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Physical Therapist Assistant in North Carolina: Salary, License Requirements, and How to Start

Allied healthcare

North Carolina employs 3,280 physical therapist assistants, with a statewide median of $67,540 and wide variation by city and experience. Here is the real wage data, the exact North Carolina licensing picture, and where to train.

What Physical therapist assistants Earn in North Carolina (May 2025)

North Carolina median pay
$67,540 (May 2025)
Starting range (10th percentile)
$56,100
Experienced (75th percentile)
$76,520
Top earners (90th percentile)
$80,850
Employed in North Carolina
3,280
U.S. median (for comparison)
$65,510 (May 2024)
Starting $56,100 Median $67,540 Top 10% $80,850 $50k$60k$70k$80k$90k The bar spans the 10th–90th percentile of current workers.

Wages vary substantially by metro. Median annual pay for physical therapist assistants in major North Carolina markets:

Durham–Chapel Hill
$73,970 (130 employed)
Charlotte metro
$70,720 (870 employed)
Raleigh
$67,890 (390 employed)
Winston-Salem
$64,660 (180 employed)
Greensboro
$64,610 (190 employed)
Asheville
$63,860 (140 employed)

What That Pay Is Worth in North Carolina

Prices in North Carolina run about 6% below the national average (cost-of-living index 94.3 vs a U.S. baseline of 100, 2024), so the $67,540 median stretches to roughly $71,622 in national buying-power terms.

Job Outlook in North Carolina (2024–2034)

North Carolina is projected to grow physical therapist assistants employment +26.3%, faster than the +22.0% projected nationally. The state expects about 580 openings a year, counting both growth and workers who retire or move on.

North Carolina License and Certification Requirements

Physical Therapist Assistant license — regulated by the North Carolina Board of Physical Therapy Examiners.

  1. Complete a CAPTE-accredited PTA associate degree program (~2 years).
  2. Pass the NPTE-PTA national exam.
  3. Apply through the NC Board of Physical Therapy Examiners.

Official requirements: North Carolina Board of Physical Therapy Examiners →

Training in North Carolina

NC community colleges run numerous CAPTE programs. Charlotte and the Triangle have dense outpatient markets; the retiree influx along the coast and in the mountains adds steady demand.

Real training providers and registered apprenticeships in North Carolina include:

Where Physical therapist assistants Work in North Carolina

Real North Carolina outpatient rehab clinics that employ physical therapist assistants include:

Is This the Right Move for You?

Best for: People who like active work and helping patients make visible progress.

Think twice if: You need low-contact work or dislike repetitive coaching and physical assistance.

Why it's resilient: Rehab work is physical, relationship-based, adaptive, and centered on coaching real movement.

First Steps

Look for CAPTE-accredited PTA programs in your state.

Frequently Asked Questions

How much do physical therapist assistants make in North Carolina?

The median wage for physical therapist assistants in North Carolina is $67,540 per year (May 2025, BLS). Entry-level pay (10th percentile) starts around $56,100, and top earners (90th percentile) make about $80,850. Pay varies by metro and years of experience.

What license or certification do you need to become a Physical Therapist Assistant in North Carolina?

Physical Therapist Assistant license, overseen by the North Carolina Board of Physical Therapy Examiners. Complete a CAPTE-accredited PTA associate degree program (~2 years).

Is being a Physical Therapist Assistant a good career in North Carolina?

Rehab work is physical, relationship-based, adaptive, and centered on coaching real movement.

Which North Carolina metros pay physical therapist assistants the most?

Among North Carolina metro areas, Durham–Chapel Hill leads at $73,970, followed by Charlotte metro ($70,720), Raleigh ($67,890). Local pay tracks regional demand and cost of living, so the highest-paying metro isn't always the best net move.

Where can I train to become a Physical Therapist Assistant in North Carolina?

Real North Carolina options include Alamance Community College, Asheville-Buncombe Technical Community College, Brunswick Community College. Most physical therapist assistants start with an accredited program, then earn the credential the state or employer requires.

Is Physical Therapist Assistant a growing career in North Carolina?

North Carolina projects physical therapist assistants employment to change +26.3% from 2024 to 2034, with about 580 openings a year — a growing field in the state.

Sources and Verification

Wage data: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025), North Carolina statewide and metro estimates for SOC 31-2021. Licensing summary compiled from the North Carolina Board of Physical Therapy Examiners (2026-06-11). Requirements change — always confirm current rules with the board and verify program costs and outcomes before enrolling.

BLS Occupational Outlook · O*NET North Carolina wages · North Carolina licensing/certification source

Employment projections: Projections Central / BLS Employment Projections (2024–2034); Cost of living: BEA Regional Price Parities; Employer lists from CMS Provider of Services, the FAA Part 145 directory, EIA Form 860, and USGS/state EMS registries (2026).

Pay percentiles describe current workers, not entry-level offers; training costs and local demand vary, so verify locally before committing money or quitting a job.