Your Earning Potential as an Acupuncturist (2024)

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Home / Physical Therapy / Physical Therapist Salary / North Carolina

North Carolina is a good state for physical therapists due to its solid healthcare presence and diverse opportunities for practice, leading to strong salary potential for practitioners.

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North Carolina is home to many hospitals, clinics and healthcare systems that value rehabilitation services. It also has a growing population, particularly in urban areas like Raleigh, Charlotte and Durham, which may lead to a consistent demand for healthcare services, including physical therapy.

Additionally, North Carolina has a variety of settings where physical therapists can work, such as acute care, outpatient clinics, schools and sports facilities. The state’s commitment to healthcare quality and research, alongside its favorable climate and quality of life, makes it an attractive place for physical therapists to live and work.

In this Article

Quick view | Salary statistics | Factors affecting salaries in NC | Education | Cost of living | Professional groups for PTs in NC

Quick view

There are 7,080 people employed as physical therapists in North Carolina says the U.S. Bureau of Labor Statistics (BLS). This means for every 1,000 people, 1.5 are PTs—not bad for a state of 10.7 million (2022 statistics). The median wage per hour is $46 and the forecasted job growth for the coming decade is 15.1%.

North Carolina offers unique characteristics economically, geographically and culturally that may appeal to physical therapists:

Diverse job market:

North Carolina has a robust economy with industries such as healthcare, technology, manufacturing and finance. This diversity leads to a broad range of employment opportunities for physical therapists in various settings, from hospitals and clinics to corporate wellness programs.

Climate and active lifestyles:

The state’s geography offers a range of outdoor activities, such as hiking, skiing, cycling and water sports. North Carolina also has a moderate climate, with warm summers and mild winters. This can provide year-round need for PT services due to recreational injuries.

Sports culture:

The state has a strong sports culture, with college sports (like UNC Tar Heels and Duke Blue Devils), professional teams (like the Carolina Panthers and Charlotte Hornets) and a thriving youth sports scene. This creates opportunities for physical therapists to work with athletes and sports-related rehabilitation.

Southern hospitality:

North Carolina is known for its friendly and welcoming atmosphere. This cultural trait can foster a positive work environment for physical therapists, emphasizing patient-centered care and building strong relationships with clients and colleagues.

Educational research:

North Carolina is home to several notable universities, including Duke University, UNC Chapel Hill and North Carolina State University. These institutions promote research and continuing education, providing physical therapists with opportunities to enhance their skills and engage in evidence-based practice.

With these characteristics in mind, here are five employers in NC that represent a mix of academic medical centers, large healthcare systems and specialized rehabilitation centers. They offer physical therapists a range of career opportunities and professional growth in different clinical settings:

Duke University Health System, Durham, Morrisville, Raleigh and other locations, NC.
Known for its extensive network of hospitals and clinics, Duke University Health System offers a wide range of opportunities for physical therapists in various settings, including acute care, outpatient therapy and specialized rehabilitation services.

UNC Health Care, Chapel Hill and multiple locations, NC.
The University of North Carolina Health Care system is another major employer for physical therapists, providing a range of services in different locations throughout the state. It includes the UNC Hospitals, which is a large teaching hospital offering diverse career opportunities.

Atrium Health, Charlotte, NC.
Based in Charlotte, Atrium Health is a comprehensive healthcare system with multiple hospitals and clinics across the state. Physical therapists at Atrium Health can work in various environments, from acute care to outpatient settings.

Novant Health, Charlotte, Greensboro area, NC.
This integrated healthcare system operates in South Carolina as well as North Carolina. Novant Health offers physical therapy services in hospitals and outpatient clinics, providing opportunities for physical therapists to work in different areas.

Carolinas Rehabilitation, Charlotte and multiple locations, NC.
As part of Atrium Health, Carolinas Rehabilitation specializes in rehabilitation services, making it an excellent employer for physical therapists interested in inpatient rehabilitation, outpatient therapy, and specialized services for specific patient populations.

Salary stats for North Carolina

Here are some salary statistics for North Carolina as reported by the BLS and other agencies.

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Median physical therapist salary in NC

According to data from the U.S. Bureau of Labor Statistics (BLS), the median annual salary for physical therapists in North Carolina is around $94,830.

Compare NC’s median annual PT salary with the median national salary for physical therapists—which is is $99,710 a year—and you can see North Carolina is around $5,000 less than the national average. This may be offset by the fact that North Carolina’s cost of living is lower than the national average.

Physical Therapists

Your Earning Potential as an Acupuncturist (3)Your Earning Potential as an Acupuncturist (4)

10%$72,560

25%$79,510

50%$94,830Median

75%$105,260

90%$118,320

Median Hourly Wage$46

Job growth15.1%

Total Employment7,080

Metro areaMedian SalaryBottom 10%Top 10%
Rocky Mount, NC$103,690$75,680$160,980
Greenville, NC$103,170$74,500$140,780
Winston-Salem, NC$100,880$72,230$122,170
Hickory-Lenoir-Morganton, NC$99,100$70,150$114,940
Burlington, NC$98,360$67,120$120,170
Greensboro-High Point, NC$98,050$75,470$119,910
Charlotte-Concord-Gastonia, NC-SC$96,780$74,920$120,350
Asheville, NC$96,620$68,220$121,160
Fayetteville, NC$94,990$67,790$117,540
Jacksonville, NC$92,480$69,100$113,010

Source: U.S. Bureau of Labor Statistics (BLS) 2023 median salary; projected job growth through 2032. Actual salaries vary depending on location, level of education, years of experience, work environment, and other factors. Salaries may differ even more for those who are self-employed or work part time.

Take a look at how salaries compare for fields that are similar to physical therapists:

CareerMedian Annual Salary
Physical Therapists$99,710
Physical Therapist Assistants$64,080
Occupational Therapists$96,370
Athletic Trainers$57,930
Recreational Therapists$57,120
Exercise Physiologists$54,860

Salary ranges for physical therapists in North Carolina

The salary range for PT professionals, including physical therapy assistants, in North Carolina looks something like this:

Physical Therapists: The average annual salary typically ranges from about $72,560 to $118,320. Entry-level physical therapists can expect salaries at the lower end of this range, while those with more experience or specialized skills may earn higher salaries.

Physical Therapist Assistants: The average annual salary for PTAs in North Carolina typically ranges from about $50,500 to $80,840. As with physical therapists, more experienced PTAs or those with specialized skills tend to earn more.

These are general estimates from the BLS, and actual salaries can vary based on the factors mentioned above. Additionally, benefits, bonuses and other compensation elements can influence the overall package. It’s also worth noting that the cost of living in various parts of North Carolina can impact salary expectations.

Pay by metro area within North Carolina

Few metro areas have a median salary above the national median for PTs in North Carolina. Only Winston-Salem is above the national median at $100,880. Other metro areas close to the national median are Piedmont and Hickory-Lenoir-Morganton. North Carolina has no metro areas in the BLS’ top 10 areas for highest pay, or for highest employment of PTs in the country. Here are the top 10 spots for highest median salary by metro area according to the BLS:

Metro AreaMedian Annual Salary
Santa Rosa, CA$132,870
San Jose-Sunnyvale-Santa Clara, CA$131,930
Sacramento--Roseville--Arden-Arcade, CA$131,760
San Francisco-Oakland-Hayward, CA$131,050
Vallejo-Fairfield, CA$123,410
Modesto, CA$121,990
Napa, CA$120,980
Chico, CA$120,900
Fairbanks, AK$118,090
Santa Maria-Santa Barbara, CA$118,040

And here are the top 10 highest employment metro areas for PTs in the U.S. as cited by the BLS:

Metropolitan AreasEmployment
New York-Newark-Jersey City, NY-NJ-PA16,160
Los Angeles-Long Beach-Anaheim, CA9,120
Chicago-Naperville-Elgin, IL-IN-WI8,870
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD5,940
Miami-Fort Lauderdale-West Palm Beach, FL5,430
Boston-Cambridge-Nashua, MA-NH5,270
Washington-Arlington-Alexandria, DC-VA-MD-WV4,490
Dallas-Fort Worth-Arlington, TX4,290
Houston-The Woodlands-Sugar Land, TX3,650
Atlanta-Sandy Springs-Roswell, GA3,420

Salary growth and job outlook

The Bureau of Labor Statistics projects strong job growth for physical therapists nationwide, with estimates suggesting a growth rate significantly above the average for all occupations. While this is a national trend, North Carolina, with its expanding healthcare infrastructure and diverse job opportunities, aligns with these projections.

Overall, physical therapists in North Carolina can expect a favorable job market with steady growth and competitive salaries, especially for those with experience or specialized skills. If you’re considering a career in physical therapy in North Carolina, the future looks optimistic, with opportunities for career advancement and professional development.

Besides, sports therapy and neurology, PTs in NC can anticipate growth in these field specialty areas:

  • Cardiopulmonary PT: PTs in this specialty work with patients recovering from heart or lung conditions, such as after cardiac surgery or for chronic respiratory conditions. The increasing incidence of cardiovascular and respiratory diseases, as well as a focus on rehabilitation, is likely to drive demand in this area.
  • Orthopedic PT: Orthopedic PTs work with patients recovering from musculoskeletal injuries, surgeries or chronic conditions like arthritis. As sports participation and activity levels remain high, and as more people undergo joint replacements or other orthopedic surgeries, the demand for orthopedic PTs is likely to grow.
  • Pediatric PT: Pediatric PTs focus on children with developmental delays, congenital conditions or injuries. With continued emphasis on early intervention and school-based therapy programs, this specialty is expected to contribute to job growth.

The BLS projects the following growth for the general field of physical therapy:

15.1%

Job growth for physical therapists through 2032 according to the BLS

Factors that may affect what physical therapists earn in NC

The salary ranges for physical therapists and physical therapist assistants in North Carolina can vary based on several factors, including:

Experience and education:
More experienced physical therapists generally earn higher salaries. Additional certifications and specializations can also lead to higher compensation.

Location:
Urban areas often offer higher salaries compared to rural areas due to cost-of-living differences and market demand for healthcare professionals.

Employer type:
Physical therapists working in hospitals or large healthcare systems might earn more than those in smaller clinics or private practices. Similarly, specialized rehabilitation centers may offer higher salaries for therapists with specific expertise.tures.

Industry setting:
Acute care hospitals, outpatient clinics, rehabilitation facilities, schools and home health services may have different pay scales.

How do I know if I am being paid fairly in NC?

Ensuring that you’re being paid fairly is essential for your professional and financial well-being. In North Carolina, there are several ways to gauge whether your compensation aligns with industry standards and to seek assistance if you believe you’re being underpaid. Here’s how to determine if you’re being compensated fairly, and the government resources available in North Carolina:

  • Research comparable salaries:Utilize online resources such as the Bureau of Labor Statistics, Glassdoor, Payscale or Indeed to research the average salaries for your position in North Carolina. Compare your salary, taking into account factors such as your level of experience, education and the specific industry or sector you work in.
  • Consult professional associations:The American Physical Therapy Association (APTA) has resources regarding education and salary surveys to help you get a real-world view of what other PTs in the field earn in similar circ*mstances.
  • Use state government resources:North Carolina’sDepartment of Laborprovides resources and guidance on wage and hour laws, including minimum wage requirements, overtime pay and employee rights.
  • If employer talks don’t resolve issues, seek legal assistance:If discussions with HR or your supervisor don’t bring results, you may consider consulting with an employment lawyer who specializes in wage and hour laws. They can provide legal advice and representation to help you address any issues related to your compensation.
  • Utilize the employee rights hotline:North Carolina has an employee rights hotline operated by the Department of Labor where workers can report wage violations, seek assistance with wage disputes and obtain information about their rights under state labor laws. The hotline provides a confidential platform for employees to voice their concerns and seek assistance.
  • As a last resort, consider wage complaints and hearings:If you believe your employer is not paying you fairly, you have the right tofile a wage complaintwith the North Carolina Department of Labor. They will investigate your claim and take appropriate action if your employer is found to be in violation of state wage laws.

Education and training

While the basic educational path to becoming a physical therapist in North Carolina is consistent with other states, it’s essential to familiarize yourself with any specific requirements or regulations set by the NCBPTE. This may include the process for renewing your license, CEU requirements or other state-specific rules. Overall, the path involves earning a DPT degree, passing the NPTE, obtaining state licensure and maintaining licensure through continuing education.:

Earn a bachelor’s degree:
The first step toward becoming a physical therapist is to earn a bachelor’s degree. While this degree does not have to be in physical therapy, it should include prerequisites for physical therapy school. Common majors include biology, kinesiology, exercise science or related fields. Ensure you take prerequisite courses such as anatomy, physiology, chemistry, physics and psychology.

Complete a DPT program:
After completing a bachelor’s degree, you must earn a Doctor of Physical Therapy (DPT) degree from an accredited program. DPT programs typically last three years and combine classroom instruction with clinical experience. In North Carolina, you can pursue a DPT degree at universities like Duke University, the University of North Carolina at Chapel Hill and East Carolina University, among others.
Pass the National Physical Therapy Examination (NPTE):
To practice as a physical therapist in North Carolina, you must pass the National Physical Therapy Examination (NPTE), which is administered by the Federation of State Boards of Physical Therapy (FSBPT). This is a national requirement, and passing the NPTE is a key step in obtaining your license.
Get licensed:
After passing the NPTE, you must apply for licensure through the North Carolina Board of Physical Therapy Examiners (NCBPTE). The licensure process typically includes submitting an application, providing proof of education, passing the NPTE and meeting other state-specific requirements such as a background check. North Carolina does not have unique licensure requirements compared to other states.

Complete ongoing continuing education requirements:
To maintain your license in North Carolina, you must complete continuing education requirements set by the NCBPTE. This typically involves earning a certain number of continuing education units (CEUs) over a defined period (such as every two years). These CEUs help ensure that physical therapists stay updated on current practices and trends.

Cost of living considerations

The cost of living in North Carolina varies significantly depending on the region, with urban areas generally having a higher cost of living than rural areas. North Carolina’s overall cost of living is slightly below the national average (5% below, says RentCafe), making it an attractive state for many people looking for a lower cost of living with a high quality of life.

Here’s an overview of the factors that contribute to the cost of living in North Carolina:

  • Housing: Housing costs in North Carolina are lower than the national average, though they can vary widely based on location. Major cities like Charlotte and Raleigh may have higher housing costs due to demand, but even within these cities, there are affordable neighborhoods. Only Chapel Hill registers above the national average as a whole. Smaller cities and rural areas tend to have much lower housing costs.
  • Transportation: Transportation costs, including fuel, insurance and vehicle maintenance, are typically in line with or slightly below the national average. Public transportation is more common in urban areas like Charlotte and Raleigh, but less so in rural areas, leading to a greater reliance on personal vehicles.
  • Utilities: Utility costs in North Carolina are generally lower than the national average. This includes electricity, gas, water and garbage collection. Climate can impact utility costs, especially in the summer when air conditioning use increases.
  • Groceries and food: The cost of groceries and dining out in North Carolina is close to or slightly below the national average. Larger cities often have more dining options and specialty food markets, while rural areas offer more affordable grocery prices.
  • Healthcare: Healthcare costs in North Carolina are in line with the national average. Access to healthcare services may vary based on location, with larger cities offering more options and rural areas having fewer healthcare providers.
  • Education: North Carolina has a range of educational institutions, from public schools to private universities. The cost of education depends on the type of institution and location. Public universities, like the University of North Carolina system and North Carolina State University, offer lower tuition rates for in-state residents.

North Carolina professional groups for PTs

Here are some professional associations that physical therapists may join or access in North Carolina. Groups can offer support, resources, networking, licensing and continuing education opportunities for physical therapists and physical therapist assistants.

APTA North Carolina: APTA North Carolina is the state chapter of the American Physical Therapy Association (APTA). It serves as a professional network for physical therapists and physical therapist assistants in North Carolina. The association provides resources for continuing education, advocacy, networking and professional development. It also works to promote high standards in the field of physical therapy and advocates for policies that benefit PTs, PTAs and their patients within the state.

North Carolina Board of Physical Therapy Examiners (NCBPTE): The NCBPTE is not an association in the traditional sense but is the state regulatory body responsible for licensing physical therapists and physical therapist assistants in North Carolina. It sets the standards for licensure, conducts the licensure examination and oversees continuing education requirements. The NCBPTE ensures that physical therapists and PTAs in North Carolina maintain professional standards and comply with state regulations.

This salary guide for those looking to become a physical therapist in North Carolina aims to provide a comprehensive understanding of the salary landscape and key information regarding the profession in the state. Use this guide as a starting point to make informed decisions about your career path, negotiating salaries and for setting realistic expectations for your educational and professional future.

Published May 6, 2024

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Written and reported by:
Natural Healers Staff Writers

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