How To Become a Physical Therapist in 7 Steps

become a physical therapistPhysical therapy is one of the most rewarding careers in healthcare.  As movement experts, physical therapists specialize in rehabilitation in a wide range of settings, including: outpatient orthopedics, pediatrics, neurology, cardiovascular rehab, home health, sports facilities and beyond.

If you’re a college student or someone looking for a second career, knowing how to become a physical therapist is the first step to a fulfilling career.  In this article, we’ll highlight the steps I followed start my journey to become a physical therapist

1.) Experience: Find a Physical Therapist to Shadow

I can’t stress the importance of finding multiple physical therapists to shadow.  Try to spend at least 15-30 hours between a few different physical therapy specialties.  Many physical therapy programs require 100+ verified shadowing hours, so keep track of where and when you shadow and have the PT sign off on a simple log of your hours.

Connecting with a physical therapist is pretty easy.  Just search for a physical therapy clinic in your area and give them a call asking if the physical therapist would mind if you could shadow for a period of time. Do your best to show up when you say you will, pay attention, and ask good questions – you may eventually want a letter of recommendation from the PT, so use your time in the clinic wisely.

If you remember one thing from this article, remember this: shadow multiple PTs to get experience in different settings.  Your experience with one PT may be totally different than the average therapist, so shadow a few PTs before you make the decision to become a physical therapist based on one clinical experience.

2.) Complete the Prerequisites

Most PT programs require that you complete an undergraduate degree before starting.  You are not required to get a science based degree; however, there are usually 5 core prerequisites for most programs including Biology, Anatomy & Physiology, Chemistry, Physics, and Math.  Prerequisites for Physical Therapy school differ between programs (read more here), so make sure to find out what is required for each school you apply.

A side note: many programs will accept prerequisites from a community college.  If you’re looking to complete a science course in the summer to save some money, call up the admissions team at the PT programs you’re interested in and ask if they would accept the credits from the community college.

3.) Take the GRE

The Graduate Records Examination (GRE) is a standardized test for students who are wanting to pursue a graduate degree.  It’s like the SAT, but used for graduate school admissions.

Yes, it feels like a hoop to jump through, and it is.  As long as you get a passing grade (average around 150 or more per subject) you should meet the requirements for most PT programs.  If your score is significantly below the average, consider retaking the exam after using a study reference like the Barrons GRE study guide.

4.) Apply to an Accredited Program

Applying to Physical Therapy school is made easier through a central application system called PTCAS.  It allows you to apply to multiple programs through a single interface so that you don’t have to keep submitting the same information a dozen times for each application.

The great part about PTCAS is that you get ‘real time’ status updates so that you can see where your application, school transcripts, and letters of recommendation are throughout the process.

Here’s a quick look at the steps to using PTCAS:

  • Create a PTCAS account
  • Add all the Institutions you’ve attended
  • Print and complete the PTCAS transcript form
  • Request all school transcripts with this form
  • Manually enter all of your college courses as they appear on your school transcripts
  • Enter your GRE information
  • Add References – they will be notified via email
  • Add PT shadowing hours (must be verified by a PT)
  • Complete supplemental material for specific programs

Some programs will require an interview before notifying you of acceptance, rejection, or that you’re on the wait-list. Other schools will let you know without an interview.  It can be helpful to know ahead of time if the school requires interviews, so research the admissions process on the program’s website.

5.) Study Like You’ve Never Studied Before

If you’ve been accepted to a physical therapy program, congratulations!  That’s the easy part 🙂 The next three years that you’ll spend on the road to your DPT will be challenging and exciting.  Depending on your program, your daily schedule may run from 8:00-4:00 everyday with a mix of classes each week covering topics like anatomy, kinesiology, cell physiology, hands on practical material, and professional issues.

The course load will feel overwhelming at times and will require a lot of studying.  Get organized early and make it a point to stay up on your studies each week as opposed to cramming the weekend before the exam.

6.) Pass Your Boards

In the third year of your DPT studies, you’ll likely have a good amount of time that you’re spending in the clinic, known as your clinical rotations.  Use this time to study for the NPTE (National Physical Therapy Exam), also known as Boards. You need to pass your boards and graduate in order to actually become a physical therapist.

Most programs boast a pass rate averaging at least 85%, with some programs as high as 97%-100% in some years.  Take advantage of any study resources provided by the school and find supplemental resources like the O’Sullivan book to study on your own.

7.) Graduate and Get Started!

Some students prefer to take the NPTE after graduation, while some take it the semester before they graduate.  With graduation and boards under your belt, you’re ready to start practicing as a physical therapist!

That’s great news, especially since the field of physical therapy is expected to grow 36% between 2012 and 2022, which is much faster than the average career.  Over half of all physical therapists make $79,000 or more each year, according to the BLS data.  Starting salaries for PTs are closer to the $60,000 range.

Physical therapy is a great career for those who are interested in helping people move better, recover from injury, and inspire others to reach their greatest potential.

Are you interested in becoming a physical therapist? PT-School-Interview-Guide-PIN

*** Learn about our Newest Resource for PRE-PT Students ***

The Physical Therapy School Interview Guide

We created a guide that shares the exact strategies and ESSAYS we used to land a seat at the #1 PT School in the country. You can read that article here: The Physical Therapy School Interview Guide.


Tim Fraticelli DPT, MBA, CFP®

Tim Fraticelli is a Physical Therapist, Certified Financial Planner™ and founder of He loves to teach PTs and OTs ways to save time and money in and out of the clinic, especially when it comes to documentation or continuing education. Follow him on YouTube for weekly videos on ways to improve your financial health.

3 thoughts on “How To Become a Physical Therapist in 7 Steps”

  1. Does this mean I can have a Bachelor in Marketing & Business and if I complete all the prerequisites I can still become a physical therapist?


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