Best Exercise Therapy Certification - Making the right choice

Hey everyone and welcome to PT Pioneer.

My name is Tyler, and this is your ultimate destination for all things related to making it in the fitness industry.

In this article, I will discuss exercise therapy certifications.

To make the information easier to digest, I’ve broken it down into several topics, which include:

My recommended exercise therapy certifications
What is exercise therapy?
What accreditation these certifications have
Study materials

I’ll be scoring each cert as we go along so you can conclude which one is the best and which one suits you by the end of the article.

So let’s get right into it!

How to Become A Certified Exercise Therapist

ISSA Exercise Therapist

ISSA Exercise Therapist

Check ISSA Pricing
ACE Medical Exercise Specialist

ACE Medical Exercise Specialist

  • ACE’s IFT (integrated fitness training) model
  • Respected organization 
  • Great study materials 
Check ACE Pricing

The International Sports Science Association is a leader in fitness credentials and a pioneer in distance-based health and fitness learning. They have one of the best personal trainer certifications.

Their range of specialist certification programs is broader than most other cert agencies, which is why they feature frequently when it comes to the more obscure certs.

It comes as no surprise to see them offering an Exercise Therapy certification.

Unlike the other certifications listed in this article, ISSA Exercise therapist doesn’t require that you hold a bachelor’s degree in a sports science-related field.

That may be a good thing or a bad thing, depending on your perspective, but we’ll know by the end of this article.

One thing ISSA does do very well is providing excellent deals for certification bundles.

I always recommend new fitness professionals look at getting multiple certifications as it gives you more tools in your belt. In the case of personal training, facilities are more likely to hire trainers who also have a qualification from one of the nutrition certification programs in addition to exercise. Any exercise therapist will greatly benefit from knowing a bit about personal training.

Normally that would be expensive, but ISSA has an Elite Trainer package that is quite reasonable, where you could get their exercise therapist cert alongside two others.

Make sure to double check that the offer is still running; if it is, it’s certainly a steal.

I also have complete coverage of the ISSA CPT program in my review.

ACE Medical Exercise Specialist

The American Council on Exercise is one of the most established health and fitness institutes in the world.

With a legacy spanning over 30 years and a strong reputation in the fitness industry, an ACE certification is sure to get a foot in the door.

ACE is a non-profit organization that focuses on promoting public health initiatives primarily through movement.

They believe that by supplying the fitness industry with trainers that hold their principles in relation to promoting public health, they can turn the tide on many of the issues facing America’s increasingly sedentary.

AFPA Post Rehab Exercise Specialist

AFPA is the American Fitness Professionals Association.

It is a reputable cert agency with skin in the game and a plethora of specialist certifications on offer.

Its mission is to continually advance the quality and quantity of competent fitness professionals in the industry.

Their Post Rehab Exercise Specialist certification will be a true test of how they live up to that ethos.

ACSM Exercise Physiologist

The American College of Sports Medicine has established itself as the leader in research and academic resources when it comes to exercise and sports science in America.

Their pioneering legacy is so revered that they often provide research and knowledge for the curricula of many top certifying agencies.

They are well known as a gold standard cert and a prestigious one at that, often attracting established trainers who want to upskill with something more substantial rather than simply learning how to become a personal trainer.

The Exercise physiologist cert they offer might be an exemplary way to take on that career path.

METI Post Rehab Conditioning Specialist

A subsidiary of AAHFRP or the American Academy of Health, Fitness, and Rehab Professionals, the Medical Exercise Training has been in business for over 20 years.

It is a specialist institute aimed at bridging the gap between medicine and fitness, something that perfectly exemplifies the plight of an exercise therapist.

On paper, METI looks like the most relevant and most comprehensive approach if you want to become a skilled and astute exercise therapist, but we’ll figure out how true that is as we go through it.

What Is “Exercise Therapy”?

First things first, let’s define exercise therapy.

Before we go too deep, I have an entire article dedicated to this topic which you must check out, so this will just be a summarized description.

As you can pick up from the name, exercise therapy is a form of fitness instruction with a therapeutic goal in mind.

This usually means exercise with a corrective or rehabilitative goal in mind.

Exercise therapy becomes necessary for people who are recovering from illness or injury as well as those with chronic conditions that limit functionality and people with disabilities.

Not to be confused with physical therapy or physiotherapy, which are medical practices, exercise therapy is simply personal training focusing on the recovery of function.

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That’s why an exercise therapist title can be earned through certification, while physiotherapy requires a degree and years of training.

How to Become A Certified Exercise Therapist

Becoming an exercise therapist means gaining a specialized skill, and the best way to authentically proclaim a specialized skill is to hold a specialized certification.

But before we delve into each of the certs I’ll be reviewing, let’s take a look at the steps you’ll have to go through to get there.

Step 1: Develop a passion for Exercise

To be a successful exercise therapist, you need to develop or have an established passion for therapeutic exercise.

And to have a passion for exercise, you’ll need to be passionate about fitness.

This will lead you down a natural path of discovery where you’ll be able to take your interest and learn all the intricacies that factor in when engaging in exercise for therapeutic reasons.

You also need to understand what exercise therapy is and what it isn’t.

I’ve already drawn a line between exercise therapy and physical therapy, but just to make it clear, the latter is a form of medical practice where the therapist in question takes a hands-on approach.

A physical therapist or physiotherapist is licensed to deliver both diagnosis and prognosis as well as perform therapeutic procedures such as deep tissue massage and dry needling/acupuncture.

An exercise therapist is a fitness professional qualified to work with the diagnosis and prognosis as supplied by a physiotherapist and develop exercise programs and training programs in accordance with a healthcare diagnosis.

Step 2: Determine Your Prerequisites

Nearly every academic program has a set of criteria that willing candidates must meet in order to gain entrance.

In the case of fitness certifications, the entry requirements typically arent that strict.

You’re usually just required to be at least 18 and have a high school diploma.

In this case, as you’ll soon learn, the prerequisites for the certifications I’ll be showcasing include needing to have graduated in an exercise science-related degree program.

That means you’ll need to have gone to college or university before taking on any of these certs.

While I did state that the depth of practice is not as strict as physiotherapy, it is still a very meticulous practice and requires you to have an astute knowledge of exercise principles.

Step 3: Find the Exercise Therapy Certification for YOU

The certification programs I’ll be putting under review are:

  • AFPA Post Rehab Exercise Specialist
  • METI Post Rehab Conditioning Specialist
  • ISSA Exercise Therapist Certification
  • ACE Medical Exercise Specialist
  • ACSM Certified Exercise Physiologist

These five certifications are the best, in my opinion, and each has different things to offer.

So while my review will end with an overall winner, the best cert is the one that fits your profile, objectives, and circumstances.

For instance, your budget might not allow you to go for the most expensive certification, or you might want to focus on a certain specific aspect of exercise therapy, such as corrective exercise.

I’ll help you analyze each cert so you can figure out which one suits you best.

Step 4: Prepare for Your Certification Exam & Pass!

Once you’ve locked in on a particular certification, it’s time to get cracking and get certified.

PT Pioneer is all about lending you a helping hand when it comes to nailing your certs and getting that certification with relative ease.

And one thing that will count a lot towards that goal is your study materials.

Of course, your level of focus, dedication, and discipline are huge factors, but a good driver won’t go anywhere without a decent car.

Your study materials are that car.

With a decent suite of study materials and a good work ethic, you’ll be on course to ace the final exam and scoop up that certification.

This is another topic I’m going to tackle cert by cert, so stay tuned for more.

Step 5: Start Exercise Therapy Clients

Since those seeking exercise frequently feature therapy can be deemed as part of a sensitive population group, your client prospects won’t be as direct to come by.

You’ll likely gain many of your clients from those in the restorative or therapeutic sports medicine field.

For instance, you’ll be getting referrals from biokinetics and physiotherapists/physical therapists who will pass their clients/patients on to you for a suitable exercise program.

This means your career, especially in the initial phase, will be reliant and networking and referral building.

Because of that, the job of an exercise therapist leans heavily on who you know and what connections you can build.

You can begin by meeting and building relationships with people in the sports medicine and exercise science industry.

You can also take advantage of the numerous post-certification career resources many of the certs I’ll be discussing come with.

These often include job placement or recruitment listing within the exercise therapy sector. 


Accreditation is a big deal and should be one of the first things you consider when it comes to certification.

In fact, I would say it’s the first thing to consider when looking at certifications.

That’s because accreditation is a seal of approval and a symbol of authenticity awarded by the highest authorities in educational quality assessment.

Accreditation lets you know that the way an educational product or service is set up and administered is consistent with industry and community standards.

It also lets you know that the information, knowledge, and practical skills contained in the curriculum meet all the academic and research standards of the day.

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What you’re being taught needs to be based on scientifically sound evidence, and nothing less will cut it.

So who does the accrediting?

There are several bodies or commissions that offer accreditation across different types of institutions and specialist qualifications.

However, when it comes to fitness certifications, we mainly deal with two accrediting commissions.

Those are the NCCA or National Commission for Certifying Agencies and the DEAC or Distance Education Accrediting Commission.

The NCCA is the most common accreditation when it comes to fitness cert agencies in the states.

DEAC isn’t as common but is just as relevant.

Now that you have the low-down on accreditation, let’s see which commission accredits which agency:

ACE Medical Exercise SpecialistNCCA
ACSM Exercise PhysiologistNCCA
AFPA Post Rehab Exercise SpecialistNBHWC
ISSA Exercise TherapistDEAC
METI Post Rehab Conditioning SpecialistNONE

From our list of five, we have two certs accredited by the NCCA, making it the accrediting commission with the most stamps as expected.

Next, we have ISSA is accredited by the DEAC.

ISSA has led the charge for distance-based learning in fitness since its inception.

Since acquiring NCCPT, another certifying agency, ISSA does offer some NCCA accredited courses.

That isn’t the case with their Exercise Therapy certification, however.
AFPA isn’t accredited by the traditional commissions but is instead endorsed by the NBHWC or the National Board for Health & Wellness Coaches.

This board was established in 2012 and mandated itself to help push the standards in the health and fitness coaching industry.

It’s a reasonable endorsement, but one that only looks at the content of the courses on offer and not one that hones in on how they are administered.

METI has no accreditation as of writing, but It does have a firm reputation within the medical community.
Regardless, the lack of accreditation marks it down, meaning METI is the loser in this category, while ACE, ACSM, and ISSA make it through.

Study Materials Rating

Study materials are the bread and butter of any certification.

You need them to, well, study.

But the availability of study materials is only worth their quality and good quality study materials are there to inform, guide, and structure your learning experience.

Things I typically look for in study materials are:

  • The course textbook/manual
  • A workbook or study guide
  • Practice tests, mock exams, or quizzes
  • Multimedia learning material
  • Student support

A study package with all these and more included usually satisfies my standards.

Another thing I look out for is how many options a course has in terms of study packages.

A course with multiple options, all with varying amounts of study materials, can make for a better choice than one with limited options.

It can cater to all budgets and learning levels.

I will be rating each Exercise Therapy course out of 10 based on what materials are available and the number of package options.

CertificationStudy Material Rating (out of 10)
ACE Medical Exercise Specialist9
ACSM Exercise Physiologist7
AFPA Post Rehab Exercise Specialist9
ISSA Exercise Therapist8
METI Post Rehab Conditioning Specialist7

ACE has a robust offering with all the bells and whistles you could hope for in a solid study package.

On top of that, they also have a choice between two options, and both of them are pretty comprehensive.

What really did it for me was the availability of hard copy study materials in the more expensive option.

I love having a physical book on hand. It allows me to highlight and bookmark important concepts pages and chapters.

AFPA has a similar offering when it comes to the depth of study materials and selection of packages.

For a lesser-known certification, I’m quite pleased with what you get in the box here.

ISSA has a decent study package; it takes the approach of trimming the fat since too many materials can lead to confusion. ISSA also is one of the best options when it comes to online personal trainer certifications and the case is true here as well.

They do a good job of getting to the point and even provide a guided study template.

ISSA does, however, fall short when it comes to variety as they only have one package on offer.

ACSM and METI bring up the rear with what I consider the most lackluster packages.

METI does bring most of the essentials, but not all of them, and only appears in one package.

ACSM doesn’t provide any required resources with the course purchase, meaning you have to make separate purchases for the course text and other essential material.

This can be confusing if you don’t yet know what you’ll need to know.

ACSM would have scored lower were it not for the weight their name holds.

Senior Fitness Certification Cost

Cost is an important factor, it can inform you of the quality of what you’re paying for, and it can also influence what you are capable of paying for.

In this category, I’ll be isolating cost from other value indicators, which means the cheapest wins.

Ultimately, it’s the course that presents the best value for money that wins, but that will be factored in by the end of this article.

CertificationCost of certification/qualification
ACE Medical Exercise Specialist$799.00/$599.00
ACSM Exercise Physiologist$349.00/$279.00
AFPA Post Rehab Exercise Specialist$649.00/$549.00
ISSA Exercise Therapist$799.00
METI Post Rehab Conditioning Specialist$597.00

ISSA and ACE, the two most popular certifying agencies in this list, are also the most expensive, fittingly enough.

This means they lose this round.

ACSM, also quite popular and widely revered, is the most affordable option with a non-members price of $349.00 and a member’s price of $279.00.

Speaking of which, ACSM’s costs are dependant on whether or not you’re a paying member of the institute.

Popularity and Recognition Rating

Popularity and recognition let you know what sort of reputation a cert has in the industry.

That, in turn, informs you on whether it’s a good certification to get and how well you can leverage it for job opportunities.

You can think of popularity and recognition in the same way as how a degree from an Ivy League college would court more attention and opportunity than a lesser-known institute like a community college.

To give a good idea of popularity and recognition, I will be giving each cert a rating out of 10

CertificationIndustry Recognition Rating
ACE Medical Exercise Specialist10
ACSM Exercise Physiologist9
AFPA Post Rehab Exercise Specialist8
ISSA Exercise Therapist10
METI Post Rehab Conditioning Specialist7

ACE and ISSA are, without a doubt, the most popular certifications here.

They have a heritage and track record that has built each of them a stellar reputation in the world of health and fitness credentials.

Therefore holding an ACE or ISSA certification is sure to get you noticed.

ACSM is a highly regarded institution within the health and fitness fraternity, but to the general public, it’s not so much of a household name compared to ISSA and ACE.

It’s still a great choice and will get you the nod from most fitness professionals.

METI is the newest and least popular of the bunch.

Having being established in 1994, METI is the newest cert agency on the block, so it still has a ways to go before establishing prominence and being a good way to get a foot in the door.

Certification Takeaway

ACE Medical Exercise Specialist

ACE has a powerful name behind it as well as top-notch study materials and an NCCA accreditation. It is, however, tied for the most expensive, but also has a cheaper package option.

I’ll give ACE a 9 out of 10!

ACSM Exercise Physiologist

ACSM is a stalwart in the health and fitness industry, and this exercise physiologist program proves it.

The only drawback is that they don’t provide a consolidated study package but instead require you to purchase materials separately.

8 out of 10!

AFPA Senior Fitness Specialist

AFPA has a good depth of study resources and presents a decent curriculum.

The price is a bit steep considering it’s not a very popular cert and based on candidate feedback, sufferers from technical irregularities when it comes to online content.

AFPA gets 7 out of 10!

ISSA Exercise Therapist

ISSA meets the standard when it comes to good study materials. 

The only shortcoming is that the study package is the priciest, and there are no options for different packages.

Regardless, ISSA has a big name that you can leverage and has less stringent prerequisites than the other exercise therapist certs.

9 out of 10!

METI Post Rehab Conditioning Specialist

METI brings a decent certification to the table when it comes to the information and practical resources presented.

It’s also reasonably priced and has some backing in the medical industry.

However, it is little known and not accredited; that’s a 7 out of 10 from me.

Frequently Asked Questions


Tyler Read

Tyler Read, BSc, CPT. Tyler holds a B.S. in Kinesiology from Sonoma State University and is a certified personal trainer (CPT) with NASM (National Academy of sports medicine), and has over 15 years of experience working as a personal trainer. He is a published author of running start, and a frequent contributing author on Healthline and Eat this, not that.

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