Physical Therapy Assistant (PTA)

Adaptive Home Health; Lakeway (TX); On-site; USD 75,000 - 100,000; Full time

Job summary

Adaptive Home Health is seeking a Physical Therapist Assistant (PTA) to join our field-based team across Texas. You will deliver skilled PTA visits under a supervising PT, focusing on functional mobility, gait, transfers, and home safety to improve patient outcomes.

In our productivity-driven model, you are compensated per point with a pathway to earnings between $75,000 and $100,000 per year, depending on visit volume and performance. You will use Homecare Homebase (HCHB) for charting.

Qualifications

• Active Texas PTA license (in good standing).
• Strong clinical judgment and comfort working independently in the field (within PTA scope and under PT supervision).
• Comfortable escalating changes in condition to PT/RN/MD and documenting rationale clearly.
• Strong communication and documentation.
• Reliable follow-through on treatment plans, visit cadence, and patient goals.
• Current driver’s license and comfort with daily travel across assigned territory.
• Able to carry/transport basic therapy equipment as needed.
• Competency in core home health PTA scope: safety-first mobility work (transfers, gait, balance), strengthening, home safety assessment/modification, and patient/caregiver coaching.

Responsibilities

• Deliver skilled PTA visits in the home under the supervising PT’s plan of care.
• Execute treatment plans with a focus on functional mobility and measurable progress: gait/balance, transfers, strengthening, functional mobility, home safety, fall prevention.
• Set/track objective progress within PTA scope and communicate updates/concerns to the supervising PT.
• Drive multidisciplinary coordination: elevate changes in condition, align on orders, and keep the care team moving.
• Coach patients and caregivers with practical home programs that actually get done.
• Document promptly and thoroughly in Homecare Homebase (HCHB) — defensible, efficient, and consistent.

Skills

Clinical judgment

Communication

Documentation

Independence in field work

Daily travel

Home health competency

Education

Texas PTA license

Tools

Homecare Homebase (HCHB)

Job description

• Schedule: Full-time Monday–Friday + occasional weekends (as needed)

• Location: Field Based

• Compensation (Productivity Points): $58.00 / point | $75,000 - $100,000 /year

Who We Are:

• Role: Physical Therapist Assistant (PTA)

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Our mission is to dramatically improve patient access to home health care.

The PTA role is a core part of that mission: you help restore function, keep patients safe at home, and drive real outcomes — in partnership with a supervising PT.

We also build technology to support field clinicians. Our charting product reduces documentation burden, and our scheduling product (launching soon) will make routing and visit coordination easier — protecting your time.

What you will do:

• Deliver skilled PTA visits in the home under the supervising PT’s plan of care.

• Execute treatment plans with a focus on functional mobility and measurable progress: gait/balance, transfers, strengthening, functional mobility, home safety, fall prevention.

• Set/track objective progress within PTA scope and communicate updates/concerns to the supervising PT.

• Drive multidisciplinary coordination: elevate changes in condition, align on orders, and keep the care team moving.

• Coach patients and caregivers with practical home programs that actually get done.

• Document promptly and thoroughly in Homecare Homebase (HCHB) — defensible, efficient, and consistent.

Why Adaptive

• Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.

• Clear productivity model with upside: You are paid per productivity point/visit (see PTA comp model) with clear expectations.

• Schedule flexibility: We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible.

• Cutting-edge tech built for clinicians: Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last minute changes.

• Mission-driven work: We are here to expand access to high-quality home health care, and we want clinicians who take pride in raising the standard.

Requirements

Must-haves

• Active Texas PTA license (in good standing)

• Strong clinical judgment and comfort working independently in the field (within PTA scope and under PT supervision)

• Comfortable escalating changes in condition to PT/RN/MD and documenting rationale clearly

• Strong communication and documentation

• Reliable follow-through on treatment plans, visit cadence, and patient goals

• Current driver’s license and comfort with daily travel across assigned territory

• Able to carry/transport basic therapy equipment as needed

• Competency in core home health PTA scope

  • Safety-first mobility work: transfers, gait training, balance/fall prevention, assistive device education

  • Strengthening, functional mobility, and home safety assessment/modification education

  • Patient/caregiver coaching with practical home programs

Nice-to-haves

• Prior home health experience

• Homecare Homebase (HCHB) experience (or similar home health EMR)

• Deeper clinical experience in high-signal ortho/neuro populations

• Strong organization and time management