NSXNational Skills ExchangeSign in
Back to Framework

Physical Therapists

SOC 29-1123.00Job Zone 5 · Extensive Preparationv.26.05

Context coveredThis framework covers physical therapist practice across acute care, outpatient rehabilitation, community-based, and organizational leadership contexts, from supervised entry-level clinical work through executive-level program direction and professional development.

Emerging
Entry / Apprentice
  1. Initial patient examinationsconduct and document under clinical supervision using standardized evaluation protocols in an acute care or outpatient rehabilitation setting.
  2. Patient treatment plansassist in preparing individually designed physical therapy programs under the direction of a licensed supervising therapist in a clinical environment.
  3. Clinical documentationrecord patient prognosis, treatment sessions, and progress notes in electronic health record systems under close review by a senior clinician.
  4. Manual therapy techniquesperform basic manual exercises, massage, and traction under direct supervision to help relieve pain and improve mobility in supervised clinical encounters.
  5. Informed consent proceduresobtain and document patients' informed consent to proposed interventions by following established facility protocols under supervisory guidance.
  6. Patient and family educationdeliver basic home exercise instructions to patients and families using pre-approved protocols in an outpatient therapy setting.
  7. Treatment response monitoringcollect and report observable data on patient responses to therapy interventions to supervising clinicians during routine sessions.
  8. Interdisciplinary communicationparticipate in care team discussions with medical practitioners and support staff to relay patient status updates under supervisory direction.
  9. Medical and clinical literatureread and apply comprehension of evidence-based guidelines and treatment protocols under mentorship in a clinical practice setting.
  10. Scheduling and time managementorganize daily patient caseloads and appointment documentation using calendar and scheduling software under departmental guidance.
Developing
Mid-level / Established
  1. Comprehensive patient evaluationsindependently perform and document initial physical therapy examinations, analyze findings, and establish diagnoses in outpatient and inpatient clinical settings.
  2. Individualized treatment programsdesign and implement evidence-based, patient-specific physical therapy plans to restore function and alleviate pain with reduced supervisory oversight.
  3. Electronic health recordsaccurately enter and maintain prognosis, treatment, and progress data in medical software systems in compliance with regulatory and facility standards.
  4. Home program developmentinstruct patients and caregivers in customized home exercise and rehabilitation procedures, adapting content to individual learning needs in a clinical context.
  5. Treatment outcome evaluationsystematically assess patient progress at multiple care stages and modify therapeutic interventions to optimize recovery in routine and moderately complex cases.
  6. Interprofessional collaborationconfer regularly with physicians, specialists, and care team members to coordinate and refine patient intervention programs across clinical settings.
  7. Therapeutic manual interventionsapply manual exercises, massage, and traction techniques proficiently to address a range of musculoskeletal and neuromuscular conditions in diverse patient populations.
  8. Informed consent and patient rightsfacilitate informed consent conversations, addressing patient questions about risks, benefits, and alternatives to proposed interventions with clarity and empathy.
  9. Clinical problem solvingapply critical thinking and deductive reasoning to differentiate complex diagnoses and adapt standard protocols to individual patient presentations in daily practice.
  10. Caseload and workflow managementcoordinate patient scheduling, documentation deadlines, and resource utilization efficiently using office suite and scheduling software in a high-volume clinical environment.
Proficient
Senior / Expert IC
  1. Complex case managementautonomously plan and execute advanced individualized treatment programs for patients with multifaceted or co-morbid conditions across inpatient, outpatient, and community-based settings.
  2. Advanced clinical examinationperform comprehensive, multi-system patient evaluations integrating analytical and scientific tools, synthesizing data to form precise differential diagnoses without oversight.
  3. Clinical documentation excellenceproduce high-quality, legally defensible patient records encompassing treatment rationale, measurable outcomes, and adaptive plans within sophisticated electronic health record platforms.
  4. Non-routine intervention adjustmentevaluate treatment effects at all stages of care and independently redesign therapeutic approaches for patients who fail to progress as expected.
  5. Patient and family empowermentdevelop and deliver individualized, culturally sensitive education programs that build long-term self-management capacity for patients and family members across care transitions.
  6. Full-scope interprofessional coordinationlead coordinated care conferences with physicians, surgeons, psychologists, and social workers to integrate physical therapy goals into holistic patient care plans.
  7. Advanced manual therapy applicationadminister sophisticated manual therapy techniques, including joint mobilization and neuromuscular re-education, to manage complex pain and functional limitation presentations.
  8. Ethical and consent leadershipnavigate complex informed consent scenarios involving high-risk or experimental interventions by applying advanced clinical judgment and patient-centered communication skills.
  9. Systems-level quality monitoringanalyze patterns in patient outcome data across a caseload using analytical software to identify clinical trends and drive evidence-based practice improvements.
  10. Clinical technology integrationleverage rehabilitation-focused medical software, outcome measurement platforms, and telehealth tools to enhance diagnostic accuracy and continuity of care across delivery models.
Advanced
Lead / Principal / Executive
  1. Strategic program developmentdesign and lead organization-wide physical therapy service models aligned with clinical evidence, population health needs, and institutional strategic goals.
  2. Clinical education and mentorshipdevelop structured competency frameworks and supervise the professional formation of emerging and developing physical therapists across academic and clinical training environments.
  3. Research translation and scholarshiplead efforts to translate peer-reviewed evidence into clinical practice standards, authoring protocols and contributing written findings to professional and institutional publications.
  4. Organizational outcomes leadershipdirect systematic evaluation of department-wide patient outcomes using advanced analytical platforms, driving continuous quality improvement initiatives at the institutional level.
  5. Interprofessional governancerepresent physical therapy at executive-level care delivery committees, shaping interdisciplinary policies, care pathways, and cross-departmental collaboration frameworks.
  6. Workforce and systems planningapply systems analysis and administration management expertise to forecast staffing needs, optimize resource allocation, and sustain high-performance therapy teams.
  7. Policy and advocacy influenceengage healthcare administrators, regulatory bodies, and professional associations to advance physical therapy practice standards and scope-of-practice legislation.
  8. Complex ethical decision-makingadjudicate high-stakes clinical and organizational ethical dilemmas involving patient autonomy, resource constraints, and professional standards at the leadership level.
  9. Advanced instructional program designcreate and oversee continuing education curricula for licensed practitioners, integrating current knowledge in biology, physics, and psychology into applied clinical training.
  10. Innovation and technology adoptionevaluate and champion the integration of emerging rehabilitation technologies, including motion analysis and digital therapeutics, to advance care quality across the organization.

AI-at-Work Competency Framework

A 4-level framework describing how a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline. Subscribe for $19.99/mo to read the full framework — or sign in if you have a subscription.

  1. Emerging
  2. Developing
  3. Proficient
  4. Advanced
Monthly subscription · Stripe-hosted · unlocks AI-at-Work and Pathsmith Durable Skills across the full library

Ten durable-skill domains mapped to four proficiency levels for this occupation. Subscribe to unlock the full Pathsmith Durable Skills Framework across all 1,016 occupations.

Monthly subscription · Stripe-hosted · unlocks AI-at-Work and Pathsmith Durable Skills across the full library
Show O*NET source anchors63 anchors · skillscrosswalk.com

O*NET enrichment · skillscrosswalk.com

Suggest an O*NET correction

Source anchors that ground each statement

Related titles
Acute Care PT (Acute Care Physical Therapist) · Acute Physical Therapist (Acute PT) · Cardiopulmonary Physical Therapist (Cardiopulmonary PT) · Doctor of Physical Therapy (DPT) · Geriatric Physical Therapist (Geriatric PT) · Home Care Physical Therapist (Home Care PT) · Home Health Physical Therapist (Home Health PT) · Inpatient Physical Therapist (Inpatient PT) · Kinesiotherapist · LPT (Licensed Physical Therapist) · Orthopedic Physical Therapist (Orthopedic PT) · Outpatient Orthopedics Physical Therapist (Outpatient Ortho PT)
RAPIDS apprenticeships
O*NET skills
Social PerceptivenessActive ListeningCritical ThinkingReading ComprehensionService OrientationSpeakingWritingMonitoringJudgment and Decision MakingTime ManagementInstructingComplex Problem SolvingCoordinationSystems AnalysisSystems EvaluationActive LearningLearning StrategiesPersuasionNegotiation
Knowledge domains
Customer and Personal ServiceTherapy and CounselingMedicine and DentistryPsychologyEnglish LanguageEducation and TrainingBiologyAdministration and ManagementPhysicsSociology and AnthropologyAdministrative
Abilities
Oral ExpressionWritten ComprehensionOral ComprehensionWritten ExpressionProblem SensitivityDeductive ReasoningInductive ReasoningInformation OrderingSpeech RecognitionSpeech Clarity
Work styles
EmpathyCooperationAttention to DetailDependabilityOptimismSocial Orientation
Technology
Medical softwareAction gamesAnalytical or scientific softwareWord processing softwareAccounting softwareSpreadsheet softwareOffice suite softwareElectronic mail softwareCalendar and scheduling software
Tasks · seed anchors for statements
  1. Plan, prepare, or carry out individually designed programs of physical treatment to maintain, improve, or restore physical functioning, alleviate pain, or prevent physical dysfunction in patients.
  2. Perform and document an initial exam, evaluating data to identify problems and determine a diagnosis prior to intervention.
  3. Record prognosis, treatment, response, and progress in patient's chart or enter information into computer.
  4. Instruct patient and family in treatment procedures to be continued at home.
  5. Evaluate effects of treatment at various stages and adjust treatments to achieve maximum benefit.
  6. Confer with the patient, medical practitioners, or appropriate others to plan, implement, or assess the intervention program.
  7. Administer manual exercises, massage, or traction to help relieve pain, increase patient strength, or decrease or prevent deformity or crippling.
  8. Obtain patients' informed consent to proposed interventions.
CIP education codes
51.230851.2311

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me®, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.