Form preview

Get the free APPLICATION FOR LICENSURE AS A PHYSICAL THERAPIST OR PHYSICAL THERAPIST'S ASSISTANT ...

Get Form
This document is an application form for individuals seeking licensure as physical therapists or physical therapist's assistants. It collects personal information, educational background, and employment
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign application for licensure as

Edit
Edit your application for licensure as form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your application for licensure as form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing application for licensure as online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit application for licensure as. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out application for licensure as

Illustration

How to fill out APPLICATION FOR LICENSURE AS A PHYSICAL THERAPIST OR PHYSICAL THERAPIST'S ASSISTANT

01
Obtain the APPLICATION FOR LICENSURE AS A PHYSICAL THERAPIST OR PHYSICAL THERAPIST'S ASSISTANT form from the appropriate regulatory body.
02
Fill out personal information including your name, address, and contact information.
03
Indicate whether you are applying as a Physical Therapist or a Physical Therapist's Assistant.
04
Provide details of your educational qualifications, including the name of the institution, degree obtained, and dates of attendance.
05
List any relevant work experience, including the names of employers, job titles, and durations of employment.
06
Answer any required questions regarding your professional conduct and background (e.g., criminal history, disciplinary actions).
07
Attach any required documentation such as transcripts, proof of work experience, and identification.
08
Review your application for accuracy and completeness.
09
Pay any applicable application fees as instructed.
10
Submit the application to the appropriate regulatory body as per the provided instructions.

Who needs APPLICATION FOR LICENSURE AS A PHYSICAL THERAPIST OR PHYSICAL THERAPIST'S ASSISTANT?

01
Individuals who have completed the necessary education and training to become a Physical Therapist or Physical Therapist's Assistant.
02
Those seeking to practice in a professional capacity within the healthcare system.
03
Applicants who wish to ensure their qualifications meet state licensing requirements.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
57 Votes

People Also Ask about

The average length of a PTA program is typically two years (five semesters). Primary content areas in the curriculum may include, but are not limited to anatomy, physiology, exercise physiology, biomechanics, kinesiology, neuroscience, clinical pathology, behavioral sciences, communication, and ethics/values.
Mendocino College This program is a hybrid design offering theory courses online and laboratory courses conducted at the school's Ukiah, California campus.
The average length of a PTA program is typically two years (five semesters). Primary content areas in the curriculum may include, but are not limited to anatomy, physiology, exercise physiology, biomechanics, kinesiology, neuroscience, clinical pathology, behavioral sciences, communication, and ethics/values.
Pass National and California State Licensing Examinations. The California Board's examination information outline states that you must pass both the National Physical Therapy Examination (NPTE) for PTAs and the California Law Examination (CLE) in order to be issued a PTA license.
Earn a Physical Therapist Assistant Associate's Degree from an Accredited School. Submit an Application for Physical Therapist Assistant Licensure. Complete the North Carolina Jurisprudence Exercises. Pass the National Physical Therapy Examination (NPTE) for PTAs.
In short, you NEED to pass the NPTE to work in the US. In order to qualify for the NPTE you NEED to have a DPT or an equivalent degree from an equivalent program. You would need to have your coursework evaluated and then take any necessary classes to fill the gaps before qualifying for the NPTE.
To approve a candidate to sit for the NPTE, at a minimum, jurisdictions will require that the candidate is a graduate of or graduating from a PT or PTA program that meets the accreditation standards of CAPTE or has an education that has been determined to be substantially equivalent by a recognized credentialing agency
Earn a Physical Therapist Assistant Associate's Degree from an Accredited School. Submit an Application for Physical Therapist Assistant Licensure. Complete the North Carolina Jurisprudence Exercises. Pass the National Physical Therapy Examination (NPTE) for PTAs.
You will need to attend an accredited PTA educational program, which takes about two years to complete. All programs in North Carolina include a combination of clinical instruction and classroom work. Most curriculums include learning first aid, CPR, and anatomy and physiology.
To approve a candidate to sit for the NPTE, at a minimum, jurisdictions will require that the candidate is a graduate of or graduating from a PT or PTA program that meets the accreditation standards of CAPTE or has an education that has been determined to be substantially equivalent by a recognized credentialing agency

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The APPLICATION FOR LICENSURE AS A PHYSICAL THERAPIST OR PHYSICAL THERAPIST'S ASSISTANT is a formal document submitted to a regulatory body to obtain legal permission to practice as a physical therapist or physical therapist's assistant.
Individuals who have completed the required educational programs in physical therapy or physical therapy assisting and wish to practice in their respective fields are required to file this application.
To fill out the application, candidates must provide personal information, educational background, and proof of qualifications, including passing relevant licensure exams. It's important to follow specific instructions provided by the regulatory body.
The purpose of the application is to ensure that individuals meet the required standards and qualifications to practice safely and competently in the field of physical therapy.
The application typically requires personal identification details, educational history, clinical experience, details of any previous licenses held, and disclosure of any criminal background or disciplinary actions.
Fill out your application for licensure as online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.