs want observation hours before they admit you, and working as an aide puts you where those hours happen. San Jacinto College in Texas asks for 40 hours, split 20 inpatient and 20 outpatient; Lake Washington Institute of Technology asks for at least 24 hours observing a US-licensed PT or PTA. Neither program says whether paid shifts count toward the requirement, so ask before you assume yours do. Sacramento State, further up at the doctoral level, counts observation or work experience under a licensed physical therapist toward its 50-hour minimum. The full route to that doctorate is in our guide on how to become a physical therapist.
The aide occupation itself is barely growing. BLS projects physical therapist aide employment to go from 45,600 in 2024 to 46,900 in 2034, a rise of 3%, while physical therapist assistant employment grows 22% over the same decade. The 16% growth and the 26,400 annual openings you will see quoted cover assistants and aides counted together. BLS adds that restrictions in insurance reimbursement for services provided by aides may hold demand for the occupation down.
Where physical therapy aides are hiring now
Right now 4 of the openings we track are physical therapist aide roles. The vertical is thin on our board: on July 25, 2026 the facet held three postings, all from Adventist Health in Hanford, California, and each carried the BLS / CPR credential chip and no other.
Check the facet often. At three postings, one new opening is a visible change. The current set is on our physical therapist aide jobs page.
FAQ
No. BLS states that no state requires physical therapist aides to be licensed, and there is no national exam for it. CAPTE, which accredits physical therapy education, covers physical therapist and physical therapist assistant programs only. What states do regulate is the work itself: California's rules on the use of aides require the physical therapist to evaluate the patient first, stay in the same facility and in immediate proximity while the aide works with that patient, and treat the patient directly at some point that day.
Weeks. BLS puts on-the-job training for physical therapist aides at about one week to one month, and there is nothing to complete beforehand except a high school diploma or GED and a CPR or BLS card.
A CPR or Basic Life Support card is the credential the postings name. All three physical therapy aide postings we carried on July 25, 2026 required CPR or BLS from an approved vendor, and that was the only credential chip on the facet. Our BLS and CPR certification guide covers the class formats and what they cost.
The assistant treats patients and the aide does not. A physical therapist assistant needs a two-year associate degree from an accredited program plus a state license; an aide needs a high school diploma and on-the-job training. The pay gap follows: the PTA median was $65,510 a year in May 2024 against $34,520 for aides (BLS).
$34,520 a year at the median in May 2024, per BLS, with the lowest-paid 10% under $24,960 and the highest-paid 10% over $46,930. Industry matters: median pay ran $32,640 in therapists' offices, where two thirds of aides work, and $38,080 in hospitals.
Yes, and the degrees still apply on the way: an associate degree and a license for physical therapist assistant, a doctorate and a license for physical therapist. Aide work does help with the observation hours programs ask for, and Sacramento State's doctoral program counts observation or work experience under a licensed physical therapist toward its 50-hour minimum. Our guide on how to become a physical therapist has the full route.