Physician Assistant vs. Physical Therapist: What's the Difference?

What Is a Physician Assistant?

A physician assistant is a licensed medical professional who provides patient care as part of a healthcare team.

PAs can examine patients, review medical histories, diagnose illnesses or injuries, order and interpret tests, prescribe medication, create treatment plans and educate patients about their health. Depending on their specialty and location, they may also assist in surgery, perform procedures or manage follow-up care.

Physician assistants may work in many areas of medicine, including:

Primary care

Family medicine

Emergency medicine

Internal medicine

Pediatrics

Surgery

Orthopedics

Psychiatry

Urgent care

Dermatology

Cardiology

Because PAs can work across many specialties, their daily responsibilities may vary widely. A PA in emergency medicine may treat urgent injuries and illnesses, while a PA in dermatology may diagnose skin conditions and perform minor procedures. A PA in surgery may help before, during and after operations.

The PA career is often a good fit for people who want broad clinical responsibility, patient interaction and the ability to work in different areas of medicine.

What Is a Physical Therapist?

A physical therapist is a licensed healthcare professional who helps people improve movement, manage pain and recover physical function.

PTs often work with patients who are recovering from injuries, surgery, illness, stroke, sports conditions, chronic pain or mobility limitations. They evaluate a patient’s movement, strength, balance, flexibility and function. Then they create a treatment plan that may include exercises, stretching, manual therapy, mobility training, education and progress tracking.

Physical therapists may work with patients of many ages, including children, athletes, adults and older adults.

Common physical therapy areas include:

Orthopedics

Sports rehabilitation

Neurological rehabilitation

Geriatrics

Pediatrics

Cardiopulmonary rehabilitation

Post-surgical recovery

Pain management

Balance and fall prevention

Workplace injury recovery

Physical therapy is often a good fit for people who are interested in movement science, rehabilitation, hands-on patient care and helping patients regain independence over time.

Physician Assistant vs. Physical Therapist: Main Difference

The main difference between a physician assistant and a physical therapist is their scope of care.

A physician assistant focuses on medical evaluation, diagnosis and treatment. A PA may treat illnesses, prescribe medications, order medical tests and work in many medical specialties.

A physical therapist focuses on movement, function and rehabilitation. A PT helps patients improve mobility, reduce pain, recover from injury and regain physical ability.

In simple terms:

A physician assistant helps diagnose and treat medical conditions.

A physical therapist helps restore movement and physical function.

Both roles are important in healthcare, but they approach patient care from different angles.

Physician Assistant vs. Physical Therapist Comparison Table

Category	Physician Assistant	Physical Therapist
Common abbreviation	PA	PT
Main focus	Medical diagnosis and treatment	Movement, rehabilitation and physical function
Typical degree	Master’s degree from an accredited PA program	Doctor of Physical Therapy degree
Licensing	Required	Required
Can diagnose conditions	Yes, within scope of practice	Can diagnose movement and functional impairments
Can prescribe medication	Often yes, depending on state and practice rules	Generally no
Treatment style	Medical care, medication, procedures, patient education	Exercise, movement training, manual therapy, rehabilitation, patient education
Common settings	Hospitals, clinics, urgent care centers, physician offices, specialty practices	Clinics, hospitals, rehabilitation centers, homes, schools, sports facilities, nursing homes
Patient relationship	May involve short-term or ongoing medical care	Often involves repeated sessions over a recovery period
Best fit for	People interested in broad medical practice	People interested in movement, recovery and rehabilitation

Similarities Between Physician Assistants and Physical Therapists

Physician assistants and physical therapists have several similarities.

Both are healthcare professionals who work directly with patients. Both need advanced education, clinical training and state licensing. Both must understand anatomy, physiology, patient safety, communication and evidence-based care.

They also both work as part of healthcare teams. A patient recovering from surgery, for example, may see a physician, PA, nurse, physical therapist and other specialists. Each professional plays a different role in the patient’s recovery.

Both careers also require strong interpersonal skills. PAs and PTs must listen to patients, explain treatment plans, answer questions and help patients understand their health.

In both roles, patient trust matters. Patients may feel anxious, confused or discouraged, so clear communication and empathy are important.

Differences in Job Duties

The daily duties of physician assistants and physical therapists can be very different.

A physician assistant may:

Take medical histories

Perform physical exams

Order lab tests or imaging

Interpret test results

Diagnose illnesses or injuries

Prescribe medication

Develop treatment plans

Assist in surgeries or procedures

Provide preventive care guidance

Record patient progress

Collaborate with physicians and other clinicians

A physical therapist may:

Evaluate movement, strength and mobility

Assess pain, balance and functional limitations

Create rehabilitation plans

Teach exercises and stretches

Use manual therapy techniques

Help patients recover after surgery or injury

Track functional progress

Modify treatment plans over time

Educate patients about safe movement

Help prevent future injuries

Support long-term independence

The PA role is often broader in medical diagnosis and treatment. The PT role is more focused on improving how the body moves and functions.

Differences in Patient Care Approach

Physician assistants and physical therapists may both help patients improve their health, but their care approach is different.

A physician assistant may see a patient with chest pain, infection, a broken bone, skin rash, breathing issue or chronic condition. The PA may evaluate symptoms, order tests, diagnose the problem and recommend treatment.

A physical therapist may see a patient after knee surgery, a stroke, a sports injury, back pain or balance problems. The PT may assess movement limitations, create an exercise plan and guide the patient through rehabilitation.

PA care may involve diagnosis, medication and medical decision-making.

PT care often involves repeated sessions, patient participation and gradual physical improvement.

Both roles require clinical judgment, but they use different tools and methods.

Differences in Education

Both careers require advanced education, but the educational paths are different.

Physician assistants typically complete a bachelor’s degree before entering a physician assistant program. Many PA programs require prerequisite courses in biology, chemistry, anatomy, physiology, microbiology, psychology or statistics. Some programs also prefer or require healthcare experience.

After completing an accredited PA program, graduates typically earn a master’s degree and must pass licensing requirements before practicing.

Physical therapists typically complete a bachelor’s degree before entering a Doctor of Physical Therapy program. DPT programs usually include coursework in anatomy, physiology, biomechanics, neuroscience, exercise science, therapeutic techniques and clinical practice.

After completing a DPT program, graduates must pass licensing requirements before practicing.

Both pathways are rigorous. Students should expect classroom learning, lab training, clinical rotations and professional exams.

Differences in Licensing and Certification

Physician assistants and physical therapists must be licensed to practice.

PA licensing requirements vary by location, but they commonly include graduating from an accredited PA program and passing a national certification exam. PAs may also need continuing education to maintain certification and licensure.

Physical therapists must also graduate from an accredited physical therapy program and pass licensing exams. PTs may pursue additional board certification in specialty areas such as orthopedics, sports, neurology, pediatrics, geriatrics or cardiopulmonary care.

Because requirements can vary by state or country, students should check the official licensing board in the area where they plan to practice.

Differences in Work Environment

Physician assistants and physical therapists may work in some of the same settings, but their daily environment can feel different.

Physician assistants commonly work in:

Physician offices

Hospitals

Emergency departments

Urgent care centers

Outpatient clinics

Surgical practices

Specialty medical offices

Community health centers

Physical therapists commonly work in:

Outpatient rehabilitation clinics

Hospitals

Patient homes

Nursing homes

Sports and fitness facilities

Schools

Rehabilitation centers

Workplace health programs

A PA may spend much of the day moving between exam rooms, reviewing test results, documenting diagnoses and coordinating treatment.

A PT may spend much of the day physically guiding patients through exercises, evaluating movement and adjusting rehabilitation plans.

Both roles can be active and patient-facing, but PT work is often more physically involved.

Differences in Salary

Physician assistants and physical therapists can both earn strong salaries, but pay varies by location, experience, employer, specialty and work setting.

In general, physician assistants often have higher median earnings than physical therapists in the United States. This can be due to their broader medical scope of practice, prescribing authority and demand across multiple medical specialties.

Physical therapists can also earn competitive salaries, especially with experience, specialization, home health roles, management responsibilities or private practice ownership.

When comparing salary, students should also consider education costs, length of training, debt, work-life balance, job satisfaction and long-term career goals.

A higher salary does not automatically make one career better. The better path depends on the type of work you want to do every day.

Differences in Job Outlook

Both careers have strong employment outlooks because healthcare demand continues to grow.

Physician assistants are in demand because they can provide many medical services as part of team-based healthcare models. Their role may be especially important in primary care, specialty clinics, underserved communities and high-volume healthcare settings.

Physical therapists are also in demand because aging populations, chronic conditions, injury recovery, post-surgical rehabilitation and pain management all increase the need for rehabilitation services.

Both careers can offer long-term stability, but growth rates may vary by region and specialty.

Students should research local job markets before choosing a path. A career may have strong national demand but different opportunities in specific cities or healthcare systems.

Skills Needed for Physician Assistants

Physician assistants need a mix of medical knowledge, communication skills and decision-making ability.

Important PA skills include:

Clinical reasoning

Diagnostic thinking

Patient communication

Medical documentation

Team collaboration

Attention to detail

Empathy

Time management

Adaptability

Procedural skills

Knowledge of medications

Ability to work under pressure

PAs often see many patients and make important medical decisions, so they need to stay organized and calm.

A PA must also know when to consult a physician or refer a patient to another specialist.

Skills Needed for Physical Therapists

Physical therapists need strong knowledge of movement, rehabilitation and patient motivation.

Important PT skills include:

Anatomy and biomechanics knowledge

Movement assessment

Exercise prescription

Manual therapy skills

Patient education

Empathy

Patience

Communication

Progress tracking

Problem-solving

Physical stamina

Motivational coaching

PTs often work with patients who are frustrated by pain, injury or slow recovery. Helping patients stay motivated is an important part of the role.

A good physical therapist can explain complex movement problems in simple terms and help patients commit to their treatment plan.

Which Career Takes Longer?

Both careers require significant training.

The exact timeline depends on the student’s starting point, program structure and local requirements. In many cases, both paths begin with a bachelor’s degree and then require a graduate-level professional program.

PA programs are often shorter than DPT programs, though they can be highly intense and competitive.

DPT programs usually take several years after the bachelor’s degree and focus deeply on movement science, rehabilitation and physical therapy practice.

Students should compare not only program length but also admission requirements, tuition, clinical training, licensing exams and career goals.

Which Career Is More Hands-On?

Both careers are hands-on, but in different ways.

Physician assistants provide hands-on medical care. This may include physical exams, procedures, wound care, injections, surgical assistance or emergency treatment.

Physical therapists provide hands-on rehabilitation care. This may include manual therapy, movement assessment, exercise instruction, gait training, stretching and functional mobility practice.

If you like broad medical care and diagnosis, PA work may feel more appealing. If you like movement-based treatment and helping patients physically improve over time, PT work may feel more appealing.

Which Career Has More Variety?

Physician assistant careers may offer more variety across medical specialties.

A PA may work in emergency medicine, surgery, psychiatry, dermatology, family medicine, pediatrics or many other areas. Some PAs change specialties during their careers.

Physical therapists can also specialize, but their work remains centered on movement, function and rehabilitation. PT specialties may include sports, orthopedics, neurology, pediatrics, geriatrics or cardiopulmonary care.

If you want the option to move between different areas of medicine, PA may offer more flexibility.

If you want to become deeply specialized in movement and recovery, PT may be the better fit.

Which Career Has More Patient Follow-Up?

Physical therapists often see the same patients repeatedly over several weeks or months.

This can allow PTs to build strong relationships and watch patients improve over time. A PT may help a patient go from limited movement to walking, returning to sports or completing daily tasks more independently.

Physician assistants may also provide ongoing care, especially in primary care or chronic disease management. However, in some settings, such as urgent care or emergency medicine, PA interactions may be shorter or more episodic.

If you enjoy long-term rehabilitation relationships, PT may be appealing.

If you prefer a wider variety of medical cases, PA may be appealing.

Which Career Is More Physically Demanding?

Physical therapy can be physically demanding because PTs often spend much of the day on their feet. They may demonstrate exercises, assist with patient movement, guide mobility training and use hands-on techniques.

Physician assistant work can also be demanding, especially in emergency departments, surgery, hospitals or high-volume clinics. PAs may stand for long periods, move quickly between patients or work irregular hours.

However, PT work is often more directly physical because the treatment itself frequently involves movement and patient assistance.

Students should consider their own physical stamina, comfort with hands-on work and preferred pace of work.

Which Career Is Better for You?

The better career depends on your interests, strengths and goals.

A physician assistant career may be a good fit if you:

Want to diagnose and treat medical conditions

Are interested in broad clinical medicine

Want the ability to work in different specialties

Are comfortable with prescribing medication where allowed

Like fast-paced medical decision-making

Want to work closely with physicians and healthcare teams

A physical therapist career may be a good fit if you:

Are interested in movement, rehabilitation and recovery

Want to help patients improve physical function

Enjoy exercise science and biomechanics

Prefer repeated patient sessions over time

Like hands-on treatment and patient coaching

Want to help people regain independence and mobility

Both careers can be rewarding. The key is to choose the daily work that matches your strengths.

Questions To Ask Before Choosing

Before choosing between physician assistant and physical therapist, ask yourself:

Do I want to diagnose and treat a wide range of medical conditions?

Do I want to focus on movement, rehabilitation and physical function?

Am I more interested in medication and medical testing or exercise-based treatment?

Do I prefer fast-paced clinical decision-making or longer recovery relationships?

Which education path fits my timeline and budget?

What type of patient interaction motivates me?

Do I want flexibility across specialties?

Do I enjoy anatomy, movement and biomechanics?

Am I comfortable with physically active work?

What healthcare settings appeal to me most?

Your answers can help you identify which path feels more aligned with your goals.

Common Misunderstandings

One common misunderstanding is that physician assistants are only assistants in a basic support role. In reality, PAs are trained medical professionals with significant clinical responsibilities.

Another misunderstanding is that physical therapists only help athletes or people recovering from surgery. PTs work with many types of patients, including people with chronic pain, neurological conditions, balance problems, mobility limitations and age-related changes.

A third misunderstanding is that one career is simply “better” than the other. PA and PT careers serve different purposes. Both can be respected, stable and meaningful healthcare paths.

Another misunderstanding is that PTs and PAs do the same work because both treat patients. They both provide patient care, but their methods, training and clinical focus are different.

Example Career Paths

A physician assistant may begin in primary care, then move into urgent care, emergency medicine, surgery or dermatology. Some PAs stay in one specialty for many years, while others shift as their interests change.

A physical therapist may begin in an outpatient orthopedic clinic, then specialize in sports rehabilitation, geriatrics, neurological rehabilitation or home health. Some PTs open private practices, teach, manage clinics or pursue advanced certifications.

Both careers can lead to leadership, education, research, administration or specialized clinical roles.

The path you choose does not have to stay fixed forever, but your initial training will shape your main professional direction.

How To Prepare for Either Career

If you are considering either career, start by gaining exposure to healthcare settings.

You can:

Shadow a physician assistant

Shadow a physical therapist

Volunteer in a clinic or hospital

Take anatomy and physiology courses

Talk to current students or professionals

Research accredited programs

Review licensing requirements

Compare tuition and program length

Gain patient-facing experience

Reflect on the type of care you enjoy

Shadowing can be especially helpful. Reading about a career is useful, but watching the daily work can reveal whether the role feels right for you.

How Dokie Can Help Students Compare Healthcare Career Paths

Students comparing healthcare careers often need to organize research, program requirements, salary data, licensing steps and personal decision factors into a clear format. Dokie can help turn those notes into polished presentation slides for class projects, advising meetings, career workshops or personal planning. You can use Dokie to compare physician assistant and physical therapist pathways, summarize education requirements, build decision tables and present healthcare career research in a professional deck without spending hours formatting slides manually.

Conclusion

Physician assistants and physical therapists are both important healthcare professionals, but they serve patients in different ways.

Physician assistants focus on medical diagnosis and treatment. They may examine patients, order tests, prescribe medication, assist in procedures and work across many specialties.

Physical therapists focus on movement, rehabilitation and physical function. They help patients manage pain, recover from injuries, improve mobility and regain independence.

Both careers require advanced education, licensing, clinical judgment and strong patient communication. Both can offer meaningful work and strong employment prospects.

The right choice depends on what kind of patient care you want to provide. If you are drawn to broad medical practice and diagnostic decision-making, physician assistant may be the better path. If you are drawn to rehabilitation, movement and long-term recovery, physical therapy may be the better fit.

FAQs

What is the difference between a physician assistant and a physical therapist?

A physician assistant focuses on medical diagnosis and treatment, while a physical therapist focuses on movement, rehabilitation, pain management and physical function.

Is a PA higher than a physical therapist?

Not exactly. A PA and a PT are different healthcare professionals with different scopes of practice. One is not simply higher than the other.

Can a physician assistant prescribe medication?

In many locations, physician assistants can prescribe medication within their scope of practice and according to state or local laws.

Can a physical therapist prescribe medication?

Physical therapists generally do not prescribe medication. They usually use movement-based, exercise-based and rehabilitation-focused treatment methods.

Do physical therapists diagnose patients?

Physical therapists can diagnose movement and functional impairments within their scope of practice. They do not provide the same broad medical diagnosis as physician assistants.

Do physician assistants do physical therapy?

No. Physician assistants may refer patients to physical therapy, but physical therapy is provided by licensed physical therapists or physical therapist assistants.

Which career pays more, PA or physical therapist?

In the United States, physician assistants often have higher median salaries than physical therapists, but pay varies by location, specialty, employer and experience.

Which career has better job growth?

Both careers have strong job growth. Physician assistants often show faster projected growth, while physical therapists also have strong demand due to aging populations and rehabilitation needs.

Is PA school harder than PT school?

Both are challenging. PA school focuses on broad medical diagnosis and treatment, while PT school focuses deeply on movement science, rehabilitation and physical therapy practice.

How long does it take to become a physician assistant?

The timeline often includes a bachelor’s degree followed by a physician assistant master’s program and licensing requirements. Exact time varies by program and location.

How long does it take to become a physical therapist?

The timeline often includes a bachelor’s degree followed by a Doctor of Physical Therapy program and licensing requirements. Exact time varies by program and location.

Can PAs work in orthopedics?

Yes. Physician assistants can work in orthopedics and may help diagnose injuries, assist in surgery, manage treatment plans and provide follow-up care.

Can PTs work in hospitals?

Yes. Physical therapists work in hospitals, outpatient clinics, rehabilitation centers, patient homes, nursing homes, schools and other settings.

Which career is better for people who like exercise science?

Physical therapy may be a better fit for people who are especially interested in movement, exercise science, biomechanics and rehabilitation.

Which career is better for people who want broad medical practice?

Physician assistant may be a better fit for people who want to diagnose and treat a wide range of medical conditions across different specialties.