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R 338.7101 Rescinded.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R 338.7102 Rescinded.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R 338.7103 Rescinded.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R 338.7104 Rescinded.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R 338.7105 Rescinded.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R 338.7106 Rescinded.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R 338.7107 Rescinded.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.  
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R 338.7107a Rescinded.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R 338.7107b Rescinded.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R 338.7108 Rescinded.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on pages 2469 to 2472 of the 1979 Michigan Administrative Code, are rescinded.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R 338.7110 Rescinded.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R 338.7111 Rescinded.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R 338.7112 Rescinded.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R 338.7113 Rescinded.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R 338.7114 Rescinded.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.  
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PART 1. DEFINITIONS  
R 338.7121 Definitions.  
Rule 21. (1) As used in these rules:  
(a) “APTA” means the American Physical Therapy Association.  
(b) “Board” means the Michigan board of physical therapy created under section 17821  
of the code, MCL 333.17821.  
(c) “CAPTE” means the Commission on Accreditation in Physical Therapy Education.  
(d) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(e) “Continuous instruction” means education or presentation time that does not include  
breakfast, lunch, or dinner periods, coffee breaks, or other breaks in the activity or  
program.  
(f) “Department” means the department of licensing and regulatory affairs.  
(g) "Direct supervision" means that the physical therapist is physically present and  
immediately available for direction and supervision when patients or clients are present  
when the act, task, or function is performed, and that the physical therapist has direct  
contact with the patient or client during each visit.  
(h) “FSBPT” means the Federation of State Boards of Physical Therapy.  
(i) “NPTE” means the National Physical Therapy Examination.  
(j) “Patient or client of record” means a patient or client that 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.  
(k) “PDR” means professional development requirement.  
(l) “Prescription” is a written or electronic order for physical therapy.  
(2) A term defined in the code has the same meaning when used in these rules.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
PART 2. GENERAL PROVISIONS  
R 338.7122 Prescription.  
Rule 22. (1) 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 that is licensed and authorized to prescribe  
physical therapy in this state or an individual that has an 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 after the date that the authorized licensee writes  
the prescription unless the authorized licensee specifies a different termination date on  
the prescription.  
History: 2010 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
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R 338.7123 Rescinded.  
History: 2010 AACS; 2015 AACS.  
R 338.7124 Rescinded.  
History: 2010 AACS; 2019 AACS.  
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, the individual seeking  
licensure or who is licensed shall have completed 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 healthcare settings.  
(iii) Identifying the warning signs of human trafficking in healthcare settings for adults  
and minors.  
(iv) Identifying 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-  
reviewed journal, healthcare 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 an individual and request documentation of  
proof of completion of training. If audited by the department, the 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.  
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(b) A self-certification statement by the individual. The certification statement must  
include the individual’s name and 1 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 the peer-reviewed journal, healthcare journal, or professional  
or scientific journal, and the 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.  
History: 2017 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
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 AACS.  
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 CAPTE, 3030 Potomac Avenue, Suite 100, Alexandria,  
Virginia 22305-3085, in the publication titled “PT Standards and Required Elements”  
revised November 3, 2020, which are available at no cost on the commission’s website at  
https://www.capteonline.org, are approved and adopted by reference. An educational  
program for physical therapists accredited by CAPTE satisfies the qualifications for an  
approved physical therapist educational program.  
(2) Copies of the standards and evaluative criteria adopted by reference in subrule (1) of  
this rule are also 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.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
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R 338.7132 Licensure by examination; physical therapist; requirements.  
Rule 32. An applicant for a physical therapist license by examination shall satisfy the  
requirements of the code and the rules promulgated under the code, as well as all the  
following requirements:  
(a) Provide the required fee and a completed application on a form provided by the  
department.  
(b) Provide proof, as directed by the department, verifying completion of 1 of the  
following:  
(i) An accredited physical therapist educational program that satisfies the standards  
under R 338.7131(1).  
(ii) A substantially equivalent physical therapist educational program under R  
338.7135.  
(c) Provide proof, as directed by the department, verifying a passing score on the  
examination adopted under R 338.7133(1).  
(d) Provide proof, as directed by the department, verifying a converted score of not less  
than 75 on the Michigan Physical Therapist Jurisprudence Exam approved under R  
338.7133(2).  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7133 Examinations; physical therapist; adoption and approval.  
Rule 33. (1) The NPTE for physical therapists developed, administered, and scored by  
FSBPT is approved and adopted. The passing score recommended by FSBPT is  
approved and adopted.  
(2) The Michigan Physical Therapist Jurisprudence Exam on laws and rules related to  
the practice of physical therapy in this state, which is administered by a third-party  
approved by the department, is approved and adopted.  
History: 2010 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
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) Provide proof, as directed by the department, verifying the completion of an  
accredited physical therapist educational program that satisfies the standards under R  
338.7131(1).  
(b) Satisfy the requirements under R 338.7135.  
(c) Provide proof, as directed by the department, verifying current enrollment in the  
final semester, term, or quarter of an accredited physical therapist educational program  
that satisfies the standards under R 338.7131(1) and the expected date of graduation.  
(2) An applicant shall take 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 first satisfy all other licensing requirements and  
complete the following requirements before the board shall consider the request. The  
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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, including the information under subdivisions (b) to  
(j) of this subrule.  
(b) The candidate’s name.  
(c) Whether the request relates to the physical therapist or physical therapist 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.  
(3) An applicant that does not achieve a passing score on the Michigan Physical  
Therapist Jurisprudence Exam may retake the examination without limitation.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7135 Graduate of non-accredited postsecondary institution; physical  
therapist; examination; eligibility.  
Rule 35. To ensure eligibility for examination, an applicant that graduated from a non-  
accredited physical therapist educational program shall provide the required fee and a  
completed application on a form provided by the department. To be eligible for the  
NPTE for physical therapists, an applicant shall provide proof, as directed by the  
department, verifying the completion of a physical therapist educational program that is  
substantially equivalent to an accredited physical therapist educational program that  
satisfies the standards under R 338.7131(1). 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 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7136 Licensure by endorsement of physical therapist; requirements.  
Rule 36. (1) An applicant for a physical therapist license by endorsement shall satisfy  
the requirements of the code and the rules promulgated under the code, as well as all the  
following requirements:  
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(a) Provide the required fee and a completed application on a form provided by the  
department.  
(b) Provide proof, as directed by the department, verifying a current and full physical  
therapist license in another state or in a province of Canada.  
(c) If the applicant is licensed as a physical therapist in a province in Canada, provide  
proof, as directed by the department, verifying the completion of the educational  
requirements in Canada or in the United States for licensure as a physical therapist in  
Canada or in the United States.  
(d) Provide proof, as directed by the department, verifying a passing score on either of  
the following examinations for a physical therapist license in another state or in a  
province of Canada:  
(i) The NPTE for physical therapists required under R 338.7133(1).  
(ii) The Canadian Alliance of Physiotherapy Regulators Physiotherapy Competency  
Examination.  
(e) Provide proof, as directed by the department, verifying a converted score of not less  
than 75 on the Michigan Physical Therapist Jurisprudence Exam approved under R  
338.7133(2).  
(2) An applicant that is or has been licensed, registered, or certified in a health  
profession or specialty by another 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,  
including 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 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7137 Requirements for relicensure; physical therapist.  
Rule 37. (1) An applicant whose physical therapist license has lapsed 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 the requirements of the code and the rules  
promulgated under the code, as well as 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 that term is defined in, and determined under,  
1974 PA 381, MCL 338.41 to 338.47.  
(c) Provides proof, as directed by the department, verifying a converted score of not  
less than 75 on the Michigan Physical Therapist Jurisprudence Exam approved under R  
338.7133(2).  
(d) Provides proof, as directed by the department, verifying either of the following:  
(i) Accumulation of not less than 24 PDR credits that satisfy the requirements under R  
338.7161 and R 338.7163 during the 2 years immediately before the date of the  
application for relicensure.  
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(ii) Employment as a licensed physical therapist in another jurisdiction recognized by  
FSBPT for a minimum of 500 hours during the 2-year period immediately before the date  
of application for relicensure.  
(2) An applicant whose physical therapist license has lapsed 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 the requirements under the code and the rules  
promulgated under the code, as well as 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 that term is defined in, and determined under,  
1974 PA 381, MCL 338.41 to 338.47.  
(c) Provides fingerprints as required under section 16174(3) of the code, MCL  
333.16174.  
(d) Provides proof, as directed by the department, verifying a converted score of not  
less than 75 on the Michigan Physical Therapist Jurisprudence Exam approved under R  
338.7133(2).  
(e) Provides proof, as directed by the department, verifying either of the following:  
(i) Employment as a licensed physical therapist in another jurisdiction recognized by  
FSBPT for a minimum of 500 hours during the 2-year period immediately before the date  
of application for relicensure.  
(ii) A passing score on the examination adopted under R 338.7133(1) during the 2-year  
period immediately before the date of application for relicensure.  
(3) An applicant that is or has been licensed, registered, or certified in a health  
profession or specialty by another 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,  
including 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 AACS; 2023 MR 9, Eff. May 1, 2023.  
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.  
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(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 AACS.  
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  
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.  
(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.  
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(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 AACS; 2023 MR 9, Eff. May 1, 2023.  
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, 3030 Potomac Avenue, Suite 100,  
Alexandria, Virginia 22305-3085, in the publication titled “PTA Standards and Required  
Elements,” revised November 3, 2020, which are available at no cost on the  
commission’s website at https://www.capteonline.org, are approved and adopted by  
reference. An educational program for physical therapist assistants accredited by CAPTE  
satisfies the qualifications for an approved physical therapist assistant educational  
program.  
(2) Copies of the standards and evaluative criteria adopted by reference in subrule (1) of  
this rule are also 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.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7142 Licensure by examination; physical therapist assistant; requirements.  
Rule 42. (1) An applicant for a physical therapist assistant license by examination shall  
satisfy the requirements of the code and the rules promulgated under the code, as well as  
all the following requirements:  
(a) Provide the required fee and a completed application on a form provided by the  
department.  
(b) Provide proof, as directed by the department, verifying completion of 1 of the  
following:  
(i) An accredited physical therapist assistant educational program that satisfies the  
standards under R 338.7141(1).  
(ii) A substantially equivalent physical therapist assistant educational program under R  
338.7147.  
(c) Provide proof, as directed by the department, verifying a passing score on the  
examination adopted under R 338.7145(1).  
(d) Provide proof, as directed by the department, verifying a converted score of not less  
than 75 on the Michigan Physical Therapist Assistant Jurisprudence Exam approved  
under R 338.7145(2).  
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(2) An applicant that graduated on or before January 1, 2008, from an accredited  
educational program that satisfies the standards under R 338.7141(1) is presumed to  
satisfy the requirements of this rule.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
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 NPTE for physical therapist assistants developed, administered, and  
scored by FSBPT is approved and adopted. The passing score recommended by FSBPT  
is approved and adopted.  
(2) The Michigan Physical Therapist Assistant Jurisprudence Exam on laws and rules  
related to the practice of physical therapy in this state, administered by a third party  
approved by the department, is approved and adopted.  
History: 2010 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
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:  
(a) Provide proof, as directed by the department, verifying the completion of an  
accredited physical therapist assistant educational program that satisfies the standards  
under R 338.7141(1).  
(b) Satisfy the requirements under R 338.7147.  
(c) Provide proof, as directed by the department, verifying current enrollment in the  
final semester, term, or quarter of an accredited physical therapist assistant educational  
program that satisfies the standards under R 338.7141(1) and the expected date of  
graduation.  
(2) An applicant shall take 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 first satisfy all other licensing requirements  
and complete the following requirements before the board shall consider the request. The  
department shall reject a request to the board if the applicant does not provide all the  
following information in writing:  
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(a) A completed NPTE Appeal form, including the information under subdivisions (b)  
to (j) of this subrule.  
(b) The candidate’s name.  
(c) Whether the request relates to the physical therapist or physical therapist 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.  
(3) An applicant that does not achieve a passing score on the Michigan Physical  
Therapist Assistant Jurisprudence Exam may retake the examination without limitation.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7147 Graduate of non-accredited postsecondary institution; physical  
therapist assistant; examination; eligibility.  
Rule 47. To ensure eligibility for examination, an applicant that 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 the NPTE for physical therapist assistants, an applicant  
shall provide proof, as directed by the department, verifying the completion of a physical  
therapist or physical therapist assistant educational program that is substantially  
equivalent to an accredited physical therapist assistant educational program that satisfies  
the standards under R 338.7141(1). 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.  
History: 2010 AACS; 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7148 Licensure by endorsement of physical therapist assistant; requirements.  
Rule 48. (1) An applicant for a physical therapist assistant license by endorsement shall  
satisfy the requirements of the code and the rules promulgated under the code, as well as  
all the following requirements:  
(a) Provide the required fee and a completed application on a form provided by the  
department.  
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(b) Provide proof, as directed by the department, verifying a current and full physical  
therapist assistant license in another state or in a province of Canada.  
(c) Provide proof, as directed by the department, verifying the completion of the  
educational requirements in Canada or in the United States for licensure as a physical  
therapist assistant in Canada or in the United States if the applicant is licensed as a  
physical therapist assistant in a province in Canada.  
(d) Provide proof, as directed by the department, verifying 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 in a province of Canada.  
(e) Provide proof, as directed by the department, verifying a converted score of not less  
than 75 on the Michigan Physical Therapist Assistant Jurisprudence Exam approved  
under R 338.7145(2).  
(2) An applicant that is or has been licensed, registered, or certified in a health  
profession or specialty by another 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,  
including 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 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7149 Requirements for relicensure; physical therapist assistant.  
Rule 49. (1) An applicant whose physical therapist assistant license has lapsed 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 the requirements of the code and the  
rules promulgated under the code, as well as 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 that term is defined in, and determined under,  
1974 PA 381, MCL 338.41 to 338.47.  
(c) Provides proof, as directed by the department, verifying a converted score of not  
less than 75 on the Michigan Physical Therapist Assistant Jurisprudence Exam approved  
under R 338.7145(2).  
(d) Provides proof, as directed by the department, verifying either of the following:  
(i) Accumulation of not less than 24 PDR credits that satisfies the requirements under  
R 338.7161 and R 338.7163 during the 2 years immediately before the date of the  
application for relicensure.  
(ii) Employment as a licensed physical therapist assistant in another jurisdiction  
recognized by FSBPT for a minimum of 500 hours during the 2-year period immediately  
before the date of application for relicensure.  
(2) An applicant whose physical therapist assistant license has lapsed may be relicensed  
more than 3 years after the expiration date of the license under section 16201(4) of the  
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code, MCL 333.16201, if the applicant satisfies the requirements under the code and the  
rules promulgated under the code, as well as 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 that term is defined in, and determined under,  
1974 PA 381, MCL 338.41 to 338.47.  
(c) Provides fingerprints as required under section 16174(3) of the code, MCL  
333.16174.  
(d) Provides proof, as directed by the department, verifying a converted score of not  
less than 75 on the Michigan Physical Therapist Assistant Jurisprudence Exam approved  
under R 338.7145(2).  
(e) Provides proof, as directed by the department, verifying either of the following:  
(i) Employment as a licensed physical therapist assistant in another jurisdiction  
recognized by FSBPT for a minimum of 500 hours during the 2-year period immediately  
before the date of application for relicensure.  
(ii) A passing score on the examination adopted under R 338.7145(1) during the 2-year  
period immediately before the date of application for relicensure.  
(3) An applicant that is or has been licensed, registered, or certified in a health  
profession or specialty by another 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,  
including 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 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7150 Rescinded.  
History: 2010 AACS; 2015 AACS.  
PART 5. PROFESSIONAL DEVELOPMENT REQUIREMENTS  
R 338.7161 License renewals; requirements; applicability.  
Rule 61. (1) An applicant for renewal shall satisfy the requirements of the code and the  
rules promulgated under the code.  
(2) An applicant for license renewal who has been licensed in the 2-year period  
immediately before the expiration date of the license shall accumulate not less than 24  
PDR credits in activities approved under these rules during the 2 years immediately  
before 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  
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satisfying the requirements of this rule for 4 years after 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 PDRs satisfy the PDRs under section 17823 of the code, MCL 333.17823.  
(6) The department shall receive a request for a waiver of PDRs for the board’s  
consideration not less than 30 days before the last regularly scheduled board meeting  
before the expiration date of the license.  
History: 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
R 338.7163 Acceptable PDR 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 equivalent or substantially equivalent 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 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 standards for recognition of accrediting organizations developed and adopted by  
the Council for Higher Education (CHEA), One Dupont Circle NW, Suite 510,  
Washington, D.C. 20036, in the publication titled “CHEA Standards and Procedures for  
Recognition,” effective October 4, 2021, which are available at no cost on the council’s  
website at https://www.chea.org, are approved and adopted by reference. If a higher  
education institution is accredited by the accrediting body of the region in which the  
institution is located and the accrediting body satisfies the recognition standards of  
CHEA, then the institution is approved. Copies of the standards and criteria approved  
and adopted by reference in this subrule are available for inspection and distribution at a  
cost of 10 cents per page from the Board of Physical Therapy, Department of Licensing  
and Regulatory Affairs, Bureau of Professional Licensing, 611 W. Ottawa Street, P.O.  
Box 30670, Lansing, Michigan 48909.  
(3) The criteria for recognition and the process for the secretary’s recognition of  
accrediting agencies of the United States Department of Education, Office of  
Postsecondary Education, 400 Maryland Avenue SW, Washington, D.C. 20202, in 34  
CFR 602.10 to 602.39, effective July 1, 2020, which are available at no cost on the  
department’s website at https://www2.ed.gov/about/offices/list/ope/index.html, are  
approved and adopted by reference. If a higher education institution is accredited by the  
accrediting body of the region in which the institution is located and the accrediting body  
satisfies the recognition criteria and process of the United States Department of  
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Education, then the institution is approved. Copies of the standards and criteria approved  
and adopted by reference in this subrule are available for inspection and distribution at a  
cost of 10 cents per page from the Board of Physical Therapy, Department of Licensing  
and Regulatory Affairs, Bureau of Professional Licensing, 611 W. Ottawa Street, P.O.  
Box 30670, Lansing, Michigan 48909.  
(4) Any of the following are considered acceptable PDR activities:  
Activity Activity  
Code  
Number of PDR  
credits earned for activity  
(a)  
Completing an approved continuing education The number of credits  
program or activity related to the practice of approved by the sponsor or  
physical therapy or any non-clinical subject the approving organization  
relevant to the practice of physical therapy. A are granted.  
continuing education program or activity is  
approved, regardless of the format in which it When the sponsor or  
is offered, if it is approved or offered for approving  
organization  
continuing education credit by any of the calculates credit at a rate of  
following:  
Another state board of physical therapy.  
0.1 credit for every 50 to 60  
minutes of continuous  
Another board or task force regulated under instruction, then 0.1 credit  
article 15 of the code, MCL 333.16101 to equals 1 PDR credit.  
333.18838.  
FSBPT.  
A maximum of 20 PDR  
The APTA or its components.  
APTA credits may be earned for  
components include the APTA Michigan and this activity in each renewal  
other APTA Chapters, APTA Sections, and period.  
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 the program was held or activity  
completed.  
(b)  
Passing a postgraduate academic course Fifteen PDR credits are  
related to the practice of physical therapy granted for each semester  
offered by either of the following:  
credit earned and 10 PDR  
An accredited physical therapist educational credits are granted for each  
program that satisfies the standards under R quarter or term credit earned.  
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338.7131.  
A nationally accredited university or college A maximum of 20 PDR  
that satisfies the standards in subrule (2) or (3) credits may be earned for  
of this rule.  
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.  
(c)  
Reading an article related to the practice of One PDR credit is granted  
physical therapy in a professional or scientific for each article.  
journal.  
A maximum of 6 PDR  
This activity does not include articles credits may be earned for  
approved 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 granted for every 30 minutes  
of physical therapy, other than online of continuous instruction.  
programs not approved or offered for  
continuing education credit.  
A maximum of 6 PDR  
credits may be earned for  
To receive credit, a licensee shall successfully this activity in each renewal  
complete an evaluation that was provided with period.  
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  
media, the date the media was published or  
copyrighted, and the length of the media.  
(e)  
Presenting a continuing education program Two PDR credits are granted  
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related to the practice of physical therapy.  
for every 50 minutes of  
continuous instruction.  
A
To receive credit, the presentation must be presentation may not be less  
approved or offered for continuing education than 50 minutes in length.  
credit by any of the following:  
Another state board of physical therapy.  
A maximum of 12 PDR  
Another board or task force regulated under credits may be earned for  
article 15 of the code, MCL 333.16101 to this activity in each renewal  
333.18838.  
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 Two PDR credits are granted  
paper accepted for presentation through a peer- for every 50 minutes of  
review process at a state, regional, national, or continuous instruction.  
international physical therapy conference, or  
its components, or a related professional A maximum of 12 PDR  
organization.  
credits may be earned for  
this activity in each renewal  
If audited, a licensee shall provide a copy of period.  
the document presented with proof of  
presentation or a letter from the program  
sponsor verifying the exhibit or paper was  
accepted for presentation through a peer-  
review process and the date of the  
presentation.  
(g)  
Authoring an article related to the practice, Six PDR credits are granted  
education, or research of physical therapy for each article.  
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published in any of the following:  
The journal of a national physical therapy A maximum of 12 PDR  
association or its components.  
A peer-reviewed journal.  
A healthcare journal.  
credits may be earned for  
this activity in each renewal  
period.  
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.  
(h)  
Writing a chapter related to the practice, Six PDR credits are granted  
education, or research of physical therapy for each chapter.  
published in a book.  
A maximum of 12 PDR  
If audited, a licensee shall provide a copy of credits may be earned for  
the publication that shows the licensee as the this activity in each renewal  
author of the chapter or a publication period.  
acceptance letter.  
(i)  
Successfully completing 1 of the following:  
An American Board of Physical Therapy are  
Twenty-three PDR credits  
granted for each  
Specialties (ABPTS) certification examination. successful completion.  
An ABPTS recertification examination.  
The APTA’s PTA Advanced Proficiency A maximum of 23 PDR  
Pathways Program.  
credits may be earned for  
this activity in each renewal  
If audited, a licensee shall provide proof of period.  
certification or recertification.  
(j)  
Participating as a student for a minimum of Twelve PDR credits are  
1,000 hours in any of the following:  
granted for 1,000 hours of  
A postgraduate clinical training program participation.  
related to the practice of physical therapy  
provided through or recognized by an A maximum of 12 PDR  
accredited physical therapist educational credits may be earned for  
program that satisfies the standards under R this activity in each renewal  
338.7131.  
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.  
A postgraduate clinical training program  
related to the practice of physical therapy  
offered through a healthcare organization  
accredited by an organization recognized by  
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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 healthcare organization One PDR credit is granted  
committee, physical therapy or physical for every 50 minutes of  
therapy assistant educational program, or task participation.  
force dealing with patient care related issues,  
which may include physical therapy education, A maximum of 6 PDR  
research, or practice or quality of patient care credits may be earned for  
and utilization review.  
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, Two PDR credits are granted  
or other licensees at any of the following: for every 50 minutes of  
A clinical training program related to the continuous instruction.  
practice of physical therapy provided through  
or recognized by an accredited or developing A maximum of 12 PDR  
physical therapist educational program that credits may be earned for  
satisfies the standards under R 338.7131.  
this activity in each renewal  
A clinical training program related to the period.  
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.  
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A clinical training program related to the  
practice of physical therapy offered through a  
healthcare 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 Three PDR credits are  
supervisor for students completing an granted for 40 hours of  
internship, residency, or fellowship program clinical  
that recognized or approved by any of the supervision.  
following:  
instruction  
or  
An accredited or developing educational A maximum of 12 PDR  
program for physical therapists that satisfies credits may be earned for  
the standards under R 338.7131.  
this activity in each renewal  
An accredited or developing educational period.  
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  
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)  
Identifying, researching, and addressing an One PDR credit is granted  
event or issue related to professional practice.  
for each separate event or  
issue.  
If audited, a licensee shall provide a completed  
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experiential activity form provided by the A maximum of 6 PDR  
department for each issue or event.  
credits may be earned for  
this activity in each renewal  
period.  
(o)  
Participating on an international, national, Four PDR credits are granted  
regional, state, state component, or local task for participation on each task  
force, committee, board, council, or force, committee, board,  
association related to the field of physical council, or association.  
therapy that is considered acceptable by the  
board.  
A task force, committee, board, A maximum of 12 PDR  
council, or association is acceptable if it credits may be earned for  
enhances the participant’s knowledge and this activity in each renewal  
understanding of the field of physical therapy. period.  
If audited,  
a
licensee shall provide  
documentation verifying the licensee’s  
participation in not less than 50% of the  
regularly scheduled meetings of the task force,  
committee, board, council, or association.  
(p)  
Participating as a surveyor for an external One PDR credit is granted  
agency in  
a
program involving the for every 50 minutes of  
accreditation, certification, or inspection of an participation.  
educational program for physical therapists or  
physical therapist assistants or a certification A maximum of 12 PDR  
process for 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 One PDR credit is granted  
of physical therapy without reimbursement.  
for every 50 minutes of  
volunteer work performed.  
If audited, a licensee shall provide a letter from  
an official other than the licensee verifying the A maximum of 6 PDR  
number of hours and the type of volunteer credits may be earned for  
work performed by the licensee.  
this activity in each renewal  
period.  
(r)  
Serving as a center or site coordinator of Two PDR credits are granted  
clinical education at an agency that provides per year of serving as the  
clinical internships for students enrolled in coordinator.  
programs that are recognized or approved by  
either of the following:  
A maximum of 4 PDR  
An accredited or developing educational credits may be earned for  
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program for physical therapists that satisfies this activity in each renewal  
the standards under R 338.7131.  
period.  
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.  
(s)  
Completing a self-review tool developed by Three PDR credits are  
FSBPT. granted for each completion.  
To receive credit, a licensee shall provide A maximum of 3 PDR  
documentation from FSBPT verifying credits may be earned for  
completion of the self-review tool.  
this activity in each renewal  
period.  
History: 2015 AACS; 2019 AACS; 2022 AACS; 2023 MR 9, Eff. May 1, 2023.  
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;