Upcoming Webinars 


The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Log in

Log in

Illinois Physical Therapy Dry Needling

Course Requirements

A physical therapist licensed to practice in the State of Illinois may only perform intramuscular manual therapy under the following conditions:

Prior to completion of the education, successful completion of a total of fifty (50) hours of instruction in the following areas:

    • The musculoskeletal and neuromuscular system;
    • The anatomical basis of pain mechanisms, chronic pain and referred pain;
    • Myofascial trigger point theory; and
    • Universal precautions.

Didactic Course Work

Completion of at least thirty (30) hours of didactic course work specific to intramuscular manual therapy.  This requirement can be fulfilled by the didactic pre-study required for the intramuscular manual therapy practicum course.

Practicum Hours

Successful completion of at least fifty-four (54) practicum hours in intramuscular manual therapy course work approved by the Federation of State Boards of Physical Therapy or its successor (or substantial equivalent), as determined by the Department.  Each instructional course shall specify what anatomical regions are included in the instruction and describe whether the course offers introductory or advanced instruction in intramuscular manual therapy.  Each instruction course shall include the following areas:

    • Intramuscular manual therapy technique;
    • Intramuscular manual therapy indications and contraindications;
    • Documentation of intramuscular manual therapy;
    • Management of adverse effects;
    • Practical psychomotor competency; and
    • The Occupational Safety and Health Administrations Bloodborne Pathogens standard.

Postgraduate Courses

Postgraduate classes qualifying for completion of the mandated fifty-four (54) hours of intramuscular manual therapy shall be in one or more modules, with the initial module being no fewer than twenty-seven (27) hours. Therapists shall complete at least fifty-four (54) hours in no more than twelve (12) months.  Physical therapists who completed the initial module prior to the adoption of this Section shall complete the remainder of the fifty-four (54) hours by July 11, 2019.

Supervised Treatment Sessions

Completion of at least 200 patient treatment sessions under general supervision recognized by the American Physical Therapy Association.

Successful completion of a competency examination approved by the Division.  The Division will accept competency examinations administered as part of the intramuscular manual therapy practicum course work.

Standard of Practice

A newly-licensed PT shall not practice intramuscular manual therapy for at least one (1) year from the date of initial licensure unless the practitioner can demonstrate compliance through his or her prelicensure educational coursework.

Intramuscular manual therapy may only be performed by a licensed PT and may not be delegated to a PTA or support personnel.

A PT shall not advertise, describe to patients or the public, or otherwise represent that dry needling is acupuncture, nor shall he or she represent that he or she practices acupuncture unless separately licensed under the Acupuncture Practice Act.


68 Ill. Admin. Code ยง 1340.75

Powered by Wild Apricot Membership Software