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Pennsylvania Physical Therapy — Requirements & Free Practice

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Physical Therapist Assistant Certification

Certification issued by the Pennsylvania State Board of Physical Therapy to provide services as a physical therapist assistant under section 9.1 of the Physical Therapy Practice Act; includes the temporary certificate and the certificate of authority to provide services under indirect supervision as forms of this certification.

Licensing authority: Pennsylvania State Board of Physical Therapy · Application information

Certification by endorsement under Act 41 of 2019
No examination is required for this applicant pathway.
Case By Case
The Department of State states that Act 41 consideration is given on a case-by-case basis when the Board's existing endorsement or reciprocity options do not provide a means of licensure.
Competency
Demonstrates competency through methods determined by the Board, including continuing education or experience for at least two of the five years preceding the application (section 6.1(a)(2)).
Fee
Pays the fees established by the Board by regulation (section 6.1(a)(5)).
Prior License
Holds a current license, certificate, registration or permit from another state, territory or country whose requirements the Board determines are substantially equivalent to or exceed Pennsylvania's (Act 41 of 2019 section 6.1(a)(1)).
Provisional License
The Board may issue a provisional endorsement license while the applicant satisfies remaining requirements (section 6.1(b)).
Standing
No act constituting grounds for refusal, and in good standing without discipline in the issuing jurisdiction, unless the Board determines otherwise in its discretion (section 6.1(a)(3)-(4)).

Official no-examination sources

Effective from 2019-08-29.

Certification by examination (graduate of a CAPTE approved physical therapist assistant program)
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Age
At least 18 years of age unless otherwise determined by the Board (Act section 9.1(a); 49 Pa. Code § 40.162(a)(1)).
Character
Good moral character and not addicted to alcohol, narcotics or other habit-forming drugs (49 Pa. Code § 40.162(a)(2)-(3)).
Child Abuse Training
At least 3 hours of approved child abuse recognition and reporting training (49 Pa. Code § 40.162(a)(5)).
Education
Graduation from a physical therapist assistant program approved by CAPTE (49 Pa. Code § 40.163(a)(1)).
Examination Attempts
NPTE may be taken up to 90 days before graduation and no more than three times in a consecutive 12-month period (49 Pa. Code § 40.164(a)(4), (b)).
Fee
Initial application fee under 49 Pa. Code § 40.5.
Certificate of authority to provide services as a physical therapist assistant under indirect supervision
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Experience
At least 2,000 hours of supervised patient-related acts and services while certified, or at least 3 years of work as a physical therapist assistant between October 2, 2003 and October 2, 2008 (Act section 9.1(c)(4); 49 Pa. Code § 40.165(b)(2)).
Fee
Application fee under 49 Pa. Code § 40.5.
Reactivation of a physical therapist assistant certification inactive for 5 years or more
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Examination Alternative
Instead of the certification examination, the applicant may satisfy 49 Pa. Code § 40.163(b) and prove licensed or certified provision of services in other United States or Canadian jurisdictions for at least 36 of the 5 years immediately preceding application (49 Pa. Code § 40.191(k)(2)).
General
Also meets the reactivation requirements of 49 Pa. Code § 40.191(g)-(h).
Reactivation of a physical therapist assistant certification inactive for less than 5 years
No examination is required for this applicant pathway.
Continuing Education
Continuing education for the immediately preceding biennium unless waived (49 Pa. Code § 40.191(g)(1)).
Fees
Current renewal fee and reactivation fee; prior renewal and late fees if services were provided while inactive (49 Pa. Code § 40.191(g)(2)-(h)).
Inactive Period
Certification inactive for less than 5 years; the competence demonstration of 49 Pa. Code § 40.191(k) applies only at 5 years or more.

Official no-examination sources

Effective from 2021-08-07.

Reciprocal certification (certified, licensed or registered as a physical therapist assistant in another state, territory or the District of Columbia)
No examination is required for this applicant pathway.
General
Age, character and child abuse training requirements of 49 Pa. Code § 40.162(a); fee under 49 Pa. Code § 40.5.
Prior Credential
Valid physical therapist assistant license, certificate or registration from another state, territory or the District of Columbia whose requirements were, on the date of issuance, substantially the same as Pennsylvania's and which accords similar privileges to Pennsylvania-certified physical therapist assistants (49 Pa. Code § 40.163(b)); the examination behind that credential is not named.

Official no-examination sources

Effective from 2025-07-05.

New application after revocation of a physical therapist assistant certification
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Waiting Period
Unless ordered by a court, a revoked certification is not reinstated; the individual may apply after a five-year period in accordance with Act section 9.1, including the examination requirement (Act section 9.1(g)).
Biennial renewal of physical therapist assistant certification
No examination is required for this applicant pathway.
Continuing Education
At least 30 contact hours in the preceding biennium, including 2 hours of child abuse recognition and reporting (Act section 9.1(j); 49 Pa. Code § 40.191(c)(5)).
Disclosures
Disclose other authorizations, disciplinary actions and criminal matters (49 Pa. Code § 40.191(c)(2)-(4)).
Fee
Biennial renewal fee (49 Pa. Code § 40.191(c)(1)).

Official no-examination sources

Effective from 2021-08-07.

Temporary certificate pending the certification examination
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Application
Has applied for certification under 49 Pa. Code §§ 40.161-40.164 or § 40.165 and has not previously received a temporary certificate (49 Pa. Code § 40.166(b)(2), (4)).
Exam Status
The NPTE need not yet be passed; the applicant must be eligible to take it and must not have previously sat for it (Act section 9.1(a.1); 49 Pa. Code § 40.166(b)(1), (3)).
Supervision
Services only under direct on-premises supervision of a licensed physical therapist (49 Pa. Code § 40.166(f)).
Term
Expires on failing the certification examination or 6 months after issuance, whichever is earlier; not renewable (49 Pa. Code § 40.166(d)-(e)).

Physical Therapist License

License issued by the Pennsylvania State Board of Physical Therapy to practice physical therapy under the Physical Therapy Practice Act; includes the temporary license and the certificate of authorization to practice without a referral as forms of this license.

Licensing authority: Pennsylvania State Board of Physical Therapy · Application information

Licensure by endorsement under Act 41 of 2019
No examination is required for this applicant pathway.
Case By Case
The Department of State states that Act 41 consideration is given on a case-by-case basis when the Board's existing endorsement or reciprocity options do not provide a means of licensure.
Competency
Demonstrates competency through methods determined by the Board, including continuing education or experience for at least two of the five years preceding the application (section 6.1(a)(2)).
Fee
Pays the fees established by the Board by regulation (section 6.1(a)(5)).
Prior License
Holds a current license, certificate, registration or permit from another state, territory or country whose requirements the Board determines are substantially equivalent to or exceed Pennsylvania's (Act 41 of 2019 section 6.1(a)(1)).
Provisional License
The Board may issue a provisional endorsement license while the applicant satisfies remaining requirements (section 6.1(b)).
Standing
No act constituting grounds for refusal, and in good standing without discipline in the issuing jurisdiction, unless the Board determines otherwise in its discretion (section 6.1(a)(3)-(4)).

Official no-examination sources

Effective from 2019-08-29.

Certificate of authorization to practice physical therapy without a referral (direct access)
Physical Therapist Licensure Examination
Examination Alternative
A licensee who passed the NPTE before January 1, 1990 qualifies instead by completing, within 2 years before application, a Board-approved course of at least 10 hours on evaluative and screening procedures (Act section 9(b)(1)(ii); 49 Pa. Code § 40.61(a)(2)(ii)).
Insurance
Professional liability insurance under 49 Pa. Code § 40.69 (49 Pa. Code § 40.61(a)(4)).
License
Holds a current Pennsylvania physical therapist license (49 Pa. Code § 40.61(a)(1)).
Practice
At least 2 years of continuous practice (minimum 200 hours of direct patient care per year) immediately preceding the application, in Pennsylvania or, if licensed by endorsement, in the other state (49 Pa. Code § 40.61(a)(3)).
Licensure by endorsement (licensed as a physical therapist in another state, territory or the District of Columbia)
No examination is required for this applicant pathway.
Child Abuse Training
At least 3 hours of approved child abuse recognition and reporting training (49 Pa. Code § 40.16(a)(3)).
Education
Professional credentials under 49 Pa. Code § 40.11; applicants educated outside the United States must also meet 49 Pa. Code § 40.17(5)-(6) and be authorized to practice without limitation in the country of education (49 Pa. Code §§ 40.4(5), 40.16(b)).
Fee
Licensure by endorsement fee under 49 Pa. Code § 40.5.
Prior License
Holds a valid license by examination (or registration) as a physical therapist in another state, territory or the District of Columbia whose requirements were, at the time of licensure, substantially equal to Pennsylvania's (Act section 6(d.1); 49 Pa. Code §§ 40.4(2), 40.16(a)(1)); the examination behind that license is not named.
Reciprocity
Similar privileges are accorded individuals licensed in Pennsylvania, and the applicant complies with the Board's rules (Act section 6(d.1)(2), (4)).

Official no-examination sources

Effective from 2021-08-07.

Licensure by examination (graduate of a CAPTE accredited or Board recognized physical therapy program)
Physical Therapist Licensure Examination
Additional Assessment
Oral or practical examinations, or both, may be administered by the Board-approved vendor in addition to the written examination (49 Pa. Code § 40.13(b)); no such examination is identified.
Age
At least 20 years of age unless waived upon application to and review by the Board (Act section 6(a); 49 Pa. Code § 40.12(a)(1)).
Character
Good moral character and not addicted to the habitual use of alcohol, narcotics or other habit-forming drugs (49 Pa. Code § 40.12(a)(2)-(3)); felony drug conviction bars licensure unless the conditions of Act section 6(a)(1)-(3) are met.
Child Abuse Training
At least 3 hours of approved training in child abuse recognition and reporting (49 Pa. Code § 40.12(a)(5)).
Education
Graduated from a physical therapy program accredited by CAPTE or by another national organization recognized by the Board; professional study completed after 2002 requires at least a master's degree in physical therapy from a regionally accredited institution (49 Pa. Code § 40.11).
Examination Attempts
NPTE may be taken up to 90 days before graduation from a CAPTE-accredited program and no more than three times in a consecutive 12-month period (49 Pa. Code § 40.14(d)-(e)).
Professional Liability Insurance
Proof of professional liability insurance of at least $1,000,000 per occurrence or claims made (Act section 9(b)(4)(iii.1)-(iii.2)).
Licensure by examination for applicants educated outside the United States
Physical Therapist Licensure Examination
Education
Graduated from a physical therapist education program that prepares the applicant to practice without restriction, recognized in its jurisdiction, and substantially equivalent to CAPTE-accredited education as shown by accreditation or a credentials evaluation from a Board-approved agency (Act section 6(i)(3); 49 Pa. Code § 40.17(2), (5)).
Education Deficiencies
General education deficiencies may be corrected by accredited college study or by College Level Examination Program (CLEP) examinations (not physical therapy licensure examinations), up to 30 credits (49 Pa. Code § 40.17(6)).
Foreign Authorization
Holds or held legal authorization to practice as a physical therapist without limitations in the country where the professional education took place (Act section 6(i)(2); 49 Pa. Code § 40.17(3)).
General
Age, character, fee and other requirements of 49 Pa. Code § 40.12(a)(1)-(3) and (b); professional liability insurance under Act section 9(b)(4).
Supervised Clinical Experience
At the Board's discretion, up to one year of supervised clinical experience before taking the examination (Act section 6(f); 49 Pa. Code § 40.17(7)).
Work Authorization
Documentation of legal authorization to seek employment in the United States (49 Pa. Code § 40.17(4)).
Reactivation of a physical therapist license inactive for 5 years or more
Physical Therapist Licensure Examination
Examination Alternative
Instead of passing the licensure examination, the licensee may satisfy 49 Pa. Code § 40.16 (endorsement) and prove licensed practice in other United States or Canadian jurisdictions for at least 36 of the 5 years immediately preceding application (49 Pa. Code § 40.20(e)(2)).
General
Also meets the reactivation requirements of 49 Pa. Code § 40.20(c)-(d) (continuing education, fees, verification).
Reactivation of a physical therapist license inactive for less than 5 years
No examination is required for this applicant pathway.
Continuing Education
Continuing education for the immediately preceding biennium unless waived (49 Pa. Code § 40.20(c)(1)).
Fees
Current renewal fee and reactivation fee; prior renewal and late fees if the licensee practiced while inactive (49 Pa. Code § 40.20(c)(2)-(d)).
Inactive Period
License inactive for less than 5 years; the competence demonstration of 49 Pa. Code § 40.20(e) applies only at 5 years or more.

Official no-examination sources

Effective from 2018-05-19.

New application after revocation of a physical therapist license
Physical Therapist Licensure Examination
Section Six Alternative
Act section 6 also contains the licensure-without-further-examination provision of section 6(d.1); whether an applicant after revocation may use it is not stated in section 11(c).
Waiting Period
Unless ordered by a court, a revoked license is not reinstated; the individual may apply after a five-year period in accordance with Act section 6 (Act section 11(c)).
Biennial renewal of physical therapist license
No examination is required for this applicant pathway.
Continuing Education
At least 30 hours of approved continuing education in the preceding biennium, including 2 hours of child abuse recognition and reporting (Act section 7.2; 49 Pa. Code § 40.19(c)(5)).
Disclosures
Disclose licenses in other jurisdictions, disciplinary actions and criminal matters (49 Pa. Code § 40.19(c)(2)-(4)).
Insurance
If practicing in Pennsylvania, maintain professional liability insurance (49 Pa. Code § 40.19(c)(6)).

Official no-examination sources

Effective from 2021-08-07.

Temporary license pending the licensure examination
Physical Therapist Licensure Examination
Eligibility
Meets the requirements of Act section 6(a) (49 Pa. Code § 40.22(a)(1)).
Exam Status
The NPTE need not yet be passed: the applicant must be eligible for it and have applied to take it or be awaiting results (Act section 6(g); 49 Pa. Code § 40.22(a)(2)).
Supervision
Practices only under direct on-premises supervision of a licensed physical therapist with at least 2 years of experience (49 Pa. Code § 40.22(a)(3)).
Term
Only one temporary license per applicant; it expires on failure of the first examination or six months after issuance, whichever occurs first (Act section 6(g); 49 Pa. Code § 40.22(b)).

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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