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Kentucky Physical Therapy — Requirements & Free Practice

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Physical Therapist Assistant License

License to work as a physical therapist assistant in Kentucky under KRS Chapter 327 (KRS 327.010(4) as effective July 15, 2026; 201 KAR Chapter 22 still calls this credential a certificate).

Licensing authority: Kentucky Board of Physical Therapy · Application information

Credentialing by endorsement (holder of an active credential in another jurisdiction)
Application
Certification of program completion, Application for Credentialing, fee and background check as in 201 KAR 22:020, Section 2(1)(b)-(f) (Section 7(2)).
Education
Successful completion of the academic and clinical requirements of a CAPTE-accredited physical therapist or physical therapist assistant program (201 KAR 22:020, Section 7(1)).
Jurisprudence Exam Access
The Board's instructions state that the application and fee must be received in the Board office before the applicant may access the Jurisprudence Exam.
License Elsewhere
An active credential in this profession in another jurisdiction, never revoked, suspended or placed on probation and not under disciplinary review (KRS 327.060(1)(a); 201 KAR 22:020, Section 7(4)-(5)).
Npte Score Transfer
NPTE results are submitted to Kentucky through the FSBPT Score Transfer Service (201 KAR 22:020, Section 7(3)).
Predecessor Examination
The applicant may instead show the NPTE's equivalent, predecessor examination, which is no longer offered; for an NPTE taken before July 1, 1993 the Board may credential a holder of a current unrestricted credential from another jurisdiction who met KRS 327.050, 327.060 and the regulation at initial credentialing, and after July 1, 1993 the passing score is the FSBPT criterion-referenced passing point set equal to a scaled score of 600 (201 KAR 22:020, Section 7(3)(a)-(b)).
Licensure by examination (graduate of a CAPTE accredited physical therapist or physical therapist assistant program)
Application
Complete Application for Credentialing with photo and the nonrefundable fee required by 201 KAR 22:135 (201 KAR 22:020, Section 2(1)(d)-(e) via Section 2(2)(b)).
Background Check
Nationwide criminal background check under KRS 327.310 completed no more than six months before the application is filed (201 KAR 22:020, Section 2(1)(f)).
Credential Terminology
201 KAR 22:020 calls this credential certification; KRS 327.010(4) and 327.020(4), effective July 15, 2026, call it a license.
Education
Successful completion of the academic and clinical requirements of a CAPTE-accredited physical therapist or physical therapist assistant program, with certification of completion (KRS 327.050(1); 201 KAR 22:020, Section 2(2)(a) and (1)(b)).
Exam Retake Limit
After six failed attempts at the examination per exam level in any jurisdiction the applicant may not register for further examinations (201 KAR 22:020, Section 2(3)).
Examination In Another Jurisdiction
An applicant registered for the examination in another jurisdiction must meet Section 2 and register with the FSBPT Score Transfer Service (201 KAR 22:020, Section 3).
Jurisprudence Exam Access
The Board's instructions state that the application and fee must be received in the Board office before the applicant may access the Jurisprudence Exam.
Special Candidate
A physical therapist applicant who meets the qualifications for physical therapy licensure by examination may become a special candidate for the physical therapist assistant credential by examination (201 KAR 22:020, Section 6).
Licensure of a physical therapist assistant educated outside the United States
Background Check
Nationwide criminal background check as required by 201 KAR 22:070, Section 1(3) (Section 3(1)(j)).
English Proficiency
Unless English is the native language of the country of origin: Test of Spoken English score of at least 50, TOEFL iBT minimum of 4.3 in writing, speaking, listening and reading and 4.3 overall, or another English proficiency exam approved by the Board (201 KAR 22:070 as amended effective August 18, 2026). The Board's instruction sheets still list the earlier TOEFL iBT minimums (writing 22, speaking 24, reading 22, listening 21, overall 89).
Exam Retake Limit
After six failed attempts at the examination per exam level in any jurisdiction the applicant may not register for further examinations (201 KAR 22:020, Section 2(3)).
Foreign Education
Education outside the United States substantially equivalent to U.S. accredited programs, school recognized by its own ministry of education, authorization to practice without limitation in the country of education, prescreening and a favorable credentials evaluation using the FSBPT Coursework Tool, with any general-education deficiency cured by coursework, Board-approved continuing education or an approved portfolio (KRS 327.060(1)(b); 201 KAR 22:070).
Jurisprudence Exam Access
The Board's instructions state that the application and fee must be received in the Board office before the applicant may access the Jurisprudence Exam.
Legal Authorization
Proof of legal authorization to reside and seek employment in the United States (KRS 327.060(1)(b)7.).
Supervised Practice
KRS 327.060(1)(b)6. requires a Board-approved supervised practice period of three to six months before licensure; 201 KAR 22:070, Section 3 does not list it for physical therapist assistants.
Reinstatement of a lapsed credential
Kentucky Physical Therapy Jurisprudence Exam
Lapsed More Than Three Years
In addition, credentials from all other jurisdictions since last renewal and, if the applicant has held no current credential elsewhere since last renewal, any of: evidence of professional competency, up to six months of practice under direct supervision, or successful completion of the board-approved examination, which the regulation does not name (201 KAR 22:040, Section 4; KRS 327.075(2)).
Lapsed Three Years Or Less
Reinstatement Application for the current renewal period, continued competency hours obtained within two years before submission, the reinstatement fee, and (unless filed by May 15 of the lapse year) a nationwide criminal background check (201 KAR 22:040, Section 3(1)).
Biennial renewal of the physical therapist assistant credential
Kentucky Physical Therapy Jurisprudence Exam
Continued Competency
Twenty contact hours per biennium: two awarded for the Jurisprudence Examination, at least ten from Category 1, and no more than eight from Category 2 (201 KAR 22:045, Section 2(1)).
Extensions And Exemptions
Hardship or nonhardship extensions and the active-military exemption of KRS 12.355 are available under 201 KAR 22:045.
Renewal Deadline
Renewal fee and completed Renewal Application by March 31 of each odd-numbered year (KRS 327.050(8); 201 KAR 22:040, Section 1).

Physical Therapist License

License to practice physical therapy as a physical therapist in Kentucky under KRS Chapter 327.

Licensing authority: Kentucky Board of Physical Therapy · Application information

Credentialing by endorsement (holder of an active credential in another jurisdiction)
Application
Certification of program completion, Application for Credentialing, fee and background check as in 201 KAR 22:020, Section 2(1)(b)-(f) (Section 7(2)).
Education
Successful completion of the academic and clinical requirements of a CAPTE-accredited physical therapist program (201 KAR 22:020, Section 7(1)).
Jurisprudence Exam Access
The Board's instructions state that the application and fee must be received in the Board office before the applicant may access the Jurisprudence Exam.
License Elsewhere
An active credential in this profession in another jurisdiction, never revoked, suspended or placed on probation and not under disciplinary review (KRS 327.060(1)(a); 201 KAR 22:020, Section 7(4)-(5)).
Npte Score Transfer
NPTE results are submitted to Kentucky through the FSBPT Score Transfer Service (201 KAR 22:020, Section 7(3)).
Predecessor Examination
The applicant may instead show the NPTE's equivalent, predecessor examination, which is no longer offered; for an NPTE taken before July 1, 1993 the Board may credential a holder of a current unrestricted credential from another jurisdiction who met KRS 327.050, 327.060 and the regulation at initial credentialing, and after July 1, 1993 the passing score is the FSBPT criterion-referenced passing point set equal to a scaled score of 600 (201 KAR 22:020, Section 7(3)(a)-(b)).
Licensure by examination (graduate of a CAPTE accredited physical therapist program)
Application
Complete Application for Credentialing with a photo taken within one year and the nonrefundable fee required by 201 KAR 22:135 (201 KAR 22:020, Section 2(1)(d)-(e)).
Background Check
Nationwide criminal background check under KRS 327.310 completed no more than six months before the application is filed (201 KAR 22:020, Section 2(1)(f)).
Education
Successful completion of the academic and clinical requirements of a CAPTE-accredited physical therapist program, with certification of completion by the program's educational administrator (KRS 327.050(1); 201 KAR 22:020, Section 2(1)(a)-(b)).
Exam Retake Limit
After six failed attempts at the examination per exam level in any jurisdiction the applicant may not register for further examinations (201 KAR 22:020, Section 2(3)).
Examination In Another Jurisdiction
An applicant registered for the examination in another jurisdiction must meet Section 2 and register with the FSBPT Score Transfer Service to have results submitted to Kentucky (201 KAR 22:020, Section 3).
Jurisprudence Exam Access
The Board's instructions state that the application and fee must be received in the Board office before the applicant may access the Jurisprudence Exam.
Testing Accommodation
A request for reasonable testing accommodation is submitted on the Applicant Special Accommodations Request Form (201 KAR 22:020, Section 2(1)(g)).
Licensure of a physical therapist educated outside the United States
Background Check
Nationwide criminal background check under KRS 327.310 completed no more than six months before the application is filed (201 KAR 22:070, Section 1(3)).
Endorsement Variant
A foreign-educated physical therapist licensed in another state applies by endorsement under the Board's foreign-educated endorsement instructions: an active license in at least one state and NPTE scores transferred through the FSBPT Score Transfer Service.
English Proficiency
Unless English is the native language of the country of origin: Test of Spoken English score of at least 50, TOEFL iBT minimum of 4.3 in writing, speaking, listening and reading and 4.3 overall, or another English proficiency exam approved by the Board (201 KAR 22:070 as amended effective August 18, 2026). The Board's instruction sheets still list the earlier TOEFL iBT minimums (writing 22, speaking 24, reading 22, listening 21, overall 89).
Exam Retake Limit
The retake limit of 201 KAR 22:020, Section 2(3) applies to examination candidates (201 KAR 22:070, Section 1(2)(e)).
Foreign Education
Education outside the United States substantially equivalent to U.S. accredited programs, school recognized by its own ministry of education, authorization to practice without limitation in the country of education, prescreening and a favorable credentials evaluation using the FSBPT Coursework Tool, with any general-education deficiency cured by coursework, Board-approved continuing education or an approved portfolio (KRS 327.060(1)(b); 201 KAR 22:070).
Jurisprudence Exam Access
The Board's instructions state that the application and fee must be received in the Board office before the applicant may access the Jurisprudence Exam.
Legal Authorization
Proof of legal authorization to reside and seek employment in the United States (KRS 327.060(1)(b)7.).
Supervised Practice
Three to six months (minimum 390 hours in three months) of on-site supervised practice at a Board-approved Kentucky clinical education facility with a favorable FSBPT Performance Evaluation Tool rating (201 KAR 22:070, Section 1(2)(f)); the Board may waive this for an applicant for credentialing by endorsement (KRS 327.060(5)).
Reinstatement of a lapsed credential
Kentucky Physical Therapy Jurisprudence Exam
Lapsed More Than Three Years
In addition, credentials from all other jurisdictions since last renewal and, if the applicant has held no current credential elsewhere since last renewal, any of: evidence of professional competency, up to six months of practice under direct supervision, or successful completion of the board-approved examination, which the regulation does not name (201 KAR 22:040, Section 4; KRS 327.075(2)).
Lapsed Three Years Or Less
Reinstatement Application for the current renewal period, continued competency hours obtained within two years before submission, the reinstatement fee, and (unless filed by May 15 of the lapse year) a nationwide criminal background check (201 KAR 22:040, Section 3(1)).
Biennial renewal of the physical therapist credential
Kentucky Physical Therapy Jurisprudence Exam
Continued Competency
Thirty contact hours per biennium: two awarded for the Jurisprudence Examination, at least eighteen from Category 1, and no more than ten from Category 2 (201 KAR 22:045, Section 2(1)).
Extensions And Exemptions
Hardship or nonhardship extensions and the active-military exemption of KRS 12.355 are available under 201 KAR 22:045.
Renewal Deadline
Renewal fee and completed Renewal Application by March 31 of each odd-numbered year (KRS 327.050(8); 201 KAR 22:040, Section 1).

Temporary Permit (provisional license)

Temporary permit (KRS 327.050(5) provisional license) allowing a physical therapist or physical therapist assistant examination candidate, or a foreign-educated physical therapist completing supervised practice, to practice under supervision.

Licensing authority: Kentucky Board of Physical Therapy · Application information

Temporary permit for a foreign educated physical therapist completing supervised practice
Foreign Education And English
Requirements of 201 KAR 22:070, Section 1(2)(a) through (e) completed, including credentials evaluation and English proficiency.
Legal Authorization
Proof of legal authorization to reside and work in the United States before the permit is issued (Board instructions).
Revocation
The permit is revoked if the supervised practice is not satisfactorily completed within six months (201 KAR 22:070, Section 2(2)).
Supervisory Agreement
An approved Supervisory Agreement for Physical Therapists Educated in a Foreign Country (201 KAR 22:070, Section 2(1)(b)).
Temporary permit for a first time physical therapist examination candidate
Expiry
The permit expires six months after issuance or on notice of exam results, whichever is earlier; it is a one-time permit (201 KAR 22:020, Section 5(4); Board instructions).
Jurisprudence Exam Access
The Board's instructions state that the application and fee must be received in the Board office before the applicant may access the Jurisprudence Exam.
Npte Status
The candidate must be registered for, and must not have failed in any jurisdiction, the examination; the permit is not conditioned on passing it (201 KAR 22:020, Section 4(1) and (3)).
Supervision
Practice only under a physical therapist practicing in Kentucky for more than one year with an unrestricted license, on-site at all times, who co-signs all documentation; a Supervisory Agreement for Applicant with Temporary Permit is required (201 KAR 22:020, Sections 4(2) and 5).
Temporary permit for a first time physical therapist assistant examination candidate
Expiry
The permit expires six months after issuance or on notice of exam results, whichever is earlier; it is a one-time permit (201 KAR 22:020, Section 5(4); Board instructions).
Foreign Educated Assistant
A foreign-educated physical therapist assistant applicant obtains the temporary permit under 201 KAR 22:020, Sections 4 and 5 (201 KAR 22:070, Section 3(2)).
Jurisprudence Exam Access
The Board's instructions state that the application and fee must be received in the Board office before the applicant may access the Jurisprudence Exam.
Npte Status
The candidate must be registered for, and must not have failed in any jurisdiction, the examination; the permit is not conditioned on passing it (201 KAR 22:020, Section 4(1) and (3)).
Supervision
Practice only under a physical therapist practicing in Kentucky for more than one year with an unrestricted license, on-site at all times, who co-signs all documentation; a Supervisory Agreement for Applicant with Temporary Permit is required (201 KAR 22:020, Sections 4(2) and 5).

Kentucky Physical Therapy Jurisprudence Exam

Provider
Kentucky Board of Physical Therapy
Format
Online open-book examination in four parts
Exam questions
20 questions
Exam fee
Free
Examination outline
  • KRS Chapter 327 - Physical Therapy (Physical Therapy Practice Act)
  • 201 KAR 22:001 - Definitions for 201 KAR Chapter 22
  • 201 KAR 22:010 - Objectives of physical therapy
  • 201 KAR 22:020 - Eligibility and credentialing procedure
  • 201 KAR 22:035 - Change of name and contact information
  • 201 KAR 22:040 - Renewal or reinstatement of a credential
  • 201 KAR 22:045 - Continued competency requirements and procedures
  • 201 KAR 22:052 - Complaint procedure and disciplinary action
  • 201 KAR 22:053 - Code of ethical standards and standards of practice
  • 201 KAR 22:070 - Requirements for foreign-educated physical therapists and physical therapist assistants
  • 201 KAR 22:150 - Impaired Practitioners Alternative Program
  • 201 KAR 22:160 - Telehealth and telephysical therapy
  • 201 KAR 22:170 - Physical Therapy Compact Commission
Examination sources

npte-pta

Provider
Federation of State Boards of Physical Therapy; delivered at Prometric testing centers
Format
Computer-based multiple-choice examination in four sections
Exam questions
180 total items: 140 scored items and 40 pretest items
Time limit
4 hours testing time; 4 hours 30 minutes total appointment time
Passing score
Scaled score of 600
Examination outline
  • CARDIOVASCULAR & PULMONARY SYSTEMS — published item ranges: Physical Therapy Data Collection 5-8; Diseases/Conditions that Impact Effective Treatment 7-9; Interventions 8-10; total per system 20-27 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of cardiovascular & pulmonary systems tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the cardiovascular & pulmonary systems to tests/measures and the mechanics of body movement as related to the cardiovascular & pulmonary systems. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the cardiovascular & pulmonary systems to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to cardiovascular & pulmonary systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the cardiovascular & pulmonary systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Cardiovascular & pulmonary systems tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the cardiovascular & pulmonary systems as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the cardiovascular & pulmonary systems (e.g., rib cage excursion, breathing pattern)
    • Diseases/Conditions that Impact Effective Treatment — Cardiovascular & pulmonary systems diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the cardiovascular & pulmonary systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the cardiovascular & pulmonary system on physical therapy management
    • Interventions — Cardiovascular & pulmonary systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the cardiovascular & pulmonary systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the cardiovascular & pulmonary systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the cardiovascular & pulmonary systems from physical therapy interventions used on other systems
  • MUSCULOSKELETAL SYSTEM — published item ranges: Physical Therapy Data Collection 9-12; Diseases/Conditions that Impact Effective Treatment 10-13; Interventions 12-15; total per system 31-40 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of musculoskeletal system tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the musculoskeletal system to tests/measures and the mechanics of body movement as related to the musculoskeletal system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the musculoskeletal system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to musculoskeletal system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the musculoskeletal system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Musculoskeletal system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the musculoskeletal system as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the musculoskeletal system
    • Physical Therapy Data Collection — Joint biomechanics and their applications
    • Diseases/Conditions that Impact Effective Treatment — Musculoskeletal system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the musculoskeletal system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the musculoskeletal system on physical therapy management
    • Diseases/Conditions that Impact Effective Treatment — Connective tissue diseases/conditions and their pathophysiology to carry out the established plan of care
    • Interventions — Musculoskeletal system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the musculoskeletal system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the musculoskeletal system from physical therapy interventions
    • Interventions — Adverse effects or complications on the musculoskeletal system from physical therapy interventions used on other systems
  • NEUROMUSCULAR & NERVOUS SYSTEMS — published item ranges: Physical Therapy Data Collection 8-10; Diseases/Conditions that Impact Effective Treatment 9-12; Interventions 10-13; total per system 27-35 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of neuromuscular & nervous systems tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the neuromuscular & nervous systems to tests/measures and the mechanics of body movement as related to the neuromuscular & nervous systems. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the neuromuscular & nervous systems to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to neuromuscular & nervous systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the neuromuscular & nervous systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Neuromuscular & nervous systems tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the neuromuscular & nervous systems as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the neuromuscular & nervous systems
    • Diseases/Conditions that Impact Effective Treatment — Neuromuscular & nervous systems (CNS, PNS, ANS) diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the neuromuscular & nervous systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the neuromuscular and nervous systems on physical therapy management
    • Interventions — Neuromuscular & nervous systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the neuromuscular & nervous systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the neuromuscular & nervous systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the neuromuscular & nervous systems from physical therapy interventions used on other systems
    • Interventions — Motor control as related to neuromuscular & nervous systems physical therapy interventions
    • Interventions — Motor learning as related to neuromuscular & nervous systems physical therapy interventions
  • INTEGUMENTARY SYSTEM — published item ranges: Physical Therapy Data Collection 1-2; Diseases/Conditions that Impact Effective Treatment 1-3; Interventions 1-3; total per system 3-8 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of integumentary system tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the integumentary system to tests/measures and the mechanics of body movement as related to the integumentary system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the integumentary system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to integumentary system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the integumentary system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Integumentary system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the integumentary system as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the integumentary system (e.g., friction, shear, pressure, and scar mobility)
    • Diseases/Conditions that Impact Effective Treatment — Integumentary system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the integumentary system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the integumentary system on physical therapy management
    • Interventions — Integumentary system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the integumentary system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the integumentary system from physical therapy and medical/surgical interventions
    • Interventions — Adverse effects or complications on the integumentary system from physical therapy interventions used on other systems
  • METABOLIC & ENDOCRINE SYSTEMS — published item ranges: Physical Therapy Data Collection not allocated; Diseases/Conditions that Impact Effective Treatment 2-3; Interventions 2-3; total per system 4-6 — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the metabolic & endocrine systems to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to metabolic & endocrine systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the metabolic & endocrine systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Diseases/Conditions that Impact Effective Treatment — Metabolic & endocrine systems diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the metabolic & endocrine systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the metabolic and endocrine systems on physical therapy management
    • Interventions — Metabolic & endocrine systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the metabolic & endocrine systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the metabolic & endocrine systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the metabolic & endocrine systems from physical therapy interventions used on other systems
  • GASTROINTESTINAL SYSTEM — published item ranges: Physical Therapy Data Collection not allocated; Diseases/Conditions that Impact Effective Treatment 0-2; Interventions 0-2; total per system 0-4 — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the gastrointestinal system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to gastrointestinal system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the gastrointestinal system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Diseases/Conditions that Impact Effective Treatment — Gastrointestinal system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the gastrointestinal system (e.g., surgical procedures, diagnostic imaging, laboratory test values, other medical tests)
    • Interventions — Gastrointestinal system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence (e.g., positioning for reflux prevention, bowel programs)
    • Interventions — Anatomy and physiology of the gastrointestinal system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the gastrointestinal system from physical therapy interventions
    • Interventions — Adverse effects or complications on the gastrointestinal system from physical therapy interventions used on other systems
  • GENITOURINARY SYSTEM — published item ranges: Physical Therapy Data Collection not allocated; Diseases/Conditions that Impact Effective Treatment 0-2; Interventions 0-2; total per system 0-4 — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the genitourinary system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to genitourinary system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the genitourinary system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Diseases/Conditions that Impact Effective Treatment — Genitourinary system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the genitourinary system (e.g., surgical procedures, diagnostic imaging, laboratory test values, other medical tests)
    • Interventions — Genitourinary system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence (e.g., bladder programs, biofeedback, pelvic floor retraining)
    • Interventions — Anatomy and physiology of the genitourinary system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the genitourinary system from physical therapy interventions
    • Interventions — Adverse effects or complications on the genitourinary system from physical therapy interventions used on other systems
  • LYMPHATIC SYSTEM — published item ranges: Physical Therapy Data Collection 0-2; Diseases/Conditions that Impact Effective Treatment 1-2; Interventions 1-2; total per system 2-6 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of lymphatic system tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the lymphatic system to tests/measures and the mechanics of body movement as related to the lymphatic system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the lymphatic system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to lymphatic system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the lymphatic system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Lymphatic system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the lymphatic system as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the lymphatic system (e.g., compensatory movement, extremity range of motion)
    • Diseases/Conditions that Impact Effective Treatment — Lymphatic system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Interventions — Lymphatic system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the lymphatic system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the lymphatic system from physical therapy interventions
    • Interventions — Adverse effects or complications on the lymphatic system from physical therapy interventions used on other systems
  • SYSTEM INTERACTIONS — published item ranges: Physical Therapy Data Collection not allocated; Diseases/Conditions that Impact Effective Treatment 5-7; Interventions not allocated; total per system 5-7 — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions involving system interactions to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Diseases/Conditions that Impact Effective Treatment — Diseases/conditions where the primary impact is on more than one system (e.g., cancer, multitrauma, sarcoidosis, autoimmune disorders, pregnancy) to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of multiple systems (e.g., diagnostic imaging, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat multiple systems, including polypharmacy, on physical therapy management
    • Diseases/Conditions that Impact Effective Treatment — Impact of comorbidities/coexisting conditions on patient/client management (e.g., diabetes and hypertension; obesity and arthritis; dementia and hip fracture)
    • Diseases/Conditions that Impact Effective Treatment — Psychological and psychiatric conditions that impact patient/client management (e.g., grief, depression, schizophrenia)
    • Diseases/Conditions that Impact Effective Treatment — Dimensions of pain (acute or persistent) that impact patient/client management (e.g., psychological, social, physiological, neurological, mechanical)
  • EQUIPMENT, DEVICES, & TECHNOLOGIES — published total per nonsystem 8-10 items — This category refers to the different types of equipment, devices, & technologies, use requirements, and/or contextual determinants, according to current best evidence, as well as any other influencing factors involved in the application of equipment, devices, & technologies, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Application and adjustments, indications, contraindications, and precautions of assistive and adaptive devices/technologies (e.g., walkers, wheelchairs, adaptive seating systems and positioning devices, mechanical lifts)
    • Application and adjustments, indications, contraindications, and precautions of prosthetic devices/technologies (e.g., lower-extremity and upper-extremity prostheses)
    • Application and adjustments, indications, contraindications, and precautions of protective, supportive, and orthotic devices/technologies (e.g., braces, helmets, compression garments, shoe inserts, splints)
  • THERAPEUTIC MODALITIES — published total per nonsystem 5-7 items — This category refers to the different types of therapeutic modalities, use requirements, and/or contextual determinants, according to current best evidence, as well as any other influencing factors involved in the application of therapeutic modalities, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Applications, indications, contraindications, and precautions of thermal modalities
    • Applications, indications, contraindications, and precautions of iontophoresis
    • Applications, indications, contraindications, and precautions of electrotherapy modalities, excluding iontophoresis (e.g., neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), functional electrical stimulation (FES), interferential therapy, high-voltage pulsed current)
    • Applications, indications, contraindications, and precautions of ultrasound modalities
    • Applications, indications, contraindications, and precautions of mechanical modalities (e.g., mechanical motion devices, traction devices)
    • Applications, indications, contraindications, and precautions of biofeedback
    • Applications, indications, contraindications, and precautions of intermittent pneumatic compression
  • SAFETY & PROTECTION — published total per nonsystem 6-8 items — This category refers to the critical issues involved in patient/client safety and protection and the responsibilities of health-care providers to ensure that patient/client management and health-care decisions take place in a secure environment.
    • Factors influencing safety and injury prevention (e.g., safe patient handling, fall prevention, equipment maintenance, environmental safety)
    • Function, implications, and related precautions of intravenous lines, tubes, catheters, monitoring devices, and mechanical ventilators/oxygen delivery devices
    • Emergency preparedness (e.g., CPR, first aid, disaster response)
    • Infection control procedures (e.g., standard/universal precautions, isolation techniques, sterile technique)
    • Signs/symptoms of physical, sexual, and psychological abuse and neglect
  • PROFESSIONAL RESPONSIBILITIES — published total per nonsystem 2-4 items — This category refers to the responsibilities of health-care providers to ensure that patient/client management and health-care decisions take place in a trustworthy environment.
    • Standards of documentation
    • Patient/client rights (e.g., ADA, IDEA, HIPAA, patient bill of rights)
    • Human resource legal issues (e.g., OSHA, sexual harassment)
    • Roles and responsibilities of the physical therapist, physical therapist assistant, other health-care professionals, and support staff
    • Standards of professional ethics
    • Standards of billing, coding, and reimbursement
    • Obligations for reporting illegal, unethical, or unprofessional behaviors (e.g., fraud, abuse, neglect)
    • State and federal laws, rules, regulations, and industry standards set by state and accrediting bodies (e.g., state licensing entities, Joint Commission, CARF, CMS)
    • Risk management and quality assurance (e.g., policies and procedures, incident reports, peer chart review)
    • Cultural factors and/or characteristics that affect patient/client management (e.g., language differences, disability, ethnicity, customs, demographics, religion, health literacy)
    • Socioeconomic factors that affect patient/client management (e.g., social determinants of health)
    • Applications and utilization of health information technology (e.g., electronic medical records)
  • RESEARCH & EVIDENCE-BASED PRACTICE — published total per nonsystem 1-3 items — This category refers to the knowledge of basic research methods and data collection techniques necessary for interpretation of information sources and practice research to support patient/client management decisions fundamental to evidence-based practice.
    • Research methodology and interpretation (e.g., qualitative, quantitative, levels of evidence)
    • Data collection techniques (e.g., surveys, direct observation)
    • Measurement science (e.g., reliability, validity)
    • Techniques for accessing evidence (e.g., peer-reviewed publications, scientific proceedings, guidelines, clinical prediction rules)
Examination sources

Physical Therapist Licensure Examination

Provider
Federation of State Boards of Physical Therapy; delivered at Prometric testing centers
Format
Computer-based multiple-choice examination in five sections
Exam questions
225 total items: 180 scored items and 45 pretest items
Time limit
5 hours testing time; 5 hours 30 minutes total appointment time
Passing score
Scaled score of 600
Examination outline
  • CARDIOVASCULAR & PULMONARY SYSTEMS — published item ranges: Physical Therapy Examination 7-8; Foundations for Evaluation, Differential Diagnosis, & Prognosis 7-9; Interventions 8-10; total per system 22-27 — Physical Therapy Examination — This category refers to knowledge of the types and applications of cardiovascular & pulmonary systems tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the cardiovascular & pulmonary systems to tests/measures and the mechanics of body movement as related to the cardiovascular & pulmonary systems. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the cardiovascular & pulmonary systems according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to cardiovascular & pulmonary systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the cardiovascular & pulmonary systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Cardiovascular & pulmonary systems tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the cardiovascular & pulmonary systems as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the cardiovascular & pulmonary systems (e.g., rib cage excursion, breathing pattern)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Cardiovascular & pulmonary systems diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the cardiovascular & pulmonary systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the cardiovascular & pulmonary system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the cardiovascular & pulmonary systems
    • Interventions — Cardiovascular & pulmonary systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the cardiovascular & pulmonary systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the cardiovascular & pulmonary systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the cardiovascular & pulmonary systems from physical therapy interventions used on other systems
  • MUSCULOSKELETAL SYSTEM — published item ranges: Physical Therapy Examination 14-18; Foundations for Evaluation, Differential Diagnosis, & Prognosis 15-18; Interventions 15-18; total per system 44-54 — Physical Therapy Examination — This category refers to knowledge of the types and applications of musculoskeletal system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the musculoskeletal system to tests/measures and the mechanics of body movement as related to the musculoskeletal system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the musculoskeletal system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to musculoskeletal system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the musculoskeletal system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Musculoskeletal system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the musculoskeletal system as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the musculoskeletal system
    • Physical Therapy Examination — Joint biomechanics and their applications
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Musculoskeletal system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the musculoskeletal system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the musculoskeletal system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the musculoskeletal system
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of regenerative medicine (e.g., platelet rich plasma, stem cells) on physical therapy prognosis and interventions related to musculoskeletal diseases/conditions
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Connective tissue diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the connective tissue
    • Interventions — Musculoskeletal system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the musculoskeletal system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the musculoskeletal system from physical therapy interventions
    • Interventions — Adverse effects or complications on the musculoskeletal system from physical therapy interventions used on other systems
  • NEUROMUSCULAR & NERVOUS SYSTEMS — published item ranges: Physical Therapy Examination 13-16; Foundations for Evaluation, Differential Diagnosis, & Prognosis 13-16; Interventions 13-16; total per system 39-48 — Physical Therapy Examination — This category refers to knowledge of the types and applications of neuromuscular & nervous systems tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the neuromuscular & nervous systems to tests/measures and the mechanics of body movement as related to the neuromuscular & nervous systems. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the neuromuscular & nervous systems according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to neuromuscular & nervous systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the neuromuscular & nervous systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Neuromuscular & nervous systems tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the neuromuscular & nervous systems as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the neuromuscular & nervous systems
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Neuromuscular & nervous systems (CNS, PNS, ANS) diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the neuromuscular & nervous systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the neuromuscular and nervous systems on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the neuromuscular & nervous systems (CNS, PNS, ANS)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of regenerative medicine (e.g., platelet rich plasma, stem cells) on physical therapy prognosis and interventions related to the neuromuscular and nervous systems
    • Interventions — Neuromuscular & nervous systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the neuromuscular & nervous systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the neuromuscular & nervous systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the neuromuscular & nervous systems from physical therapy interventions used on other systems
    • Interventions — Motor control as related to neuromuscular & nervous systems physical therapy interventions
    • Interventions — Motor learning as related to neuromuscular & nervous systems physical therapy interventions
  • INTEGUMENTARY SYSTEM — published item ranges: Physical Therapy Examination 2-3; Foundations for Evaluation, Differential Diagnosis, & Prognosis 3-4; Interventions 3-4; total per system 8-11 — Physical Therapy Examination — This category refers to knowledge of the types and applications of integumentary system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the integumentary system to tests/measures and the mechanics of body movement as related to the integumentary system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the integumentary system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to integumentary system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the integumentary system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Integumentary system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the integumentary system as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the integumentary system (e.g., friction, shear, pressure, and scar mobility)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Integumentary system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the integumentary system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the integumentary system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the integumentary system
    • Interventions — Integumentary system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the integumentary system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the integumentary system from physical therapy and medical/surgical interventions
    • Interventions — Adverse effects or complications on the integumentary system from physical therapy interventions used on other systems
  • METABOLIC & ENDOCRINE SYSTEMS — published item ranges: Physical Therapy Examination not allocated; Foundations for Evaluation, Differential Diagnosis, & Prognosis 2-3; Interventions 2-3; total per system 4-6 — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the metabolic & endocrine systems according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to metabolic & endocrine systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the metabolic & endocrine systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Metabolic & endocrine systems diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the metabolic & endocrine systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the metabolic and endocrine systems on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the metabolic & endocrine systems
    • Interventions — Metabolic & endocrine systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the metabolic & endocrine systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the metabolic & endocrine systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the metabolic & endocrine systems from physical therapy interventions used on other systems
  • GASTROINTESTINAL SYSTEM — published item ranges: Physical Therapy Examination 1-2; Foundations for Evaluation, Differential Diagnosis, & Prognosis 1-2; Interventions 1-2; total per system 3-6 — Physical Therapy Examination — This category refers to knowledge of the types and applications of gastrointestinal system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the gastrointestinal system to tests/measures and the mechanics of body movement as related to the gastrointestinal system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the gastrointestinal system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to gastrointestinal system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the gastrointestinal system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Gastrointestinal system tests/measures, including outcome measures, and their applications according to current best evidence (e.g., bowel dysfunction impact questionnaires, Murphy test, Rovsing test, McBurney point sign)
    • Physical Therapy Examination — Anatomy and physiology of the gastrointestinal system as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the gastrointestinal system (e.g., effects of muscular tension or trigger points, positioning for bowel movement)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Gastrointestinal system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the gastrointestinal system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the gastrointestinal system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the gastrointestinal system
    • Interventions — Gastrointestinal system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence (e.g., positioning for reflux prevention, bowel programs)
    • Interventions — Anatomy and physiology of the gastrointestinal system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the gastrointestinal system from physical therapy interventions
    • Interventions — Adverse effects or complications on the gastrointestinal system from physical therapy interventions used on other systems
  • GENITOURINARY SYSTEM — published item ranges: Physical Therapy Examination 0-1; Foundations for Evaluation, Differential Diagnosis, & Prognosis 1-2; Interventions 1-2; total per system 2-5 — Physical Therapy Examination — This category refers to knowledge of the types and applications of genitourinary system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the genitourinary system to tests/measures and the mechanics of body movement as related to the genitourinary system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the genitourinary system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to genitourinary system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the genitourinary system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Genitourinary system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the genitourinary system as related to tests/measures
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Genitourinary system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the genitourinary system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the genitourinary system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the genitourinary system
    • Interventions — Genitourinary system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence (e.g., bladder programs, biofeedback, pelvic floor retraining)
    • Interventions — Anatomy and physiology of the genitourinary system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the genitourinary system from physical therapy interventions
    • Interventions — Adverse effects or complications on the genitourinary system from physical therapy interventions used on other systems
  • LYMPHATIC SYSTEM — published item ranges: Physical Therapy Examination 1-2; Foundations for Evaluation, Differential Diagnosis, & Prognosis 1-2; Interventions 2-3; total per system 4-7 — Physical Therapy Examination — This category refers to knowledge of the types and applications of lymphatic system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the lymphatic system to tests/measures and the mechanics of body movement as related to the lymphatic system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the lymphatic system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to lymphatic system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the lymphatic system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Lymphatic system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the lymphatic system as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the lymphatic system (e.g., compensatory movement, extremity range of motion)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Lymphatic system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the lymphatic system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the lymphatic system
    • Interventions — Lymphatic system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the lymphatic system as related to interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the lymphatic system from physical therapy interventions
    • Interventions — Adverse effects or complications on the lymphatic system from physical therapy interventions used on other systems
  • SYSTEM INTERACTIONS — published item ranges: Physical Therapy Examination not allocated; Foundations for Evaluation, Differential Diagnosis, & Prognosis 8-10; Interventions not allocated; total per system 8-10 — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions involving system interactions according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Diseases/conditions where the primary impact is on more than one system (e.g., cancer, multitrauma, sarcoidosis, autoimmune disorders, pregnancy) to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of multiple systems (e.g., diagnostic imaging, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat multiple systems, including polypharmacy, on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions where the primary impact is on more than one system
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Impact of comorbidities/coexisting conditions on patient/client management (e.g., diabetes and hypertension; obesity and arthritis; dementia and hip fracture)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Psychological and psychiatric conditions that impact patient/client management (e.g., grief, depression, schizophrenia)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Dimensions of pain (acute or persistent) that impact patient/client management (e.g., psychological, social, physiological, neurological, mechanical)
  • EQUIPMENT, DEVICES, & TECHNOLOGIES — published total per nonsystem 5-6 items — This category refers to the different types of equipment, devices, & technologies, use requirements, and/or contextual determinants, as well as any other influencing factors involved in the selection and application of equipment, devices, & technologies, including consideration of current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Applications and adjustments, indications, contraindications, and precautions of assistive and adaptive devices/technologies (e.g., walkers, wheelchairs, adaptive seating systems and positioning devices, mechanical lifts)
    • Applications and adjustments, indications, contraindications, and precautions of prosthetic devices/technologies (e.g., lower-extremity and upper-extremity prostheses, microprocessor-controlled prosthetic devices)
    • Applications and adjustments, indications, contraindications, and precautions of protective, supportive, and orthotic devices/technologies (e.g., braces, helmets, taping, compression garments, serial casts, shoe inserts, splints)
  • THERAPEUTIC MODALITIES — published total per nonsystem 4-6 items — This category refers to the underlying principles for the use of therapeutic modalities as well as the justification for the selection and use of various types of therapeutic modalities, including consideration of current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Applications, indications, contraindications, and precautions of thermal modalities
    • Applications, indications, contraindications, and precautions of iontophoresis
    • Applications, indications, contraindications, and precautions of electrotherapy modalities, excluding iontophoresis (e.g., neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), functional electrical stimulation (FES), interferential therapy, high-voltage pulsed current)
    • Applications, indications, contraindications, and precautions of ultrasound modalities, excluding phonophoresis
    • Applications, indications, contraindications, and precautions of mechanical modalities (e.g., mechanical motion devices, traction devices)
    • Applications, indications, contraindications, and precautions of biofeedback
    • Applications, indications, contraindications, and precautions of intermittent compression
  • SAFETY & PROTECTION — published total per nonsystem 5-7 items — This category refers to the critical issues involved in patient/client safety and protection and the responsibilities of health-care providers to ensure that patient/client management and health-care decisions take place in a secure environment.
    • Factors influencing safety and injury prevention (e.g., safe patient handling, fall prevention, equipment maintenance, environmental safety)
    • Function, implications, and related precautions of lines, tubes, catheters, monitoring devices, and mechanical ventilators/oxygen delivery devices
    • Emergency preparedness (e.g., CPR, first aid, disaster response)
    • Infection control procedures (e.g., standard/universal precautions, isolation techniques, sterile technique)
    • Signs/symptoms of physical, sexual, and psychological abuse and neglect
  • PROFESSIONAL RESPONSIBILITIES — published total per nonsystem 4-5 items — This category refers to the responsibilities of health-care providers to ensure that patient/client management and health-care decisions take place in a trustworthy environment.
    • Standards of documentation
    • Patient/client rights (e.g., ADA, IDEA, HIPAA, patient bill of rights)
    • Human resource legal issues (e.g., OSHA, sexual harassment)
    • Roles and responsibilities of the physical therapist, physical therapist assistant, other health-care professionals, and support staff
    • Standards of professional ethics
    • Standards of billing, coding, and reimbursement
    • Obligations for reporting illegal, unethical, or unprofessional behaviors (e.g., fraud, abuse, neglect)
    • State and federal laws, rules, regulations, and industry standards set by state and accrediting bodies (e.g., state licensing entities, Joint Commission, CARF, CMS)
    • Risk management and quality assurance (e.g., policies and procedures, incident reports, peer chart review)
    • Cultural factors and/or characteristics that affect patient/client management (e.g., language differences, disability, ethnicity, customs, demographics, religion)
    • Socioeconomic factors that affect patient/client management
    • Applications and utilization of health information technology (e.g., electronic medical records)
    • The provision and utilization of telehealth (i.e., the use of telecommunication technologies to provide health care information and services)
  • RESEARCH & EVIDENCE-BASED PRACTICE — published total per nonsystem 3-5 items — This category refers to the application of measurement principles and research methods to make reasoned and appropriate assessment and to the interpretation of information sources and practice research to support patient/client management decisions fundamental to evidence-based practice.
    • Research methodology and interpretation (e.g., qualitative, quantitative, levels of evidence)
    • Data collection techniques (e.g., surveys, direct observation)
    • Measurement science (e.g., reliability, validity)
    • Techniques for accessing evidence (e.g., peer-reviewed publications, scientific proceedings, guidelines, clinical prediction rules)
    • Statistics (e.g., t-test, chi-square, correlation coefficient, ANOVA, likelihood ratio, effect size, confidence interval)
Examination sources