DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
PHYSICAL THERAPY – GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16141, 16145, 16148, 16174, 16201, 16204, 16205, 16206, 16215,  
16287, and 17823 of the public health code, 1978 PA 368, MCL 333.16141, 333.16145,  
333.16148, 333.16174, 333.16201, 333.16204, 333.16205, 333.16206, 333.16215,  
333.16287, and 333.17823 and Executive Reorganization Order Nos. 1991-9, 1996-2,  
2003-1 and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)  
R 338.7101 Rescinded.  
History: 1983 AACS; 1991 AACS; 2009 AACS; 2010 AACS.  
R 338.7102 Rescinded.  
History: 1983 AACS; 2009 AACS; 2010 AACS.  
R 338.7103 Rescinded.  
History: 1983 AACS; 2009 AACS; 2010 AACS.  
R 338.7104 Rescinded.  
History: 1983 AACS; 1991 AACS; 1998-2000 AACS; 2009 AACS; 2010 AACS.  
R 338.7105 Rescinded.  
History: 1983 AACS; 1991 AACS; 2009 AACS; 2010 AACS.  
R 338.7106 Rescinded.  
History: 1983 AACS; 1991 AACS.  
R 338.7107 Rescinded.  
History: 1983 AACS; 1991 AACS; 1995 AACS; 2009 AACS; 2010 AACS.  
Page 1  
R 338.7107a Rescinded.  
History: 1995 AACS; 1998-2000 AACS; 2009 AACS; 2010 AACS.  
R 338.7107b Rescinded.  
History: 2009 AACS; 2010 AACS.  
R 338.7108 Rescinded.  
History: 1983 AACS; 1991 AACS; 2009 AACS.  
R 338.7109 Rescission.  
Rule 9. R 338.1131 to R 338.1151 of the Michigan Administrative Code, appearing  
on pages 2469 to 2472 of the 1979 Michigan Administrative Code, are rescinded.  
History: 1983 AACS.  
R 338.7110 Rescinded.  
History: 1991 AACS; 1995 AACS; 2009 AACS; 2010 AACS.  
R 338.7111 Rescinded.  
History: 2009 AACS; 2010 AACS.  
R 338.7112 Rescinded.  
History: 2009 AACS; 2010 AACS.  
R 338.7113 Rescinded.  
History: 2009 AACS; 2010 AACS.  
R 338.7114 Rescinded.  
History: 2009 AACS; 2010 AACS.  
Page 2  
PART 1. DEFINITIONS  
R 338.7121 Definitions.  
Rule 21. (1) As used in these rules:  
(a) “Board” means the Michigan board of physical therapy created under section  
17821 of the code, MCL 333.17821.  
(b) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(c) “Department” means the Michigan department of licensing and regulatory affairs.  
(d) “Patient or client of record” means a patient or client who is receiving physical  
therapy services from a licensed physical therapist or from a licensed physical therapist  
assistant under the direction and supervision of a physical therapist.  
(2) A term defined in the code has the same meaning when used in these rules.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
PART 2. GENERAL PROVISIONS  
R 338.7122 Prescription.  
Rule 22. (1) As used in these rules, a prescription is a written or electronic order for  
physical therapy. A prescription must include all the following information:  
(a) The name of the patient.  
(b) The patient's medical diagnosis.  
(c) The signature of either an individual who is licensed and authorized to prescribe  
physical therapy in Michigan or an individual who holds the equivalent license issued by  
another state, as provided in section 17820(1) of the code, MCL 333.17820.  
(d) The date that the authorized licensee wrote the prescription.  
(2) A prescription is valid for 90 days from the date that the authorized licensee writes  
the prescription unless the termination date is otherwise specified by the authorized  
licensee on the prescription.  
History: 2010 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7123 Rescinded.  
History: 2010 AACS; 2015 AACS.  
R 338.7124 Rescinded.  
History: 2010 AACS; 2019 AACS.  
Page 3  
R 338.7125 Rescinded.  
History: 2010 AACS; 2015 AACS.  
R 338.7126 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 26. (1) Under section 16148 of the code, MCL 333.16148, an individual seeking  
licensure or who is licensed shall complete training in identifying victims of human  
trafficking that satisfies all the following standards:  
(a) Training content must cover all the following:  
(i) Understanding the types and venues of human trafficking in the United States.  
(ii) Identifying victims of human trafficking in health care settings.  
(iii) Identifying the warning signs of human trafficking in health care settings for  
adults and minors.  
(iv) Resources for reporting the suspected victims of human trafficking.  
(b) Acceptable providers or methods of training include any of the following:  
(i) Training offered by a nationally recognized or state-recognized, health-related  
organization.  
(ii) Training offered by, or in conjunction with, a state or federal agency.  
(iii) Training obtained in an educational program approved for initial licensure, or by  
a college or university.  
(iv) Reading an article related to the identification of victims of human trafficking  
that satisfies the requirements of subdivision (a) of this subrule and is published in a peer  
review journal, health care journal, or professional or scientific journal.  
(c) Acceptable modalities of training include any of the following:  
(i) Teleconference or webinar.  
(ii) Online presentation.  
(iii) Live presentation.  
(iv) Printed or electronic media.  
(2) The department may select and audit a sample of individuals and request  
documentation of proof of completion of training. If audited by the department, an  
individual shall provide an acceptable proof of completion of training, including either of  
the following:  
(a) Proof of completion certificate issued by the training provider that includes the  
date, provider name, name of training, and individual’s name.  
(b) A self-certification statement by an individual. The certification statement must  
include the individual’s name and either of the following:  
(i) For training completed under subrule (1)(b)(i) to (iii) of this rule, the date, training  
provider name, and name of training.  
(ii) For training completed under subrule (1)(b)(iv) of this rule, the title of article,  
author, publication name of peer review journal, health care journal, or professional or  
scientific journal, and date, volume, and issue of publication, as applicable.  
(3) Under section 16148 of the code, MCL 333.16148, the requirements specified in  
subrule (1) of this rule apply for license renewals beginning with the 2017 renewal cycle  
and for initial licenses issued beginning January 6, 2022.  
Page 4  
History: 2017 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7127 Telehealth.  
Rule 27. (1) A licensee shall obtain consent for treatment before providing a telehealth  
service under section 16284 of the code, MCL 333.16284.  
(2) A licensee shall keep proof of consent for telehealth treatment in the patient’s up-to-  
date medical record and follow section 16213 of the code, MCL 333.16213.  
(3) A licensee providing any telehealth service shall do both of the following:  
(a) Act within the scope of the licensee’s practice.  
(b) Exercise the same standard of care applicable to a traditional, in-person health care  
service.  
History: 2022 MR 4, Eff. Feb. 22, 2022.  
PART 3. PHYSICAL THERAPISTS  
R 338.7131 Program accreditation standards; physical therapist; adoption of  
standards by reference.  
Rule 31. (1) The standards and evaluative criteria for accreditation of physical therapist  
educational programs set forth by the Commission on Accreditation in Physical Therapy  
Education (CAPTE) in the document entitled “PT Standards and Required Elements”  
effective January 1, 2016 are adopted by reference in these rules. Copies of the evaluative  
criteria are available, at no cost, from CAPTE, 1111 North Fairfax St., Alexandria,  
of the evaluative criteria also are available for inspection and distribution at a cost of 10  
cents per page from the Board of Physical Therapy, Bureau of Professional Licensing,  
Department of Licensing and Regulatory Affairs, 611 West Ottawa, P.O. Box 30670,  
Lansing, Michigan 48909.  
(2) Any educational program for physical therapists accredited by CAPTE satisfies the  
qualifications for an approved physical therapist educational program.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7132 Licensure by examination; physical therapist; requirements.  
Rule 32. An applicant for a physical therapist license by examination shall provide the  
required fee and a completed application on a form provided by the department. In  
addition to satisfying the requirements of the code and these rules, an applicant shall  
satisfy all the following requirements:  
(a) Graduate from an accredited physical therapist educational program that satisfies  
the standards under R 338.7131.  
(b) Pass the National Physical Therapy Examination (NPTE) for physical therapists  
required under R 338.7133(1).  
Page 5  
(c) Achieve a converted score of not less than 75 on the Michigan Physical Therapist  
Jurisprudence Exam required under R 338.7133(2).  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7133 Examinations; physical therapist; adoption and approval.  
Rule 33. (1) The board approves and adopts the NPTE for physical therapists  
developed, administered, and scored by the Federation of State Boards of Physical  
Therapy (FSBPT). The board adopts the passing score recommended by FSBPT.  
(2) The board approves the Michigan Physical Therapist Jurisprudence Exam on laws  
and rules related to the practice of physical therapy in Michigan, which is administered  
by a third party approved by the department.  
History: 2010 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7134 Physical therapist examination; eligibility.  
Rule 34. (1) To be eligible for the NPTE for physical therapists, an applicant shall  
satisfy 1 of the following requirements:  
(a) Graduate from an accredited physical therapist educational program that satisfies  
the standards under R 338.7131.  
(b) Satisfy the requirements under R 338.7135.  
(c) Verify current enrollment in the final semester, term, or quarter of an approved  
physical therapist educational program and expected date of graduation.  
(2) An applicant who fails to achieve passing scores on the examinations required under  
R 338.7133 may retake the Michigan Physical Therapist Jurisprudence Exam without  
limitation and the NPTE for physical therapists consistent with the FSBPT testing  
standards. An applicant requesting an appeal of the 6-time lifetime limit policy or the 2  
very low scores policy shall complete the following requirements before the board will  
consider the request. The department shall reject a request to the board if the applicant  
does not provide all the following information in writing:  
(a) A completed NPTE Appeal form, which includes the information under  
subdivisions (b) to (j) of this subrule.  
(b) The candidate’s name.  
(c) Whether the request relates to the physical therapy or physical therapy assistant  
examination level.  
(d) Whether the 6-time lifetime limit policy or the 2 very low scores policy is being  
appealed.  
(e) The state where the applicant is seeking licensure.  
(f) The reason for the appeal, including why the applicant believes the 6-time lifetime  
limit policy or the 2 very low scores policy should not apply to the applicant.  
(g) A list of all physical therapist or physical therapist assistant examination level  
examinations taken by the applicant, including the date of the examinations, province or  
state where taken, and the scores on the examinations.  
Page 6  
(h) A list of any disciplinary action taken against the applicant by the FSBPT or by a  
province of Canada or another state, including the date, the province or state, and an  
explanation of the circumstances surrounding the discipline.  
(i) The applicant’s signature.  
(j) The date the applicant completed the form.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7135 Graduate of non-accredited postsecondary institution; physical  
therapist; examination; eligibility.  
Rule 35. To be eligible for the NPTE for physical therapists, an applicant who  
graduated from a non-accredited physical therapist educational program shall verify  
completion of a physical therapist educational program that is substantially equivalent to  
a physical therapist program that is accredited by CAPTE, as provided under R 338.7131.  
Proof of having completed a substantially equivalent physical therapist educational  
program must include an evaluation of the applicant's non-accredited education through  
an evaluation that uses the current FSBPT Coursework Tool for Foreign Educated  
Physical Therapists.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7136 Licensure by endorsement of physical therapist; requirements.  
Rule 36. (1) An applicant for a physical therapist license by endorsement who satisfies  
the requirements of the code and this rule satisfies the requirements of section 16186 of  
the code, MCL 333.16186. The department shall issue a physical therapist license to an  
applicant who satisfies all the following requirements:  
(a) Provides the required fee and a completed application on a form provided by the  
department.  
(b) Holds a current physical therapist license in another state or in a province of  
Canada.  
(c) Completed the educational requirements for a physical therapist license in another  
state or province of Canada to obtain licensure as a physical therapist in a province of  
Canada or another state.  
(d) Received a passing score on either of the following examinations for a physical  
therapist license in another state or province of Canada to obtain licensure as a physical  
therapist in a province of Canada or another state:  
(i) The NPTE for physical therapists required under R 338.7133(1).  
(ii) The Physiotherapy Competency Examination (PCE).  
(e) Passed the Michigan Physical Therapist Jurisprudence Exam required under R  
338.7133(2).  
(2) An applicant who is or has been licensed, registered, or certified in a health  
profession or specialty by any other state, the United States military, the federal  
government, or another country shall disclose that fact on the application form. The  
applicant shall satisfy the requirements of section 16174(2) of the code, MCL 333.16174,  
which includes verification from the issuing entity showing that disciplinary proceedings  
Page 7  
are not pending against the applicant and sanctions are not in force at the time of  
application. If licensure is granted and it is determined that sanctions have been imposed,  
the disciplinary subcommittee may impose appropriate sanctions under section 16174(5)  
of the code, MCL 333.16174.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7137 Requirements for relicensure; physical therapist.  
Rule 37. (1) An applicant may be relicensed within 3 years after the expiration date of  
the license under section 16201(3) of the code, MCL 333.16201, if the applicant satisfies  
all the following requirements:  
(a) Provides the required fee and a completed application on a form provided by the  
department.  
(b) Establishes good moral character as defined under section 1 of 1974 PA 381, MCL  
338.41.  
(c) Passes the Michigan Physical Therapist Jurisprudence Exam required under R  
338.7133(2).  
(d) Complies with either of the following:  
(i) Provides proof to the department of accumulating not less than 24 professional  
development requirement (PDR) credits consistent with R 338.7161 to R 338.7165  
during the 2 years immediately preceding the date of the application for relicensure.  
However, if the PDR credit hours provided with the application are deficient, the  
applicant shall have 2 years from the date of the application to complete the deficient  
credits.  
(ii) Establishes employment as a physical therapist in another jurisdiction recognized  
by FSBPT for a minimum of 500 hours during the 2-year period immediately preceding  
the date of application for relicensure.  
(2) An applicant may be relicensed more than 3 years after the expiration date of the  
license under section 16201(4) of the code, MCL 333.16201, if the applicant satisfies all  
the following requirements:  
(a) Provides the required fee and a completed application on a form provided by the  
department.  
(b) Establishes good moral character as defined under section 1 of 1974 PA 381, MCL  
338.41.  
(c) Provides fingerprints as required under section 16174(3) of the code, MCL  
333.16174.  
(d) Passes the Michigan Physical Therapist Jurisprudence Exam required under R  
338.7133(2).  
(e) Complies with either of the following:  
(i) Establishes employment as a physical therapist in another jurisdiction recognized  
by FSBPT for a minimum of 500 hours during the 2-year period immediately preceding  
the date of application for relicensure.  
(ii) Passes the NPTE for physical therapists required under R 338.7133(1).  
(3) An applicant who is or has been licensed, registered, or certified in a health  
profession or specialty by any other state, the United States military, the federal  
government, or another country shall disclose that fact on the application form. The  
Page 8  
applicant shall satisfy the requirements of section 16174(2) of the code, MCL 333.16174,  
which includes verification from the issuing entity showing that disciplinary proceedings  
are not pending against the applicant and sanctions are not in force at the time of  
application. If licensure is granted and it is determined that sanctions have been imposed,  
the disciplinary subcommittee may impose appropriate sanctions under section 16174(5)  
of the code, MCL 333.16174.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7138 Delegation of acts, tasks, or functions to a physical therapist assistant;  
supervision of physical therapist assistant; requirements.  
Rule 38. (1) A physical therapist who delegates the performance of selected acts, tasks,  
or functions to a physical therapist assistant as permitted under section 16215 of the code,  
MCL 333.16215, shall supervise the physical therapist assistant consistent with section  
16109(2) of the code, MCL 333.16109, and satisfy the requirements of this rule.  
(2) A physical therapist who delegates acts, tasks, or functions under this rule shall also  
satisfy all the following:  
(a) Ensure the qualifications of the physical therapist assistant under the physical  
therapist's supervision, including verification of the physical therapist assistant's training,  
education, and licensure.  
(b) Examine and evaluate the patient or client before delegating acts, tasks, or  
functions performed by a physical therapist assistant.  
(c) Provide predetermined procedures and protocols for delegated acts, tasks, or  
functions.  
(d) Maintain a record of the names of the physical therapist assistants to whom acts,  
tasks, or functions are delegated.  
(e) Monitor a physical therapist assistant's practice and provision of assigned physical  
therapy acts, tasks, or functions.  
(f) Meet regularly with the physical therapist assistant to whom acts, tasks, or  
functions have been delegated to evaluate the assistant's performance, review records,  
and educate the physical therapist assistant on the acts, tasks, or functions that have been  
delegated.  
(3) A physical therapist shall not supervise more than 4 physical therapist assistants at  
the same time.  
History: 2010 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7139 Delegation of acts, tasks, or functions to a licensed or unlicensed  
individual; direct supervision of a licensed or unlicensed individual; requirements.  
Rule 39. (1) Under section 16215(6) of the code, MCL 333.16215, the requirements of  
this rule do not apply to a physical therapist who delegates to a physical therapist  
assistant if the physical therapist satisfies the requirements for delegation to a physical  
therapist assistant under R 338.7138.  
(2) Except as provided under subrule (1) of this rule, a physical therapist who delegates  
the performance of selected acts, tasks, or functions to a licensed or unlicensed individual  
Page 9  
under section 16215 of the code, MCL 333.16215, shall supervise the individual under  
section 16109(2) of the code, MCL 333.16109, in addition to providing direct supervision  
of the individual. As used in this rule, "direct supervision" means that the physical  
therapist is physically present and immediately available for direction and supervision  
when patients or clients are present at the time the act, task, or function is performed, and  
that the physical therapist has direct contact with the patient or client during each visit.  
(3) A physical therapist who delegates acts, tasks, or functions under subrule (2) of this  
rule shall also satisfy all the following:  
(a) Ensure the qualifications of the individual under the physical therapist's direct  
supervision, including verification of the individual's training and education.  
(b) Examine and evaluate the patient or client before delegating acts, tasks, or  
functions performed by the individual.  
(c) Directly supervise the individual to whom acts, tasks, or functions are delegated.  
(d) Provide predetermined procedures and protocols for acts, tasks, or functions  
delegated.  
(e) Maintain a record of the names of the individuals to whom acts, tasks, or functions  
are delegated.  
(f) Monitor the individual's practice and provision of assigned acts, tasks, or functions.  
(g) Meet regularly and in person with the individual to whom acts, tasks, or functions  
have been delegated to evaluate the individual's performance, review records, and  
educate the individual on the acts, tasks, or functions that have been delegated.  
(4) A physical therapist shall not supervise more than 3 individuals under this rule at  
the same time.  
(5) Under section 16171 of the code, MCL 333.16171, the requirements of subrule  
(3)(b) of this rule do not apply to a student enrolled in an accredited physical therapist or  
physical therapist assistant educational program approved by the board.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
PART 4. PHYSICAL THERAPIST ASSISTANTS  
R 338.7141 Program accreditation standards; physical therapist assistant; adoption  
of standards by reference.  
Rule 41. (1) The standards and evaluative criteria for accreditation of physical therapist  
assistant educational programs set forth by CAPTE in the document entitled “PTA  
Standards and Required Elements” effective January 1, 2016 are adopted by reference in  
these rules. Copies of the evaluative criteria are available at no cost from CAPTE, 1111  
North Fairfax St., Alexandria, Virginia 22314-1488 and on CAPTE’s website at  
inspection and distribution at a cost of 10 cents per page from the Board of Physical  
Therapy, Bureau of Professional Licensing, Department of Licensing and Regulatory  
Affairs, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan 48909.  
(2) Any educational program for physical therapist assistants accredited by CAPTE  
satisfies the qualifications for an approved physical therapist assistant educational  
program.  
Page 10  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7142 Licensure by examination; physical therapist assistant; requirements.  
Rule 42. (1) An applicant for a physical therapist assistant license by examination shall  
provide the required fee and a completed application on a form provided by the  
department. In addition to satisfying the requirements of the code and these rules, an  
applicant shall satisfy all the following requirements:  
(a) Graduate from an accredited physical therapist assistant educational program that  
satisfies the standards under R 338.7141.  
(b) Pass the NPTE for physical therapist assistants required under R 338.7145(1).  
(c) Achieve a converted score of not less than 75 on the Michigan Physical Therapist  
Assistant Jurisprudence Exam required under R 338.7145(2).  
(2) An applicant who graduated on or before January 1, 2008, from an accredited  
educational program that satisfies the standards under R 338.7141 is presumed to satisfy  
the requirements of this rule.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7143 Rescinded.  
History: 2010 AACS; 2015 AACS.  
R 338.7144 Rescinded.  
History: 2010 AACS; 2015 AACS.  
R 338.7145 Examinations; physical therapist assistant; adoption and approval;  
passing score.  
Rule 45. (1) The board approves and adopts the NPTE for physical therapist assistants  
developed, administered, and scored by FSBPT. The board adopts the passing score  
recommended by FSBPT.  
(2) The board approves the Michigan Physical Therapist Assistant Jurisprudence Exam  
on laws and rules related to the practice of physical therapy in Michigan, which is  
administered by a third party approved by the department.  
History: 2010 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7146 Physical therapist assistant examination; eligibility.  
Rule 46. (1) To be eligible for the NPTE for physical therapist assistants, an applicant  
shall satisfy 1 of the following requirements:  
Page 11  
(a) Graduate from an accredited physical therapist assistant educational program that  
satisfies the standards under R 338.7141.  
(b) Satisfy the requirements under R 338.7147.  
(c) Verify current enrollment in the final semester, term, or quarter of an approved  
physical therapist assistant educational program and expected date of graduation.  
(2) An applicant who fails to achieve passing scores on the examinations required under  
R 338.7145(1) and (2) may retake the Michigan Physical Therapist Assistant  
Jurisprudence Exam without limitation and the NPTE for physical therapist assistants  
consistent with the FSBPT testing standards. An applicant requesting an appeal of the 6-  
time lifetime limit policy or the 2 very low scores policy shall complete the following  
requirements before the board will consider the request. The department shall reject a  
request to the board if the applicant does not provide all the following information in  
writing:  
(a) A completed NPTE Appeal form, which includes the information under  
subdivisions (b) through (j) of this subrule.  
(b) The candidate’s name.  
(c) Whether the request relates to the physical therapy or physical therapy assistant  
examination level.  
(d) Whether the 6-time lifetime limit policy or the 2 very low scores policy is being  
appealed.  
(e) The state where the applicant is seeking licensure.  
(f) The reason for the appeal, including why the applicant believes the 6-time lifetime  
limit policy or the 2 very low scores policy should not apply to the applicant.  
(g) A list of all physical therapist or physical therapist assistant examination level  
examinations taken by the applicant, including the date of the examinations, province or  
state where taken, and the scores on the examinations.  
(h) A list of any disciplinary action taken against the applicant by the FSBPT or by a  
province of Canada or another state, including the date, the province or state, and an  
explanation of the circumstances surrounding the discipline.  
(i) The applicant’s signature.  
(j) The date the applicant completed the form.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7147 Graduate of non-accredited postsecondary institution; physical  
therapist assistant; examination; eligibility.  
Rule 47. To ensure eligibility for examination, an applicant who graduated from a  
United States military or non-accredited physical therapist assistant educational program  
shall provide the required fee and a completed application on a form provided by the  
department. To be eligible for examination, an applicant shall verify completion of a  
physical therapist or physical therapist assistant educational program that is substantially  
equivalent to a physical therapist assistant program that is accredited by CAPTE, as  
provided under R 338.7141. Proof of having completed a substantially equivalent  
physical therapist assistant educational program must include an evaluation of the  
applicant's non-accredited education through an evaluation that uses the current FSBPT  
Coursework Tool for Foreign Educated Physical Therapist Assistants.  
Page 12  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7148 Licensure by endorsement of physical therapist assistant; requirements.  
Rule 48. (1) An applicant for a physical therapist assistant license by endorsement who  
satisfies the requirements of the code and this rule satisfies the requirements of section  
16186 of the code, MCL 333.16186. The department shall issue a physical therapist  
assistant license to an applicant who satisfies all the following requirements:  
(a) Provides the required fee and a completed application on a form provided by the  
department.  
(b) Holds a current physical therapist assistant license in another state or in a province  
of Canada.  
(c) Completed the educational requirements for a physical therapist assistant license in  
another state or province of Canada to obtain licensure as a physical therapist assistant in  
a province of Canada or another state.  
(d) Received a passing score on the NPTE for physical therapist assistants required  
under R 338.7145(1) for a physical therapist assistant license in another state or province  
of Canada to obtain licensure as a physical therapist assistant in a province of Canada or  
another state.  
(e) Passed the Michigan Physical Therapist Assistant Jurisprudence Exam required  
under R 338.7145(2).  
(2) An applicant who is or has been licensed, registered, or certified in a health  
profession or specialty by any other state, the United States military, the federal  
government, or another country shall disclose that fact on the application form. The  
applicant shall satisfy the requirements of section 16174(2) of the code, MCL 333.16174,  
which includes verification from the issuing entity showing that disciplinary proceedings  
are not pending against the applicant and sanctions are not in force at the time of  
application. If licensure is granted and it is determined that sanctions have been imposed,  
the disciplinary subcommittee may impose appropriate sanctions under section 16174(5)  
of the code, MCL 333.16174.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7149 Requirements for relicensure; physical therapist assistant.  
Rule 49. (1) An applicant may be relicensed within 3 years after the expiration date of  
the license under section 16201(3) of the code, MCL 333.16201, if the applicant satisfies  
all the following requirements:  
(a) Provides the required fee and a completed application on a form provided by the  
department.  
(b) Establishes good moral character as defined under section 1 of 1974 PA 381, MCL  
338.41.  
(c) Passes the Michigan Physical Therapist Assistant Jurisprudence Exam required  
under R 338.7145(2).  
(d) Complies with either of the following:  
Page 13  
(i) Provides proof to the department of accumulating not less than 24 PDR credits  
consistent with R 338.7161 to R 338.7165 during the 2 years immediately preceding the  
date of the application for relicensure. However, if the PDR credits provided with the  
application are deficient, the applicant shall have 2 years from the date of the application  
to complete the deficient credits.  
(ii) Establishes employment as a physical therapist assistant in another jurisdiction  
recognized by FSBPT for a minimum of 500 hours during the 2-year period immediately  
preceding the date of application for relicensure.  
(2) An applicant may be relicensed more than 3 years after the expiration date of the  
license under section 16201(4) of the code, MCL 333.16201, if the applicant satisfies all  
the following requirements:  
(a) Provides the required fee and a completed application on a form provided by the  
department.  
(b) Establishes good moral character as defined under section 1 of 1974 PA 381, MCL  
338.41.  
(c) Provides fingerprints as required under section 16174(3) of the code, MCL  
333.16174.  
(d) Passes the Michigan Physical Therapist Assistant Jurisprudence Exam required  
under R 338.7145(2).  
(e) Complies with either of the following:  
(i) Establishes employment as a physical therapist assistant in another jurisdiction  
recognized by FSBPT for a minimum of 500 hours during the 2-year period immediately  
preceding the date of application for relicensure.  
(ii) Passes the NPTE for physical therapist assistants under R 338.7145(1).  
(3) An applicant who is or has been licensed, registered, or certified in a health  
profession or specialty by any other state, the United States military, the federal  
government, or another country shall disclose that fact on the application form. The  
applicant shall satisfy the requirements of section 16174(2) of the code, MCL 333.16174,  
which includes verification from the issuing entity showing that disciplinary proceedings  
are not pending against the applicant and sanctions are not in force at the time of  
application. If licensure is granted and it is determined that sanctions have been imposed,  
the disciplinary subcommittee may impose appropriate sanctions under section 16174(5)  
of the code, MCL 333.16174.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7150 Rescinded.  
History: 2010 AACS; 2015 AACS.  
PART 5. PROFESSIONAL DEVELOPMENT REQUIREMENTS  
R 338.7161 License renewals; requirements; applicability.  
Page 14  
Rule 61. (1) This part applies to applications for renewal of a physical therapist or  
physical therapist assistant license under sections 16201 and 17823 of the code, MCL  
333.16201 and 333.17823.  
(2) An applicant for license renewal who has been licensed for the 2-year period  
immediately preceding the expiration date of the license shall accumulate not less than 24  
PDR credits in activities approved by the board under these rules during the 2 years  
immediately preceding the expiration date of the license.  
(3) Submission of an application for renewal constitutes the applicant’s certification of  
compliance with the requirements of this rule. A licensee shall keep documentation of  
satisfying the requirements of this rule for 4 years from the date of applying for license  
renewal. Failure to satisfy this rule is a violation of section 16221(h) of the code, MCL  
333.16221.  
(4) The requirements of this rule do not apply to a licensee during the initial licensure  
cycle.  
(5) The PDR requirements in these rules satisfy the professional development  
requirements under section 17823 of the code, MCL 333.17823.  
History: 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
R 338.7163 Acceptable professional development requirement activities;  
requirements; limitations.  
Rule 63. (1) The 24 PDR credits required under R 338.7161(2) for the renewal of a  
license must satisfy the following requirements, as applicable:  
(a) No more than 12 PDR credits are allowed for approved online continuing education  
programs or activities completed in one 24-hour period.  
(b) A licensee shall not earn PDR credit for a continuing education program or activity  
that is identical or substantially identical to a program or activity for which the licensee  
has already earned credit during that renewal period.  
(c) Under section 16204(2) of the code, MCL 333.16204, a licensee shall earn at least  
1 PDR credit in the area of pain and symptom management by completing a continuing  
education program or activity. Credits in pain and symptom management may include,  
but are not limited to, courses in behavior management, psychology of pain,  
pharmacology, behavior modification, stress management, clinical applications, and drug  
interventions as they relate to the practice of physical therapy.  
(2) The board adopts by reference the procedures and criteria for recognizing  
accrediting organizations of the Council for Higher Education Accreditation (CHEA),  
effective September 28, 2018, and the procedures and criteria for recognizing accrediting  
agencies of the United States Department of Education, effective July 1, 2010, as  
contained in The Secretary’s Recognition of Accrediting Agencies, 34 CFR 602.10 to 34  
CFR 602.38. Copies of the procedures and criteria of CHEA and the United States  
Department of Education are available for inspection and distribution at a cost of 10 cents  
per page from the Board of Physical Therapy, Bureau of Professional Licensing,  
Department of Licensing and Regulatory Affairs 611 West Ottawa, P.O. Box 30670,  
Lansing, Michigan 48909. CHEA’s procedures and criteria are also available from  
CHEA at One Dupont Circle NW, Suite 510, Washington, DC 20036-1110 and at no cost  
Page 15  
obtained at no cost from the United States Department of Education Office of  
Postsecondary Education, 1990 K Street, NW, Washington, DC 20006 or from the  
(3) As used in this rule, “continuous instruction” means education or presentation time  
that does not include breakfast, lunch, or dinner periods, coffee breaks, or any other  
breaks in the activity or program.  
(4) Licensees may earn credit for any of the following activities:  
ACCEPTABLE PDR ACTIVITIES  
Activity  
Code  
(a)  
Activity  
Number of PDR  
credits earned for activity  
The number of credits  
approved by the sponsor or  
the approving organization  
are granted.  
Completing an approved continuing education  
program or activity related to the practice of  
physical therapy or any non-clinical subject  
relevant to the practice of physical therapy. A  
continuing education program or activity is  
approved, regardless of the format in which it is When the sponsor or  
offered, if it is approved or offered for  
continuing education credit by any of the  
following:  
approving organization  
calculates credit at a rate of  
0.1 credit for every 50 to 60  
minutes of continuous  
instruction then 0.1 credit  
equals 1 PDR credit.  
Another state board of physical therapy.  
Another board or task force regulated  
under article 15 of the code, MCL  
333.16101 to 333.18838.  
A maximum of 20 PDR  
credits may be earned for  
this activity in each renewal  
period.  
FSBPT.  
The American Physical Therapy  
Association (APTA) or its components.  
APTA components include the APTA  
Michigan and other APTA Chapters,  
APTA Sections, and APTA Academies.  
An accredited physical therapist  
educational program that satisfies the  
standards under R 338.7131.  
An accredited physical therapist  
assistant educational program that  
satisfies the standards under R  
338.7141.  
If audited, a licensee shall provide a copy of a  
letter or certificate of completion showing the  
licensee’s name, number of credits earned,  
sponsor name or the name of the organization  
that approved the program or activity for  
continuing education credit, and the date or  
dates on which the program was held or activity  
completed.  
(b)  
Passing a postgraduate academic course related Fifteen PDR credits are  
Page 16  
to the practice of physical therapy offered by  
either of the following:  
granted for each semester  
credit earned and 10 PDR  
credits are granted for each  
quarter or term credit  
earned.  
An accredited physical therapist  
educational program that satisfies the  
standards under R 338.7131.  
A nationally accredited university or  
college that satisfies the standards in  
subsection (2) of this rule.  
A maximum of 20 PDR  
credits may be earned for  
this activity in each renewal  
period.  
If audited, a licensee shall provide a copy of the  
transcript showing credit hours of the academic  
courses related to physical therapy.  
Reading an article related to the practice of  
physical therapy in a professional or scientific  
journal.  
(c)  
One PDR credit is granted  
for each article.  
A maximum of 6 PDR  
This activity does not include articles approved credits may be earned for  
for PDR credit under activity code 1.  
this activity in each renewal  
period.  
To receive credit, a licensee shall successfully  
complete an evaluation that was provided with  
the article or the general response form  
provided by the department as an evaluative  
component for this activity.  
If audited, a licensee shall provide  
documentation from the professional or  
scientific journal or a copy of the completed  
general response form to verify that the licensee  
completed an evaluation.  
(d)  
Viewing or listening to media devoted to  
One-half of 1 PDR credit is  
professional education related to the practice of granted for every 30  
physical therapy, other than on-line programs  
not approved or offered for continuing  
education credit.  
minutes of continuous  
instruction.  
A maximum of 6 PDR  
credits may be earned for  
this activity in each renewal  
period.  
To receive credit, a licensee shall successfully  
complete an evaluation that was provided with  
the educational media or the general response  
form provided by the department as an  
evaluative component for this activity.  
If audited, a licensee shall provide a copy of the  
completed evaluation or completed general  
response form to verify that the licensee  
completed an evaluation, and identify the title  
of the media, the name of the publisher of the  
Page 17  
media, the date the media was published or  
copyrighted, and the length of the media.  
Presenting a continuing education program  
related to the practice of physical therapy.  
(e)  
Two PDR credits are  
granted for every 50  
minutes of continuous  
instruction. A presentation  
may not be less than 50  
minutes in length.  
To receive credit, the presentation must be  
approved or offered for continuing education  
credit by any of the following:  
Another state board of physical therapy.  
Another board or task force regulated  
under article 15 of the code, MCL  
333.16101 to 333.18838.  
A maximum of 12 PDR  
credits may be earned for  
this activity in each renewal  
period.  
FSBPT.  
APTA or its components. APTA  
components include the APTA  
Michigan and other APTA Chapters,  
APTA Sections and APTA Academies.  
An accredited physical therapist  
educational program that satisfies the  
standards under R 338.7131.  
An accredited physical therapist  
assistant educational program that  
satisfies the standards under R  
338.7141.  
If audited, a licensee shall provide a letter from  
the program sponsor confirming the licensee as  
the presenter and the presentation date and time,  
or a copy of the presentation notice or  
advertisement showing the date of the  
presentation, the licensee’s name listed as a  
presenter, and the name of the organization that  
approved or offered the presentation for  
continuing education credit.  
(f)  
Presenting a scientific exhibit or scientific paper Two PDR credits are  
accepted for presentation through a peer review granted for every 50  
process at a state, regional, national, or  
minutes of continuous  
international physical therapy conference, or its instruction.  
components, or a related professional  
organization.  
A maximum of 12 PDR  
credits may be earned for  
If audited, a licensee shall provide a copy of the this activity in each renewal  
document presented with proof of presentation  
or a letter from the program sponsor verifying  
the exhibit or paper was accepted for  
period.  
presentation through a peer review process and  
Page 18  
the date of the presentation.  
(g)  
Authoring an article related to the practice,  
education, or research of physical therapy  
published in any of the following:  
The journal of a national physical  
therapy association or its components.  
A peer-reviewed journal.  
Six PDR credits are granted  
for each article.  
A maximum of 12 PDR  
credits may be earned for  
this activity in each renewal  
period.  
A health care journal.  
A professional or scientific journal.  
If audited, a licensee shall provide a copy of the  
publication that shows the licensee as the author  
of the article or a publication acceptance letter.  
Writing a chapter related to the practice,  
education, or research of physical therapy  
published in a book.  
(h)  
Six PDR credits are granted  
for each chapter.  
A maximum of 12 PDR  
If audited, a licensee shall provide a copy of the credits may be earned for  
publication that shows the licensee as the author this activity in each renewal  
of the chapter or a publication acceptance letter. period.  
(i)  
Successfully completing 1 of the following:  
An American Board of Physical Therapy  
Specialties (ABPTS) certification  
examination.  
Twenty-three PDR credits  
are granted for each  
successful completion.  
A maximum of 23 PDR  
credits may be earned for  
this activity in each renewal  
period.  
An ABPTS recertification examination.  
The APTA’s PTA Advanced  
Proficiency Pathways Program.  
If audited, a licensee shall provide proof of  
certification or recertification.  
(j)  
Participating as a student for a minimum of  
1,000 hours in any of the following:  
A postgraduate clinical training program  
related to the practice of physical  
therapy provided through or recognized  
by an accredited physical therapist  
educational program that satisfies the  
standards under R 338.7131.  
Twelve PDR credits are  
granted for 1,000 hours of  
participation.  
A maximum of 12 PDR  
credits may be earned for  
this activity in each renewal  
period.  
A postgraduate clinical training program  
related to the practice of physical  
therapy provided through or recognized  
by an accredited physical therapist  
assistant educational program that  
satisfies the standards under R  
338.7141.  
Page 19  
A postgraduate clinical training program  
related to the practice of physical  
therapy offered through a health care  
organization accredited by an  
organization recognized by the Centers  
for Medicare and Medicaid Services.  
A postgraduate clinical training program  
related to the practice of physical  
therapy accredited or credentialed by the  
APTA or an organization approved by  
the board.  
If audited, a licensee shall provide a letter from  
the program director verifying the number of  
hours the licensee participated in the clinical  
training program and that the program was  
provided, offered, or accredited by an  
educational program or organization that  
satisfies the requirements of this rule.  
(k)  
Participation in a health care organization  
One PDR credit is granted  
committee, physical therapy or physical therapy for every 50 minutes of  
assistant educational program, or task force  
dealing with patient care related issues, which  
may include physical therapy education,  
research, or practice or quality of patient care  
and utilization review.  
participation.  
A maximum of 6 PDR  
credits may be earned for  
this activity in each renewal  
period.  
If audited, a licensee shall provide a letter from  
an appropriate official representing the  
committee, educational program, or task force  
verifying that the committee, educational  
program, or task force dealt with patient care  
related issues, which may include physical  
therapy education, research, or practice or  
quality of patient care and utilization review.  
The letter must also include the dates and the  
amount of time the licensee took part on each  
date.  
(l)  
Serving as a guest instructor of students, staff,  
or other licensees at any of the following:  
A clinical training program related to the  
practice of physical therapy provided  
through or recognized by an accredited  
or developing physical therapist  
Two PDR credits are  
granted for every 50  
minutes of continuous  
instruction.  
A maximum of 12 PDR  
credits may be earned for  
this activity in each renewal  
educational program that satisfies the  
standards under R 338.7131.  
Page 20  
period.  
A clinical training program related to the  
practice of physical therapy provided  
through or recognized by an accredited  
or developing physical therapist  
assistant educational program that  
satisfies the standards under R  
338.7141.  
A clinical training program related to the  
practice of physical therapy offered  
through a health care organization  
accredited by an organization  
recognized by the Centers for Medicare  
and Medicaid Services.  
A clinical training program related to the  
practice of physical therapy accredited  
or credentialed by APTA or an  
organization approved by the board.  
If audited, a licensee shall provide a letter from  
the program director verifying the licensee’s  
role, the number of instructional sessions on  
specific subjects provided by the licensee, and  
the length of the instructional sessions. Also,  
the letter must verify that the clinical training  
program provided, offered, or accredited by an  
educational program or organization satisfies  
the requirements of this rule.  
(m)  
Serving as a clinical instructor or clinical  
supervisor for students completing an  
internship, residency, or fellowship program  
that recognized or approved by any of the  
following:  
Three PDR credits are  
granted for 40 hours of  
clinical instruction or  
supervision.  
A maximum of 12 PDR  
credits may be earned for  
this activity in each renewal  
period.  
An accredited or developing educational  
program for physical therapists that  
satisfies the standards under R  
338.7131.  
An accredited or developing educational  
program for physical therapist assistants  
that satisfies the standards under R  
338.7141.  
APTA or an organization approved by  
the board.  
If audited, a licensee shall provide a letter from  
the educational program or clinical agency  
director verifying the licensee’s role, the  
Page 21  
number of hours of instruction or supervision  
provided by the licensee, and that the internship,  
residency, or fellowship program is recognized  
or approved by an educational program or  
organization that satisfies the requirements of  
this rule.  
(n)  
(o)  
Identifying, researching, and addressing an  
event or issue related to professional practice.  
One PDR credit is granted  
for each separate event or  
issue.  
If audited, a licensee shall provide a completed  
experiential activity form provided by the  
department for each issue or event.  
A maximum of 6 PDR  
credits may be earned for  
this activity in each renewal  
period.  
Four PDR credits are  
granted for participation on  
Participating on an international, national,  
regional, state, state component, or local task  
force, committee, board, council, or association each task force, committee,  
related to the field of physical therapy that is  
considered acceptable by the board. A task  
force, committee, board, council, or association  
is acceptable if it enhances the participant’s  
knowledge and understanding of the field of  
physical therapy.  
board, council, or  
association.  
A maximum of 12 PDR  
credits may be earned for  
this activity in each renewal  
period.  
If audited, a licensee shall provide  
documentation verifying the licensee’s  
participation in at least 50% of the regularly  
scheduled meetings of the task force,  
committee, board, council, or association.  
Participating as a surveyor for an external  
(p)  
One PDR credit is granted  
agency in a program involving the accreditation, for every 50 minutes of  
certification, or inspection of an educational  
program for physical therapists or physical  
participation.  
therapist assistants or a certification process for A maximum of 12 PDR  
a clinical agency.  
credits may be earned for  
this activity in each renewal  
If audited, a licensee shall provide a letter from period.  
the accreditation, certification, or inspection  
program verifying the licensee’s participation,  
the location of the inspections, and the number  
of hours the licensee spent participating as a  
surveyor.  
(q)  
Performing volunteer work related to the field  
of physical therapy without reimbursement.  
One PDR credit is granted  
for every 50 minutes of  
volunteer work performed.  
If audited, a licensee shall provide a letter from  
Page 22  
an official other than the licensee verifying the  
A maximum of 6 PDR  
number of hours and the type of volunteer work credits may be earned for  
performed by the licensee.  
this activity in each renewal  
period.  
(r)  
Serving as a center or site coordinator of  
clinical education at an agency that provides  
clinical internships for students enrolled in  
programs that are recognized or approved by  
either of the following:  
Two PDR credits are  
granted per year of serving  
as the coordinator.  
A maximum of 4 PDR  
credits may be earned for  
this activity in each renewal  
period.  
An accredited or developing educational  
program for physical therapists that  
satisfies the standards under R  
338.7131.  
An accredited or developing educational  
program for physical therapist assistants  
that satisfies the standards under R  
338.7141.  
If audited, a licensee shall provide a letter from  
the educational program or clinical agency  
director verifying the licensee’s role and that  
students were placed and participated in the  
internship program during the time for which  
the licensee is claiming PDR credit.  
Completing a self-review tool developed by  
FSBPT.  
(s)  
Three PDR credits are  
granted for each  
completion.  
To receive credit, a licensee shall provide  
documentation from FSBPT verifying  
completion of the self-review tool.  
A maximum of 3 PDR  
credits may be earned for  
this activity in each renewal  
period.  
(5) The department must receive a request for a continuing education waiver under  
section 16205(1) of the code, MCL 333.16205, before the expiration date of the license.  
History: 2015 AACS; 2019 AACS; 2022 MR 4, Eff. Feb. 22, 2022.  
Page 23  
;