NPTE-PTA Pass Rate Analysis

NPTE-PTA Pass Rate: The Complete Breakdown (2026)

The latest data on NPTE-PTA pass rates from the Federation of State Boards of Physical Therapy: first-time and ultimate pass rates for physical therapist assistant candidates, how the PTA exam compares with the PT exam, program-by-program variation, retake rules, and what the numbers mean for your preparation. Every figure on this page is sourced directly from FSBPT pass rate reports for the National Physical Therapy Examination.

The Headline Numbers

What the FSBPT Data Actually Says

2025 First-Time Pass Rate
79%
First-time candidates from US accredited PTA programs, 2025 exam year, per FSBPT exam year data.
2024 Ultimate Pass Rate
93%
Percentage of the 2024 graduating class that eventually passed the NPTE-PTA across all attempts, per FSBPT graduation year data.
76%
2024 First-Time Pass Rate
The lowest year in the last five; 2025 recovered three points
85%
PT Exam, Same Year
The NPTE-PT first-time rate ran 6 points higher in 2025
1 in 4
Do Not Pass First Time
Roughly one in four PTA candidates sits the exam again
First-time pass rate by exam year, graduates of US accredited programs
Exam year20212022202320242025
NPTE-PTA80%79%81%76%79%
NPTE-PT89%85%84%86%85%
Source: FSBPT NPTE Exam Year Reports and NPTE Graduation Year Reports, accessed November 2026. FSBPT updates exam year data each May and graduation year data quarterly. Non-US educated PTA candidates are not reported because the sample is too small.

First Attempt vs Ultimate

The First-Attempt Gap Is Wider on the PTA Exam

About one in four physical therapist assistant candidates does not pass the NPTE-PTA on the first try, compared with about one in seven on the PT exam. Most of them do pass eventually, but the detour costs months and money. Try our free 20-question timed NPTE-PTA practice test to see where you actually stand before you schedule.

First-Time Candidates
76 to 81%
The five-year range for first-time candidates from US accredited PTA programs. Content is freshest, clinical skills are recent, and the exam is taken within months of graduation.
Ultimate Pass Rate
92 to 94%
The share of each graduating class that eventually passes across all attempts (2021 through 2024). About 6 to 8 percent of PTA graduates never pass, roughly four times the PT figure.
What FSBPT Says Directly

“Based on evidence we have from test scores since 2008, candidates who have failed the NPTE twice or more are unlikely to pass on any subsequent attempt.”

FSBPT Important Retake Information

The ultimate pass rate tells the more useful story. In the graduation year tables, 92 to 94 percent of each PTA class eventually passes, which means the first-attempt failures are mostly recoverable. But the gap between first-time and ultimate is 13 to 17 points for PTA graduates against 13 to 14 for PT graduates with a much higher floor, and the 6 to 8 percent who never pass is a group that barely exists on the PT side (1 to 2 percent). FSBPT’s own retake data explains why: each failed attempt lowers the odds of the next one, and after two failures the odds collapse.

The practical reading is that the NPTE-PTA is not an easier exam that students coast through. The PTA passing standard is the same scaled score of 600, the content outline is nearly as broad as the PT outline, and the candidates have had two years of preparation rather than three. First-attempt preparation strategy matters more for PTA candidates, not less, because the margin for error is thinner and the retake path is shorter. See our complete NPTE-PTA study guide for how to structure that preparation.

Program Variation

PTA Program Pass Rates Vary Even More Than DPT Programs

FSBPT publishes two-year first-time pass rates for every CAPTE-accredited physical therapist assistant program in the United States, updated quarterly. The spread between the best and worst performing PTA programs is wider than most students realize.

Top Performing
100%
About 30 PTA programs reported a 100 percent two-year first-time pass rate for the 2023 and 2024 cohorts.
National Average
~79%
The national first-time rate has sat between 76 and 81 percent for five years, across roughly 380 accredited PTA programs.
Lowest Performing
~22%
About 40 PTA programs reported two-year first-time pass rates below 60 percent, with the lowest near 22 percent.

When prospective students evaluate PTA programs, the NPTE-PTA pass rate is one of the most important metrics available and one of the most public. FSBPT’s Two-Year First-Time Pass Rates by School report lists every CAPTE-accredited PTA program with its two-year first-time pass rate and the number of graduates who tested, and the Commission on Accreditation in Physical Therapy Education requires programs to publish the same outcomes on their own sites.

The range is wider than on the DPT side. Roughly one PTA program in ten posts a two-year first-time rate below 60 percent, and a handful sit below 40, while about one in twelve posts 100 percent. The spread reflects real differences in admissions selectivity, curriculum rigor, clinical education, faculty support, and whether a program runs a structured board-prep course in the final semester. Associate-degree programs also draw a wider range of academic preparation than doctoral programs, which shows up directly in first-attempt outcomes.

Read the pass rate alongside the other PTA program outcomes CAPTE requires every accredited program to publish: the program completion rate (sometimes called the graduation rate, the share of an entering cohort that finishes), the ultimate licensure pass rate (the share of graduates who pass the National Physical Therapy Examination within two years, across all attempts), and the two-year employment rate (the share of licensed graduates working as PTAs within a year). A program can post a 100 percent licensure pass rate on a 55 percent completion rate if it dismisses weaker students before they graduate, so a strong ultimate licensure pass rate paired with a low program completion rate is a warning sign, not a credential. The APTA and CAPTE both publish aggregate figures: national ultimate licensure pass rates for PTA program graduates sit in the low 90s, program completion rates in the mid to high 70s, and the two-year employment rate is near 100 percent. Ask the PTA program director for all three numbers for the most recent two cohorts, and compare them with the FSBPT first-time figure, which is the only one of the four that measures first-attempt readiness.

For current PTA students, the program rate sets a baseline expectation, not a ceiling. Students at programs with low pass rates pass on the first attempt every quarter with the right preparation, and students at 100 percent programs fail when they assume the program’s reputation will carry them. Your individual result depends on whether your study plan matches your actual gaps, which is why a week-by-week NPTE-PTA study plan built around a diagnostic outperforms a generic question bank.

Retake Rules

What Happens When You Fail the NPTE-PTA

The FSBPT retake rules apply to the PTA exam exactly as they do to the PT exam, and what they mean for your timeline and licensure path.

Wait Period Between Attempts
About 3 months
The NPTE-PTA is offered on fixed dates in January, April, July, and October. A candidate who fails waits for the next window, so a retake is typically about three months out.
Attempts Per Year
3 per 12 months
You can sit for the NPTE-PTA a maximum of three times in any rolling 12-month period, which lines up with the quarterly exam administration windows.
Lifetime Maximum
6 total attempts
FSBPT caps candidates at six lifetime attempts, and candidates with two very low scores can be barred earlier. After that, licensure as a physical therapist assistant in the United States is no longer possible.
Retake Fee Per Attempt
$485
Every attempt costs the full NPTE registration fee, plus state re-registration fees, the income lost while you prepare again, and whatever you spend on additional prep resources.

State-level rules may add further restrictions. Some jurisdictions require formal remediation coursework after a certain number of failed attempts, and some have stricter caps than FSBPT’s six-attempt maximum. Confirm your own state’s requirements with your licensing board before scheduling a retake, and read FSBPT’s retake information for the current rules.

Why Students Fail

The Three Most Common Reasons PTA Candidates Fail the NPTE-PTA

Patterns from PTA students who failed on the first attempt and passed on the retake.

1
Studying the PT exam’s material instead of the PTA exam’s role
Most PTA prep resources are repackaged PT material, and most PTA candidates study as if the exam will ask them to evaluate and diagnose. It will not. The NPTE-PTA asks whether you can implement a plan of care the physical therapist already wrote, collect data, adjust within the plan, and recognize when a finding needs to go back to the PT. Candidates who learn the content but not the role pick the PT’s answer on PTA questions and lose points they knew the material for. Our NPTE-PTA practice questions are written in that frame for exactly this reason.
2
Under-preparing for the non-systems and smaller-system content
Equipment, therapeutic modalities, safety, professional responsibilities, and research together carry 22 to 32 of the 140 scored items, and the integumentary, metabolic, gastrointestinal, genitourinary, and lymphatic systems with system interactions carry another 14 to 35. That is roughly a third of the exam, and PTA students routinely skip it because it feels less clinical than the musculoskeletal and neuromuscular systems. Modality parameters, infection control, supervision rules, and glucose and lab thresholds are pure recall, which makes them the cheapest points on the exam to win and the most expensive to give away.
3
Sitting for the exam before readiness is actually confirmed
Feeling prepared and being prepared are different things. PTA candidates commonly schedule the exam around graduation timing or the next fixed test date rather than demonstrated readiness by content area. Without an objective PraxScore, the decision is a guess, and with a 79 percent first-time rate it is a guess that fails one candidate in four.

What the Data Means for You

Translating Pass Rate Data Into NPTE-PTA Preparation Strategy

Pass rate data is most useful when it changes how you prepare. The single strongest predictor of whether you pass the NPTE-PTA is whether your study plan is matched to your actual gaps, not how many practice questions you complete or which study guides you buy. First-time candidates who target their weakest content areas with adaptive practice exams consistently outperform candidates who run a generic question bank front to back.

For PTA students at programs with average or below-average first-time pass rates, the message is direct: program-level data does not determine your individual score. What determines your score is the quality of your preparation, an honest assessment of your weak areas, and whether you sit for the exam when an objective metric says you are ready rather than when the next test date arrives. Graduates from any CAPTE-accredited PTA program can pass on the first attempt with the right approach, and the program-level spread proves that preparation, not the credential, is the variable.

The numbers also argue against treating the PTA exam as the easier sibling. Its first-time pass rate runs six to nine points below the PT exam every year, and the share of candidates who never pass is several times higher. Build your preparation around your specific weaknesses, validate it with full-length timed practice, and confirm readiness before you spend $485 on a registration you only get six chances to use. Our NPTE-PTA study guide and study plan customizer are built for exactly that.

Improve Your Odds

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Pass rate data tells you what happened to other PTA students. A PraxScore tells you what will happen to you.

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FAQ

NPTE-PTA Pass Rate: Common Questions

The most recent annual data from FSBPT shows a 79% first-time pass rate for graduates of US accredited PTA programs in the 2025 exam year, up from 76% in 2024. The ultimate pass rate, which counts all attempts, was 93% for the 2024 graduating class and 92 to 94% across the last four classes. FSBPT updates exam year data each May and graduation year data quarterly.

Yes, consistently. In the 2025 exam year the first-time rate was 79% for PTA candidates and 85% for PT candidates, and over the last five years the PTA rate has run six to nine points below the PT rate. The ultimate pass rate gap is similar: 92 to 94% of PTA graduates eventually pass against 98 to 99% of PT graduates. Both exams use the same passing standard, a scaled score of 600.

FSBPT does not publish a separate retaker rate for the PTA exam, but the gap between first-time and ultimate pass rates shows that most first-attempt failures pass on a later attempt while 6 to 8% of each PTA graduating class never passes. FSBPT states directly in its retake information that candidates who have failed twice or more are unlikely to pass on any subsequent attempt, so the second attempt is the one that matters.

FSBPT publishes program-specific data quarterly through its Two-Year First-Time Pass Rates by School report, with a separate PDF for physical therapist assistant programs. It lists every CAPTE-accredited PTA program with its two-year first-time pass rate and the number of graduates who tested. CAPTE also requires programs to publish their outcomes on their own websites, alongside the program completion rate, the ultimate licensure pass rate, and the employment rate for each PTA program graduate cohort.

FSBPT allows up to three attempts per rolling 12-month period, with the exam offered on fixed dates in January, April, July, and October, and a lifetime maximum of six attempts. Candidates with two very low scores can be barred sooner. Some state boards add restrictions or require remediation coursework after certain thresholds, so check with your state licensing board.

The NPTE registration fee is $485 per attempt for both the PT and PTA exams. State re-registration fees and testing center fees may add to that. Failing once delays licensure by about three months to the next test date; failing twice can delay the start of your career by six months or more once wait periods and additional prep time are counted.

Free NPTE-PTA Study Resources