Each licensing authority indicates the level of direct access allowed in the jurisdiction and the type of limitations that apply to this access. There are two tables: Types and Limits Referrals TYPES AND LIMITS This table reports the kinds of direct access PTs are allowed. If there is limited direct access, it reports the type of limitations. Summary of Access No. of jurisdictions that have unlimited direct access 16 No. of jurisdictions that have limited direct access 31 No. of jurisdictions that have no direct access 6 Summary of Limitations No. of jurisdictions that allow an evaluation without 9 No. of jurisdictions that allow for fitness and wellness 9 No. of jurisdictions that have visit or time restrictions 20 No. of jurisdictions that have setting restrictions 8 No. of jurisdictions that require a specific degree or years of clinical experience 10 No. of jurisdictions that allow for pediatrics 8 No. of jurisdictions that require a diagnosis or 3 No. of jurisdictions that require a prior to physical therapy for same issue 5 No. of jurisdictions that require notification of the MD 12 FSBPT 201301 1
State Type Eval without Referral Fitness & Wellness Visit or time restriction prior to needing a Restricted settings Specific Degree/Years of clinical experience required Pediatrics Diagnosis needed Prior to physical therapy for same issue Notification of MD AK AL AR Must have for bronchopulmonary hygiene, debridement and wound care. AZ CA A PT may evaluate without a or a diagnosis, but may not initiate treatment without a diagnosis. A is not required. CO CT if no improvement Must have for manipulation. DC if no improvement DE FL GA HI IA FSBPT 201301 2
State Type Eval without Referral Fitness & Wellness Visit or time restriction prior to needing a Restricted settings Specific Degree/Years of clinical experience required Pediatrics Diagnosis needed Prior to physical therapy for same issue Notification of MD ID IL Must have documented or documented current and relevant diagnosis from a physician, dentist, or podiatrist to treat. IN KS KY LA Prior diagnosis required within 90 days. MA MD ME Must have for manipulation. MI MN MO Prior diagnosis required within one year. MS Prior diagnosis required within 180 days. MT NC Must have for manipulation. ND NE FSBPT 201301 3
State Type Eval without Referral Fitness & Wellness Visit or time restriction prior to needing a Restricted settings Specific Degree/Years of clinical experience required Pediatrics Diagnosis needed Prior to physical therapy for same issue Notification of MD NH NJ NM Prior diagnosis required within 12 months. NV NY OH OK Orthotic devices are limited without. Only children receiving PT through IDEA. PA Must apply to board for special certificate. PR RI SC SD TN TX Prior required within 12 months. UT FSBPT 201301 4
State Type Eval without Referral Fitness & Wellness Visit or time restriction prior to needing a Restricted settings Specific Degree/Years of clinical experience required Pediatrics Diagnosis needed Prior to physical therapy for same issue Notification of MD VA VI VT WA Must have for orthotics. Referral must have been made within two years. Cannot perform more than one initial eval per patient within three months. Referral for wound care, EMG. WI Prior diagnosis required. WV WY If chronic problem, must have been diagnosed and treated within the past year. FSBPT 201301 5
This table reports which healthcare providers PTs can accept s from. REFERRALS Summary Medical Doctor 39 Dentists 38 Podiatrists 37 Chiropractors 35 Osteopaths 31 Naturopaths 13 Physicians assistants 25 Nurse practitioners 26 Veterinarians 1 STATE AL AK AZ AR CA CO CT DE Medical Doctor Who can PTs accept s from? Dentists Podiatrists Chiropractors Osteopaths Naturopaths Physicians assistants Nurse practitioners Vets PT isn't required to have a but must have a diagnosis from any diagnostician. Any licensed health practitioner, who FSBPT 201301 6
STATE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH Medical Doctor Who can PTs accept s from? Dentists Podiatrists Chiropractors Osteopaths Naturopaths Physicians assistants Nurse practitioners Vets has been granted prescriptive authority for a condition within the scope of their respective practices. Optometrists FSBPT 201301 7
STATE NJ NM NY NC ND OH OK PA PR RI SC SD TN TX UT VT VI VA WA WV WI Medical Doctor Who can PTs accept s from? Dentists Podiatrists Chiropractors Osteopaths Naturopaths Physicians assistants Nurse practitioners Vets Doctor of Oriental Medicine (DOM.) Any licensed professional whose practice act gives them the authority to refer Referrals are not outlined in Utah Statute or Rule FSBPT 201301 8
STATE Medical Doctor Who can PTs accept s from? Dentists Podiatrists Chiropractors Osteopaths Naturopaths Physicians assistants Nurse practitioners Vets WY FSBPT 201301 9