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Indiana Physical Therapy License by Endorsement

Required Documentation for Endorsement Applicants

    • Completed application with the $50.00 temporary permit fee, plus the initial application fee of $100.00;
    • Social security number;
    • Two (2) recent passport type photographs of the applicant, approximately two (2) inches by two (2) inches in size;
    • A notarized copy of your current physical therapist or physical therapist assistant license/certification OR license verification from the state in which you are currently licensed.
    • The affirmation of supervision form must be completed by the supervising Indiana licensed physical therapist indicating he/she will be providing direct supervision to the applicant.
    • An original detail credentials evaluation completed specifically for the state of Indiana Approved credentialing services are available here.
    • Complete Criminal Background Check

The committee may issue a license by endorsement to an applicant who completes the following:

    • Submits a sworn application in proper form.
    •  Submits the fee.
    • Presents satisfactory evidence that he or she does not have a conviction for an act, within or outside of this state, that would constitute a ground for disciplinary sanction.
    • Has been certified by a written examination provided by the committee. The uniform criterion-referenced passing score on the physical therapy and physical therapist's assistant examinations, which has been adopted by the board of directors of the Federation of State Boards of Physical Therapy, is the required passing score. This criterion-referenced passing score shall be a scaled score of six hundred (600). If the applicant was licensed in a state that required an examination, other than an examination provided by the committee, the committee shall determine whether the applicant took and passed a postgraduate written examination substantially equivalent in content and difficulty to the examination adopted by the committee.
    • Submits verification from all states in which the applicant has been or is currently licensed-certified. The verification must include a statement verifying whether the applicant has ever been disciplined in any manner.
    • Submits an official transcript of grades from a physical therapy school or physical therapist's assistant school evidencing that the applicant is a graduate of a physical therapist or physical therapist's assistant entry-level educational program and that a degree has been conferred. If the transcript is not in English, the applicant must submit a certified copy of an official English translation. Graduates of a foreign physical therapy program must submit notarized copies of their transcripts if official transcripts are unavailable.
    • Submits one (1) passport-type quality photograph of the applicant taken within the last eight (8) weeks.
    • Submits the applicant's valid United States Social Security number.

Citation

IC 25-27-1-9

844 IAC 6-3-1



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